Causes
By Mayo Clinic staffObstructive sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. These muscles support structures including the soft palate, the uvula — a triangular piece of tissue hanging from the soft palate, the tonsils and the tongue.
When the muscles relax, your airway narrows or closes as you breathe in and breathing may be inadequate for 10 to 20 seconds. This may lower the level of oxygen in your blood. Your brain senses this impaired breathing and briefly rouses you from sleep so that you can reopen your airway. This awakening is usually so brief that you don't remember it.
You can awaken with a transient shortness of breath that corrects itself quickly, within one or two deep breaths. You may make a snorting, choking or gasping sound.
This pattern can repeat itself five to 30 times or more each hour, all night long. These disruptions impair your ability to reach the desired deep, restful phases of sleep, and you'll probably feel sleepy during your waking hours.
People with obstructive sleep apnea may not be aware that their sleep was interrupted. In fact, many people with this type of sleep apnea think they slept well all night.
- What is sleep apnea? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/. Accessed April 17, 2013.
- Kline LR. Clinical presentations and diagnosis of obstructive sleep apnea in adults. http://www.uptodate.com/home. Accessed April 4, 2013.
- Strohl KP. Overview of obstructive sleep apnea in adults. http://www.uptodate.com/home. Accessed April 4, 2013.
- Tamisier R, et al. Cardiovascular effects of obstructive sleep apnea. http://www.uptodate.com/home. Accessed April 4, 2013.
- Kryger MH. Management of obstructive sleep apnea in adults. http://www.uptodate.com/home. Accessed April 4, 2013.
- Paruthi S. Evaluation of suspected obstructive sleep apnea in children. http://www.uptodate.com/home. Accessed April 16, 2013.
- Olson E. Surgical risk and the preoperative evaluation and management of adults with obstructive sleep apnea. http://www.uptodate.com/home. Accessed April 16, 2013.
- Collop N. Portable monitoring in obstructive sleep apnea in adults. http://www.uptodate.com/home. Accessed April 16, 2013.
- Millman RP, et al. Polysomnography in obstructive sleep apnea in adults. http://www.uptodate.com/home. Accessed April 16, 2013.
- Dave NB. Initiation of positive airway pressure therapy for obstructive sleep apnea in adults. http://www.uptodate.com/home. Accessed April 12, 2013.
- Jacobson RL, et al. Treating obstructive sleep apnea: The case for surgery. American Journal of Orthodontics and Dentofacial Orthopedics. 2012;142:435.
- Grover DP. Obstructive sleep apnea and ocular disorders. Current Opinion in Ophthalmology. 2010;21:454.
- Rosario IC. Obstructive sleep apnea: A review and update. Minnesota Medicine. 2011;94:44.
- Find a sleep center near you. American Academy of Sleep Medicine. http://www.sleepcenters.org/. Accessed April 4, 2013.
- U.S. News best hospitals 2012-2013. U.S. News & World Report. http://health.usnews.com/best-hospitals/rankings. Accessed April 4, 2013.
- Olson EJ (expert opinion). Mayo Clinic, Rochester, Minn. April 29, 2013.


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