Advan. Physiol. Edu. 33: 137, 2009;
doi:10.1152/advan.00018.2009
1043-4046/09 $8.00
ADV PHYSIOL EDUC 33:137, 2009
© 2009 American Physiological Society
LETTER TO THE EDITOR
Reply to R. L. Horner
Michael G. Levitzky
Department of Physiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana
Address for reprint requests and other correspondence: M. G. Levitzky, Dept. of Physiology, Louisiana State Univ. Health Sciences Center, 1901 Perdido St., Box P7-3, New Orleans, LA 70112-1393 (e-mail: mlevit{at}lsuhsc.edu)
I thank Dr. Horner for his careful reading of my article (1) and pointing out the error in Fig. 4, which could have been drawn better. I was not familiar with the article by Thompson et al. (3), although I should have been, considering that it was published in Advances in Physiological Education. It did not come up when I searched for articles about obstructive sleep apnea (OSA), which does not appear in the title, nor was it listed among the keywords for the article. I was familiar with the report by Schwartz et al. (2) and with several others presenting complex concepts of upper airway obstruction in OSA, but I decided to present a much simpler, perhaps oversimplified, discussion given the intended audience (in the American Physiological Society Refresher Course) for the presentation on which my article is based and the severe time limitation (35 min) of that presentation. The article was not intended to be a detailed discussion about the mechanisms of upper airway obstruction (about which I an clearly not an expert) but about how the pathophysiology of OSA can be used to help teach cardiopulmonary integration, as Dr. Horner noted in his penultimate sentence.
Received for publication March 4, 2009.
Accepted for publication March 5, 2009.
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REFERENCES
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- Levitzky MG. Using the pathophysiology of obstructive sleep apnea to teach cardiopulmonary integration. Adv Physiol Educ 32: 196–202, 2008.[Abstract/Free Full Text]
- Schwartz AR, Smith PL, Wise RA, Gold AR, Permutt S. Induction of upper airway occlusion in sleeping individuals with subatmospheric nasal pressure. J Appl Physiol 64: 535–542, 1988.[Abstract/Free Full Text]
- Thompson SR, Ackermann U, Horner RL. Sleep as a teaching tool for integrating respiratory physiology and motor control. Adv Physiol Educ 25: 101–116, 2001.[Medline]
Copyright © 2009 by the American Physiological Society.