Diagnostic Evaluation of Patients with Suspected OSAS
- History
- typical sleep-wake cycle
- quality of sleep
- medication ingestion
- habits (tobacco, caffeine, alcohol)
- stressors
- exercise
- sleep environment
- associated symptoms (morning headache, dry mouth, snoring)
- family history of sleep disorders
- Physical Examination
- HEENT
- Hypertension
- body habitus
- neck size
- cardiac exam
- mental status
- thyroid abnormalities
- neuropathy
- Sleep Questionnaire and Diary
- Nocturnal Polysomnography
- ambulatory vs. laboratory
- AHI
- arousal index
- desaturations
- arrhythmias