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Previous Volume 347:498-504 August 15, 2002 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 43-year-old man presents with heavy snoring; his bed partner reports that he sometimes stops breathing while he sleeps. He admits to feeling sleepy at times when he drives, although he has not had any motor vehicle accidents. He has hypertension that is controlled by medication but is otherwise healthy. Physical examination reveals that he is overweight (body-mass index [the weight in . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis

Polysomnography

Treatment

            Continuous Positive Airway Pressure

            Commencing Continuous Positive Airway Pressure Therapy

            Conservative Treatment and Weight Loss

            Mandibular and Tongue Advancement

            Surgery

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the University of Calgary and Foothills Medical Centre, Calgary, Alberta, Canada.

Address reprint requests to Dr. Flemons at Foothills Hospital, 1403 29th St. N.W., Calgary, AB T2N 2T9, Canada, or at flemons@ucalgary.ca.

Related Letters:

Sleep Apnea
Nitsun M., Murphy G. S., Szokol J. W., Flemons W. W.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:472-473, Jan 30, 2003. Correspondence

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