Do you have Sleep Apnea

Presentation of Obstructive Sleep Apnea

(White DP. Sleep Apnea. Proc Am Thorac Soc 3:124-8, 2006)


  • Increased neck size ( > 17 inches in a male; > 16 inches in a female)
  • Falling asleep driving or at red lights
  • Unrefreshing sleep, morning headaches
  • Irritability, memory loss, personality change
  • Nocturia, decreased libido
  • Automobile or work relate accidents
  • Systemic hypertension


Epworth Sleepiness Scale (ESS)

(Johns, Sleep 14:540, 1991)

Please use this scale for Dozing; 0=Never, 1= Slight Chance, 2= Mod. Chance, 3=High Chance

  • ESS- measures subjective sleepiness; should be performed in office

Situation                                                                          Score_

Sitting and reading                                                        ______

Watching TV                                                                   ______

Sitting inactive in a public place                                  ______

Passenger in car                                                             ______

Lying down to rest in afternoon                                  ______

Sitting talking to someone                                           ______

Sitting after lunch without alcohol                             ______

In a car, stopped for minutes in traffic                       ______

                                         Total (normal ≤10)               ______