fenil210/Med-Lamma huggingface dataset:
What causes Sleep Apnea ?
When you're awake, throat muscles help keep your airway stiff and open so air can flow into your lungs. When you sleep, these muscles relax, which narrows your throat.
                
Normally, this narrowing doesnt prevent air from flowing into and out of your lungs. But if you have sleep apnea, your airway can become partially or fully blocked because:
                
Your throat muscles and tongue relax more than normal.
                
Your tongue and tonsils (tissue masses in the back of your mouth) are large compared with the opening into your windpipe.
                
You're overweight. The extra soft fat tissue can thicken the wall of the windpipe. This narrows the inside of the windpipe, which makes it harder to keep open.
                
The shape of your head and neck (bony structure) may cause a smaller airway size in the mouth and throat area.
                
The aging process limits your brain signals' ability to keep your throat muscles stiff during sleep. Thus, your airway is more likely to narrow or collapse.
                
Not enough air flows into your lungs if your airway is partially or fully blocked during sleep. As a result, loud snoring and a drop in your blood oxygen level can occur.
                
If the oxygen drops to a dangerous level, it triggers your brain to disturb your sleep. This helps tighten the upper airway muscles and open your windpipe. Normal breathing then starts again, often with a loud snort or choking sound.
                
Frequent drops in your blood oxygen level and reduced sleep quality can trigger the release of stress hormones. These hormones raise your heart rate and increase your risk for high blood pressure, heart attack, stroke, and arrhythmias (irregular heartbeats). The hormones also can raise your risk for, or worsen, heart failure.
                
Untreated sleep apnea also can lead to changes in how your body uses energy. These changes increase your risk for obesity and diabetes. + NHLBI + Sleep Apnea
Who is at risk for Sleep Apnea? ?
Obstructive sleep apnea is a common condition. About half of the people who have this condition are overweight.
                
Men are more likely than women to have sleep apnea. Although the condition can occur at any age, the risk increases as you get older. A family history of sleep apnea also increases your risk for the condition.
                
People who have small airways in their noses, throats, or mouths are more likely to have sleep apnea. Small airways might be due to the shape of these structures or allergies or other conditions that cause congestion.
                
Small children might have enlarged tonsil tissues in their throats. Enlarged tonsil tissues raise a childs risk for sleep apnea. Overweight children also might be at increased risk for sleep apnea.
                
About half of the people who have sleep apnea also have high blood pressure. Sleep apnea also is linked to smoking, metabolic syndrome, diabetes, and risk factors for stroke and heart failure.
                
Race and ethnicity might play a role in the risk of developing sleep apnea. However, more research is needed. + NHLBI + Sleep Apnea
What are the symptoms of Sleep Apnea ?
Major Signs and Symptoms
                
One of the most common signs of obstructive sleep apnea is loud and chronic (ongoing) snoring. Pauses may occur in the snoring. Choking or gasping may follow the pauses.
                
The snoring usually is loudest when you sleep on your back; it might be less noisy when you turn on your side. You might not snore every night. Over time, however, the snoring can happen more often and get louder.
                
You're asleep when the snoring or gasping happens. You likely won't know that you're having problems breathing or be able to judge how severe the problem is. A family member or bed partner often will notice these problems before you do.
                
Not everyone who snores has sleep apnea.
                
Another common sign of sleep apnea is fighting sleepiness during the day, at work, or while driving. You may find yourself rapidly falling asleep during the quiet moments of the day when you're not active. Even if you don't have daytime sleepiness, talk with your doctor if you have problems breathing during sleep.
                
Other Signs and Symptoms
                
Others signs and symptoms of sleep apnea include:
                
Morning headaches
                
Memory or learning problems and not being able to concentrate
                
Feeling irritable, depressed, or having mood swings or personality changes
                
Waking up frequently to urinate
                
Dry mouth or sore throat when you wake up
                
In children, sleep apnea can cause hyperactivity, poor school performance, and angry or hostile behavior. Children who have sleep apnea also may breathe through their mouths instead of their noses during the day. + NHLBI + Sleep Apnea
What is (are) Respiratory Failure ?
Respiratory (RES-pih-rah-tor-e) failure is a condition in which not enough oxygen passes from your lungs into your blood. Your body's organs, such as your heart and brain, need oxygen-rich blood to work well.
                
Respiratory failure also can occur if your lungs can't properly remove carbon dioxide (a waste gas) from your blood. Too much carbon dioxide in your blood can harm your body's organs.
                
