Bronchial asthma and obstructive sleep apnea-hypopnea syndrome: the new “alternative overlap syndrome”?

Asma bronquial y síndrome de apnea/hipopnea obstructiva del sueño: ¿el nuevo “síndrome de superposición alternativo”?

Published 2015-07-20

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Vol. 27 No. 3 (2015): Edición Especial: Asma
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Topics review
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Bronchial asthma and obstructive sleep apnea-hypopnea syndrome: the new “alternative overlap syndrome”?.
rev. colomb. neumol. [Internet]. 2015 Jul. 20 [cited 2024 Nov. 23];27(3). Disponible en: https://doi.org/10.30789/rcneumologia.v27.n3.2015.85
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https://doi.org/10.30789/rcneumologia.v27.n3.2015.85
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Patricia Hidalgo M., MD.
Hospital Universitario San Ignacio. Pontificia Universidad Javeriana. Bogotá, Colombia.
    Andrea P. Cortés, H., MD.
    Pontificia Universidad Javeriana. Bogotá, Colombia.
      Laura J. Ruíz S.
      Pontificia Universidad Javeriana. Bogotá, Colombia.
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        Patricia Hidalgo M., MD.,

        Internista Neumóloga-Somnóloga, MSc. Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogotá, Colombia.

        Andrea P. Cortés, H., MD.,

        Médico General, Pontificia Universidad Javeriana. Bogotá, Colombia.

        Laura J. Ruíz S.,

        Estudiante Semillero AOS Pontificia Universidad Javeriana. Bogotá, Colombia.
        Sleep is a fascinating subject. Many processes that take place during sleep are currently been understood from the physiological standpoint. It is known that asthma crises tend to worsen during the night, and that this increases the risk of mortality. In cross-cut epidemiological studies, the prevalence of hypersomnia, snoring, and apnea has been greater in patients with asthma. In patients with difficult to control asthma, it has been found that 74,5% have SAHOS; it has been suggested that all patients with difficult to control asthma should be evaluated for SAHOS. It seems that the prevalence of asthma and sleep apnea/hypopnea overlap syndrome is especially high in patients with severer forms of asthma. Currently, leaving aside confusing factors, bronchial asthma has emerged as an important risk factor to develop habitual snoring. We describe the risk factors and the pathophysiology of overlap syndrome, the effects of asthma on SAHOS, the effects of SAHOS on asthma, the clinical outcomes, and the suggested treatment of this overlap syndrome. We insist on the fact that a high index of clinical suspicion is required for detecting the overlap. We recommend individualized assessment and treatment in order to control the triggering factors of both diseases.

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