Obstructive Sleep Apnea Syndrome: Diagnostic Tests

Obligatory medical device diagnostics.

  • Cardiorespiratory polygraphy (performed on an outpatient basis) – if nocturnal breathing disorder is suspected.
  • Nocturnal oximetry (oxygen measurement), performed on an outpatient basis.
  • Polysomnography (sleep laboratory; measurement of various body functions during sleep that provide information about sleep quality) – in which the following parameters are monitored:
    • Encephalogram (EEG; recording the electrical activity of the brain).
    • Electrooculography (EOG; method of measuring the movement of the eyes or changes in the resting potential of the retina).
    • Electromyography (EMG; measurement of electrical muscle activity).
    • Heart rate
    • Blood oxygen saturation (SpO2) by pulse oximetry (method for non-invasive determination of arterial oxygen saturation via measurement of light absorption)+.

    Often an ambulatory respiratory polygraphy is sufficient to confirm OSA; this is a device that records breathing, snoring sounds, heartbeat, body position, movements and oxygen levels in the blood during sleep[10 events or more per hour of sleep time is considered sleep apnea; a single event must be at least 10 seconds long]

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification or to exclude complications.

  • Magnetic resonance imaging (MRI) of the head and neck stroke region – to detect the bony and soft tissue structures.
  • Medication-induced sleep endoscopy (MISE) – for localization of snoring sounds and the extent and pattern of obstruction, or for indication of surgical procedures