Both of these problemsa low oxygen level and a high carbon dioxide level in the bloodcan occur at the same time.
                
Diseases and conditions that affect your breathing can cause respiratory failure. Examples include COPD (chronic obstructive pulmonary disease) and spinal cord injuries. COPD prevents enough air from flowing in and out of the airways. Spinal cord injuries can damage the nerves that control breathing.
                
Overview
                
To understand respiratory failure, it helps to understand how the lungs work. When you breathe, air passes through your nose and mouth into your windpipe. The air then travels to your lungs' air sacs. These sacs are called alveoli (al-VEE-uhl-eye).
                
Small blood vessels called capillaries run through the walls of the air sacs. When air reaches the air sacs, the oxygen in the air passes through the air sac walls into the blood in the capillaries. At the same time, carbon dioxide moves from the capillaries into the air sacs. This process is called gas exchange.
                
In respiratory failure, gas exchange is impaired.
                
Respiratory failure can be acute (short term) or chronic (ongoing). Acute respiratory failure can develop quickly and may require emergency treatment. Chronic respiratory failure develops more slowly and lasts longer.
                
Signs and symptoms of respiratory failure may include shortness of breath, rapid breathing, and air hunger (feeling like you can't breathe in enough air). In severe cases, signs and symptoms may include a bluish color on your skin, lips, and fingernails; confusion; and sleepiness.
                
One of the main goals of treating respiratory failure is to get oxygen to your lungs and other organs and remove carbon dioxide from your body. Another goal is to treat the underlying cause of the condition.
                
Acute respiratory failure usually is treated in an intensive care unit. Chronic respiratory failure can be treated at home or at a long-term care center.
                
Outlook
                
The outlook for respiratory failure depends on the severity of its underlying cause, how quickly treatment begins, and your overall health.
                
People who have severe lung diseases may need long-term or ongoing breathing support, such as oxygen therapy or the help of a ventilator (VEN-til-a-tor). A ventilator is a machine that supports breathing. It blows airor air with increased amounts of oxygeninto your airways and then your lungs. + NHLBI + Respiratory Failure
What causes Respiratory Failure ?
Diseases and conditions that impair breathing can cause respiratory failure. These disorders may affect the muscles, nerves, bones, or tissues that support breathing, or they may affect the lungs directly.
                
When breathing is impaired, your lungs can't easily move oxygen into your blood and remove carbon dioxide from your blood (gas exchange). This can cause a low oxygen level or high carbon dioxide level, or both, in your blood.
                
Respiratory failure can occur as a result of:
                
Conditions that affect the nerves and muscles that control breathing. Examples include muscular dystrophy, amyotrophic lateral sclerosis (ALS), spinal cord injuries, and stroke.
                
Damage to the tissues and ribs around the lungs. An injury to the chest can cause this damage.
                
Problems with the spine, such as scoliosis (a curve in the spine). This condition can affect the bones and muscles used for breathing.
                
Drug or alcohol overdose. An overdose affects the area of the brain that controls breathing. During an overdose, breathing becomes slow and shallow.
                
Lung diseases and conditions, such as COPD (chronic obstructive pulmonary disease), pneumonia, ARDS (acute respiratory distress syndrome), pulmonary embolism, and cystic fibrosis. These diseases and conditions can affect the flow of air and blood into and out of your lungs. ARDS and pneumonia affect gas exchange in the air sacs.
                
Acute lung injuries. For example, inhaling harmful fumes or smoke can injure your lungs.
                
Normal Lungs and Conditions Causing Respiratory Failure + NHLBI + Respiratory Failure
Who is at risk for Respiratory Failure? ?
People who have diseases or conditions that affect the muscles, nerves, bones, or tissues that support breathing are at risk for respiratory failure. People who have lung diseases or conditions also are at risk for respiratory failure. For more information, go to "What Causes Respiratory Failure?" + NHLBI + Respiratory Failure
What are the symptoms of Respiratory Failure ?
The signs and symptoms of respiratory failure depend on its underlying cause and the levels of oxygen and carbon dioxide in the blood.
                
A low oxygen level in the blood can cause shortness of breath and air hunger (feeling like you can't breathe in enough air). If the level of oxygen is very low, it also can cause a bluish color on the skin, lips, and fingernails. A high carbon dioxide level can cause rapid breathing and confusion.
                
