Sahan Chandrasekara, Eli Dabscheck, Mary Spiteri, Renel Cuesta, Teanau Roebuck, Matthew T Naughton
{"title":"A Case of Mild OSA Exacerbated by Alcohol Use.","authors":"Sahan Chandrasekara, Eli Dabscheck, Mary Spiteri, Renel Cuesta, Teanau Roebuck, Matthew T Naughton","doi":"10.1002/rcr2.70361","DOIUrl":null,"url":null,"abstract":"<p><p>Obstructive sleep apnoea (OSA) is highly prevalent and exacerbated by alcohol consumption. With an increasing uptake of unsupervised home-based sleep studies for diagnosis, alcohol use can significantly confound results and impact clinical management. We present the case of a 65 year-old male referred for OSA evaluation. An initial home sleep study, performed in the setting of significant alcohol intake, demonstrated moderate OSA (AHI 22.1) with predominantly supine sleep (99% of total sleep time). A subsequent alcohol-free in-lab study revealed only mild OSA (7.5) with predominantly non-supine sleep (41.9% of total sleep time supine). This marked change reflects the effect of alcohol on OSA severity and sleep architecture. Our case emphasises the importance of documenting alcohol use prior to and during sleep studies and the incorporation of alcohol reduction in OSA management for selected patients.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 10","pages":"e70361"},"PeriodicalIF":0.8000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463488/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Respirology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/rcr2.70361","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 0
Abstract
Obstructive sleep apnoea (OSA) is highly prevalent and exacerbated by alcohol consumption. With an increasing uptake of unsupervised home-based sleep studies for diagnosis, alcohol use can significantly confound results and impact clinical management. We present the case of a 65 year-old male referred for OSA evaluation. An initial home sleep study, performed in the setting of significant alcohol intake, demonstrated moderate OSA (AHI 22.1) with predominantly supine sleep (99% of total sleep time). A subsequent alcohol-free in-lab study revealed only mild OSA (7.5) with predominantly non-supine sleep (41.9% of total sleep time supine). This marked change reflects the effect of alcohol on OSA severity and sleep architecture. Our case emphasises the importance of documenting alcohol use prior to and during sleep studies and the incorporation of alcohol reduction in OSA management for selected patients.
期刊介绍:
Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.