Obstructive sleep apnea (OSA) is very common but is frequently undiagnosed. Symptoms include loud snoring, nocturnal awakening, and daytime sleepiness. Motor vehicle accidents due to drowsy driving are a particular concern. Evaluation and treatment should focus on symptomatic patients, both to alleviate symptoms and to potentially decrease cardiovascular risk. In recent years, a strategy of home sleep apnea testing followed by initiation of autotitrating continuous positive airway pressure therapy in the home has greatly reduced barriers to diagnosis and treatment and has also facilitated routine management of OSA by primary care providers.

中文翻译：

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阻塞性睡眠呼吸暂停

阻塞性睡眠呼吸暂停（OSA）非常常见，但经常无法诊断。症状包括打loud，夜间觉醒和白天嗜睡。由于困倦驾驶而导致的汽车事故是一个特别令人关注的问题。评估和治疗应集中于有症状的患者，以减轻症状并可能降低心血管疾病的风险。近年来，在家中进行睡眠呼吸暂停测试，然后在家中开始自动滴定连续气道正压通气疗法的策略，已大大减少了诊断和治疗的障碍，也促进了初级保健提供者对OSA的常规管理。