Some people who have respiratory failure may become very sleepy or lose consciousness. They also may develop arrhythmias (ah-RITH-me-ahs), or irregular heartbeats. These symptoms can occur if the brain and heart are not getting enough oxygen. + NHLBI + Respiratory Failure
How to diagnose Respiratory Failure ?
Your doctor will diagnose respiratory failure based on your medical history, a physical exam, and test results. Once respiratory failure is diagnosed, your doctor will look for its underlying cause.
                
Medical History
                
Your doctor will ask whether you might have or have recently had diseases or conditions that could lead to respiratory failure.
                
Examples include disorders that affect the muscles, nerves, bones, or tissues that support breathing. Lung diseases and conditions also can cause respiratory failure.
                
For more information, go to "What Causes Respiratory Failure?"
                
Physical Exam
                
During the physical exam, your doctor will look for signs of respiratory failure and its underlying cause.
                
Respiratory failure can cause shortness of breath, rapid breathing, and air hunger (feeling like you can't breathe in enough air). Using a stethoscope, your doctor can listen to your lungs for abnormal sounds, such as crackling.
                
Your doctor also may listen to your heart for signs of an arrhythmia (irregular heartbeat). An arrhythmia can occur if your heart doesn't get enough oxygen.
                
Your doctor might look for a bluish color on your skin, lips, and fingernails. A bluish color means your blood has a low oxygen level.
                
Respiratory failure also can cause extreme sleepiness and confusion, so your doctor might check how alert you are.
                
Diagnostic Tests
                
To check the oxygen and carbon dioxide levels in your blood, you may have: 
                
Pulse oximetry. For this test, a small sensor is attached to your finger or ear. The sensor uses light to estimate how much oxygen is in your blood.
                
Arterial blood gas test. This test measures the oxygen and carbon dioxide levels in your blood. A blood sample is taken from an artery, usually in your wrist. The sample is then sent to a laboratory, where its oxygen and carbon dioxide levels are measured.
                
A low level of oxygen or a high level of carbon dioxide in the blood (or both) is a possible sign of respiratory failure.
                
Your doctor may recommend other tests, such as a chest x ray, to help find the underlying cause of respiratory failure. A chest x ray is a painless test that takes pictures of the structures inside your chest, such as your heart, lungs, and blood vessels.
                
If your doctor thinks that you have an arrhythmia as a result of respiratory failure, he or she may recommend an EKG (electrocardiogram). An EKG is a simple, painless test that detects and records the heart's electrical activity. + NHLBI + Respiratory Failure
What is (are) Endocarditis ?
Endocarditis (EN-do-kar-DI-tis) is an infection of the inner lining of the heart chambers and valves. This lining is called the endocardium (en-do-KAR-de-um). The condition also is called infective endocarditis (IE).
                
The term "endocarditis" also is used to describe an inflammation of the endocardium due to other conditions. This article only discusses endocarditis related to infection.
                
IE occurs if bacteria, fungi, or other germs invade your bloodstream and attach to abnormal areas of your heart. The infection can damage your heart and cause serious and sometimes fatal complications.
                
IE can develop quickly or slowly; it depends on what type of germ is causing it and whether you have an underlying heart problem. When IE develops quickly, it's called acute infective endocarditis. When it develops slowly, it's called subacute infective endocarditis.
                
Overview
                
IE mainly affects people who have:
                
Damaged or artificial (man-made) heart valves
                
Congenital heart defects (defects present at birth)
                
Implanted medical devices in the heart or blood vessels
                
People who have normal heart valves also can have IE. However, the condition is much more common in people who have abnormal hearts.
                
Certain factors make it easier for bacteria to enter your bloodstream. These factors put you at higher risk for IE. For example, poor dental hygiene and unhealthy teeth and gums increase your risk for the infection.
                
Other risk factors include using intravenous (IV) drugs, having a catheter (tube) or another medical device in your body for long periods, and having a history of IE.
                
Common symptoms of IE are fever and other flu-like symptoms. Because the infection can affect people in different ways, the signs and symptoms vary. IE also can cause problems in many other parts of the body besides the heart.
                
If you're at high risk for IE, seek medical care if you have signs or symptoms of the infection, especially a fever that persists or unexplained fatigue (tiredness).
                
Outlook
                
IE is treated with antibiotics for several weeks. You also may need heart surgery to repair or replace heart valves or remove infected heart tissue.
                
Most people who are treated with the proper antibiotics recover. But if the infection isn't treated, or if it persists despite treatment (for example, if the bacteria are resistant to antibiotics), it's usually fatal.
                
