Obstructive Sleep Apnea Syndrome Clinical Trial
Official title:
Impact of 3-week SPA Therapy on Sleep Apnea in Patients With Obstructive Sleep Apnea Syndrome and Chronic Venous Insufficiency: A Randomized, Controlled Study
The purpose of this study is to determine whether 3-week of SPA therapy improves sleep apnea in patients with chronic venous insufficiency and concomitant Obstructive Sleep Apnea Syndrome (OSAS).
Obstructive Sleep Apnea Syndrome (OSAS), characterized by repetitive episodes of partial or
complete upper airway (UA) obstruction, is highly prevalent in the general population (2% in
women, 4% in men). OSAS is associated with hypersomnolence and it increases the risk of
cardiovascular morbidity and mortality. Its pathogenesis is largely multifactorial. In
patients with chronic venous insufficiency, fluid retention contributes to this pathogenesis:
during the day, fluid accumulates in the legs due to gravity ; during sleep in recumbent
position, this accumulated fluid redistributes rostrally in the neck and causes upper airway
narrowing and predisposes to OSAS.
The hypothesis is that a comprehensive treatment program for chronic venous insufficiency
(SPA therapy) would reduce sleep apnea in patients with chronic venous insufficiency and
concomitant sleep apnea Syndrome.
The objective is to assess the efficacy of a 3-week SPA therapy on attenuation of sleep apnea
in this population of patients.
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