ABSTRACT
This issue of Sleep and Breathing presents a section on sleep in COPD, a widespread disease consuming many health resources
which is often diagnosed so late that little chance of reversibility remains. The
early detection of the warning clinical signs can include sleep studies, mainly in
the presence of arterial carbon dioxide levels higher than expected from pulmonary
function tests. Two of the articles deal with hypercapnia and nocturnal hypoventilation
in COPD; the third underlines the impact of tobacco smoking on snoring and on oxygen
availability to tissues, showing a poor reliability of pulse oximetry in subjects
with heavy smoking habits.
KEYWORD
COPD - hypoxia - polysomnography - sleep apnea