A brief description of sleep apnea


What is sleep apnea?

Sleep apnea (apnoea in the United Kingdom) is a medical disorder
in which someone stops breathing after falling asleep.
An apnea (or apneic event) is arbitrarily defined as
a cessation of airflow lasting at least ten seconds.

There are three types of sleep apnea:
obstructive, central, and mixed (which is a combination of central and obstructive).


Obstructive Sleep Apnea

The most common form of sleep apnea, obstructive sleep apnea
(OSA), is usually associated with snoring.
In OSA, the muscles of the upper airway (the back of the throat)
relax, and the airway collapses, preventing air from being drawn in.
This cessation of breathing causes the blood oxygen level to fall,
which in turn causes the brain to send a signal that wakes the sleeper.
Once the sleeper awakens enough for the airway to regain muscle tone,
he or she is able to inhale.
This can happen repeatedly throughout the sleep period.

Though the apnea sufferer does not remember
these awakenings in the morning,
he or she has not had enough deep, uninterrupted sleep.


Central Sleep Apnea

In central sleep apnea, the brain fails to send the proper signals
to the diaphragm and chest muscles.
The airway stays open, but the body "forgets" to breathe.
Central sleep apnea may be associated with
certain neurological conditions or cardiopulmonary disorders.
As in OSA, when the blood oxygen level drops, the brain sends a signal
waking the sleeper, which allows him or her to breathe again.


Mixed Sleep Apnea

Mixed sleep apnea is a condition in which there are both
obstructive and central apneic events.



For a good nontechnical discussion of the difference between obstructive and central apneas,
check out Mark's Sleep Apnea Page.

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Central New Jersey A.W.A.K.E.

"Alert, Well, and Keeping Energetic"

A health awareness group for patients with sleep apnea and their families and friends
(part of the American Sleep Apnea Association A.W.A.K.E. Network)