Atlas of Clinical Sleep Medicine, 3rd Edition

By: Meir H. Kryger

ISBN: 9780323654036

Publication Date: February 9, 2023

Reviewer: David James Dries, MSE, MD (Regions Hospital)

Description

This book is a beautifully illustrated atlas. As the evaluation of sleep requires a significant amount of imaging and data collection due to the variety of bodily functions affected, this book places great emphasis on figures and tables with inclusion of online materials featuring patient interviews and models of laboratory data collected to evaluate sleep patients. The previous editions were published in 2010 and 2014.

Purpose

The study of sleep and related body functions was introduced as a new discipline in the 1950s. At that time, REM sleep or Rapid Eye Movement sleep was described along with the process and implications of dreaming. The study of sleep has since grown to include REM sleep, non-REM sleep, and various wakefulness states featuring interaction with multiple organ systems. This volume includes tools needed for the evaluation of sleep and the physiology of processes such as circadian rhythms and the impact these factors may have on the broad daily physiology in adult and pediatric patients.

Audience

Multiple disciplines evaluate patients with sleep disorders. These include pulmonologists, medical intensivists, and designated sleep specialists. In addition to these clinical teams, specialists evaluating the science of sleep with the direction of laboratories intended to investigate sleep along with the interaction of sleep with a wide range of changes in various disorders involving circadian rhythms, cytokine systems, various means of host defense along with both central and autonomic regulation of changes in cardiovascular physiology in both adult and pediatric patients will find this extensive work of interest. Contributors to this book come from sleep laboratories, critical care units, departments of psychiatry, and the neurology community, located mainly in academic centers in the United States. Editors include international authorities in the study and practice of sleep disorder management from the University of Michigan, Yale, and UCLA.

Features

The book’s fifty chapters are divided into 15 sections followed by a detailed subject index. Initial chapters provide an overview of the biology of sleep.

Among topics discussed are the relevant chemistry guiding performance of the central nervous system, circadian rhythms and their creation, the relationship of sleep to changes in the endocrine system, along with the physiology of dreaming and the impact of sleep changes on athletic performance. After this overview, a concise chapter describes pharmacology relevant to sleep. Topics included in this presentation are hypnotic agents, antipsychotics, amphetamines and related agents for the management of narcolepsy. Sleep may affect multiple organ systems. Specific presentations discuss the interaction of sleep with epilepsy, insomnia, movement changes, neuromuscular, cerebrovascular, and respiratory system performance. Additional organ systems for which data reveals interaction with sleep include endocrine disorders including thyroid disease, and diabetes. Sleep changes can also affect renal performance, gastrointestinal function, psychiatric response, and perception of pain. Sleep may impact the menstrual cycle along with the progression of pregnancy, the experience of menopause along with fibromyalgia and chronic fatigue syndrome. Final topics include recorded patient interviews, real-time information gathered in a sleep laboratory and examples of assessment of sleep using testing equipment in the home. A variety of mediators which may affect sleep are discussed including growth hormone, TSH, ACTH, and prolactin. The book also provides sleep pattern studies utilizing data from mammals, fish, and bird species. A notable feature is recent data on the interaction of sleep and COVID. It provides an overview of sleep changes associated with aging and various forms of daily activity. The illustrations are outstanding in this book. After the wide range of presentations described above, a detailed subject index includes independent citations for figures, tables, and boxes which include relevant data.

Assessment

This book is an appropriately updated review of a complex topic. It effectively discusses organ system interaction with the biology of sleep. Evaluation options presented include visual assessment of patient sleep performance, grading the response to medication as a guide to diagnostics, various EEG modalities, and regulated performance of daily activity. Given this broad perspective, this book is a worthwhile tool for the clinician and scientist.

©Doody’s Review Service, 2024, David James Dries, MSE, MD (Regions Hospital), Doody’s Score: 99 – 5 Stars!

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