If you have signs or symptoms of IE, see your doctor as soon as you can, especially if you have abnormal heart valves. + NHLBI + Endocarditis
Who is at risk for Endocarditis? ?
Infective endocarditis (IE) is an uncommon condition that can affect both children and adults. It's more common in men than women.
                
IE typically affects people who have abnormal hearts or other conditions that put them at risk for the infection. Sometimes IE does affect people who were healthy before the infection.
                
Major Risk Factors
                
The germs that cause IE tend to attach and multiply on damaged, malformed, or artificial (man-made) heart valves and implanted medical devices. Certain conditions put you at higher risk for IE. These include:
                
Congenital heart defects (defects that are present at birth). Examples include a malformed heart or abnormal heart valves.
                
Artificial heart valves, an implanted medical device in the heart (such as a pacemaker wire), or an intravenous (IV) catheter (tube) in a blood vessel for a long time.
                
Heart valves damaged by rheumatic fever or calcium deposits that cause age-related valve thickening. Scars in the heart from a previous case of IE also can damage heart valves.
                
IV drug use, especially if needles are shared or reused, contaminated substances are injected, or the skin isn't properly cleaned before injection. + NHLBI + Endocarditis
What are the symptoms of Endocarditis ?
Infective endocarditis (IE) can cause a range of signs and symptoms that can vary from person to person. Signs and symptoms also can vary over time in the same person.
                
Signs and symptoms differ depending on whether you have an underlying heart problem, the type of germ causing the infection, and whether you have acute or subacute IE.
                
Signs and symptoms of IE may include:
                
Flu-like symptoms, such as fever, chills, fatigue (tiredness), aching muscles and joints, night sweats, and headaches.
                
Shortness of breath or a cough that won't go away.
                
A new heart murmur or a change in an existing heart murmur.
                
Skin changes such as:   - Overall paleness.   - Small, painful, red or purplish bumps under the skin on the fingers or toes.   - Small, dark, painless flat spots on the palms of the hands or the soles of the feet.   - Tiny spots under the fingernails, on the whites of the eyes, on the roof of the mouth and inside of the cheeks, or on the chest. These spots are from broken blood vessels.
                
Overall paleness.
                
Small, painful, red or purplish bumps under the skin on the fingers or toes.
                
Small, dark, painless flat spots on the palms of the hands or the soles of the feet.
                
Tiny spots under the fingernails, on the whites of the eyes, on the roof of the mouth and inside of the cheeks, or on the chest. These spots are from broken blood vessels.
                
Nausea (feeling sick to your stomach), vomiting, a decrease in appetite, a sense of fullness with discomfort on the upper left side of the abdomen, or weight loss with or without a change in appetite.
                
Blood in the urine.
                
Swelling in the feet, legs, or abdomen. + NHLBI + Endocarditis
What are the treatments for Endocarditis ?
Infective endocarditis (IE) is treated with antibiotics and sometimes with heart surgery.
                
Antibiotics
                
Antibiotics usually are given for 2 to 6 weeks through an intravenous (IV) line inserted into a vein. You're often in a hospital for at least the first week or more of treatment. This allows your doctor to make sure the medicine is helping.
                
If you're allowed to go home before the treatment is done, the antibiotics are almost always continued by vein at home. You'll need special care if you get IV antibiotic treatment at home. Before you leave the hospital, your medical team will arrange for you to receive home-based care so you can continue your treatment.
                
You also will need close medical followup, usually by a team of doctors. This team often includes a doctor who specializes in infectious diseases, a cardiologist (heart specialist), and a heart surgeon.
                
Surgery
                
Sometimes surgery is needed to repair or replace a damaged heart valve or to help clear up IE. For example, IE caused by fungi often requires surgery. This is because this type of IE is harder to treat than IE caused by bacteria. + NHLBI + Endocarditis
How to prevent Endocarditis ?
If you're at risk for infective endocarditis (IE), you can take steps to prevent the infection and its complications.
                
Be alert to the signs and symptoms of IE. Contact your doctor right away if you have any of these signs or symptoms, especially a persistent fever or unexplained fatigue (tiredness).
                
Brush and floss your teeth regularly, and have regular dental checkups. Germs from a gum infection can enter your bloodstream.
                
Avoid body piercing, tattoos, and other procedures that may allow germs to enter your bloodstream.
                
Research shows that not everyone at risk for IE needs to take antibiotics before routine dental exams and certain other dental and medical procedures.
                
Let your health care providers, including your dentist, know if you're at risk for IE. They can tell you whether you need antibiotics before exams and procedures. + NHLBI + Endocarditis