Positive Pressure for Obesity Hypoventilation Syndrome

Author:

Chanda Arijit1,Kwon Jeff S.1,Wolff Armand John1,Manthous Constantine A.2

Affiliation:

1. Section of Pulmonary, Critical Care, and Sleep Medicine, Bridgeport Hospital, Bridgeport, CT 06610, USA

2. Hospital of Central Connecticut, 100 Grand Street, New Britain, CT 06050, USA

Abstract

Obesity is increasing world-wide; obesity hypoventilation syndrome (OHS), formerly Pickwickian syndrome, has increased in parallel. Despite its prevalence, OHS has not been studied well, but there is abundant evidence that it is tightly linked with sleep-disordered breathing, most commonly obstructive sleep apnea. This article reviews the pathophysiology of OHS as well as the literature regarding the benefits of treating this disorder with positive airway pressure. We also emphasize that while positive pressure treatments may temporize cardiopulmonary disease progression, simultaneous pursuit of weight reduction is central to long-term management of this condition.

Publisher

Hindawi Limited

Subject

Pulmonary and Respiratory Medicine,General Medicine

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