Obstructive Sleep Apnea Syndrome
Conditions
Keywords
apnea, sleep, altitude, hypoxia
Brief summary
The purpose of the study is to investigate the effect of acetazolamide as a treatment for sleep related breathing disturbances in patients with the obstructive sleep apnea syndrome living at low altitude during a sojourn at moderate altitude
Interventions
acetazolamide 2 times 250mg per day
Sponsors
Study design
Eligibility
Inclusion criteria
* Obstructive sleep apnea syndrome, successfully on CPAP therapy * Residence at low altitude (\<800m) * Obstructive apnea/hypopnea index \>20/h and a complaint of excessive daytime sleepiness before introduction of CPAP therapy. * \>15 oxygen desaturations/h (\>3% dips) during an ambulatory nocturnal pulse oximetry performed at the end of a 4-night period without CPAP
Exclusion criteria
* Sleep disorders other than OSA. * More than mild cardiovascular disease, unstable or recently diagnosed (within the last 6 months) cardiovascular disease such as arterial hypertension, coronary artery or cerebrovascular disease. * Any lung disease, pulmonary hypertension. * Chronic rhinitis. * Treatment with drugs that affect respiratory center drive (benzodiazepines or other sedatives or sleep inducing drugs, morphine or codeine derivates), stimulants (modafinil, methylphenidate, theophylline) * Internal, neurologic or psychiatric disease that interfere with sleep quality. * Previous intolerance to moderate or low altitude (\<2600m). * Exposure to altitudes \>1500m for \>1 day within the last 4 weeks before the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sleep disordered breathing, sleep structure, vigilance, subjective sleep quality acute mountain sickness | during treatment while at altitude |
Secondary
| Measure | Time frame |
|---|---|
| blood pressure endothelial function | during treatment while at altitude |
Countries
Switzerland