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Sleep apnea review

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https://www.readbyqxmd.com/read/30521744/pharmacological-treatment-of-obesity
#1
Aldo Ferreira-Hermosillo, Latife Salame-Khouri, Dalia Cuenca-Abruch
More than 70% of the population in Mexico is overweight or obese, affecting mainly people in productive age. Obesity is associated with the development of diseases that increase cardiovascular risk (diabetes mellitus, hypertension or atherogenic dyslipidemia), diseases that limit the quality of life of the patient (osteoarthrosis or sleep apnea) and even with the increase in the incidence of certain types of cancer (breast or colon). It is evident that the decrease of at least 5% of body weight induces improvement in all these factors; however, in some patients it is difficult to achieve this goal only with lifestyle modifications...
November 30, 2018: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/30514238/use-of-over-the-counter-products-in-older-cardiovascular-patients-admitted-to-a-tertiary-care-center-in-usa
#2
Marwan Sheikh-Taha, Hani Dimassi
BACKGROUND: In recent years there has been a substantial increase in the use of over-the-counter (OTC) products around the world. While they are assumed to be safe by consumers, they can potentially lead to adverse effects and drug interactions particularly in older adults. METHODS: We assessed the patterns of OTC products used by older adults admitted to the cardiology service in a tertiary care medical center in the USA over a three month period. We conducted a retrospective chart review where older adults with cardiovascular diseases (CVD) who were taking at least one OTC product at home were included...
December 4, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30513051/montelukast-and-nasal-corticosteroids-to-treat-pediatric-obstructive-sleep-apnea-a-systematic-review-and-meta-analysis
#3
Bryan J Liming, Matthew Ryan, Douglas Mack, Iram Ahmad, Macario Camacho
OBJECTIVE: To systematically review the literature on anti-inflammatory medications for treating pediatric obstructive sleep apnea and perform meta-analysis of the available data. DATA SOURCES: PubMed/MEDLINE and 4 additional databases. REVIEW METHODS: Three authors independently and systematically searched through June 28, 2018, for studies that assessed anti-inflammatory therapy for treatment of pediatric obstructive sleep apnea (OSA). Data were compiled and analyzed using Review Manager 5...
December 4, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/30511557/metabolic-effects-of-treatment-in-patients-with-obstructive-sleep-apnea-a-systematic-review
#4
Manuel O Lagravère, Piero A Zecca, Alberto Caprioglio, Rosamaria Fastuca
BACKGROUND: Growth retardation was frequently observed in obstructive sleep apnea (OSA) patients but the complex mechanisms causing this condition are still unclear. Several findings suggested growth catch-up after surgical treatment but other studies did not confirm the results, showing no improvement in OSA patients after adenotonsillectomy (T&A). The aim of the present study was to systematically review scientific literature of the relationships between OSA and metabolic changes involving growth hormone (GH) axis before and after treatment in patients...
December 3, 2018: Minerva Pediatrica
https://www.readbyqxmd.com/read/30505377/atrial-fibrillation-and-objective-sleep-quality-by-slow-wave-sleep
#5
Younghoon Kwon, Sneha Gadi, Neil R Shah, Christopher Stout, Jacob N Blackwell, Yeilim Cho, Ryan J Koene, Nishaki Mehta, Sula Mazimba, Andrew E Darby, John D Ferguson, Kenneth C Bilchick
Background: Self-reported poor sleep quality has been suggested in patients with AF. Slow wave sleep (SWS) is considered the most restorative sleep stage and represents an important objective measure of sleep quality. The aim of this study was to compare quantity of SWS between patients with and without AF. Methods and Results: We included patients with and without a documented history of AF by reviewing clinically indicated polysomnography data from a single sleep center...
August 2018: Journal of Atrial Fibrillation
https://www.readbyqxmd.com/read/30504110/-obstructive-sleep-apnea-hypopnea-and-stroke
#6
Matías Otto-Yáñez, Rodrigo Torres-Castro, Joaquín Nieto-Pino, Mercedes Mayos
Stroke, one of the main causes of disability and death worldwide, is frequently associated to the obstructive sleep apnea-hypopnea syndrome. This sleep disorder has been demonstrated to be an independent risk factor for stroke, and therefore its investigation and treatment has been recommended for patients with stroke. Mechanisms relating these two clinical disorders include: oxidative stress, cerebral blood flow alterations, autonomic dysfunction, and hypercoagulability, as well as patent foramen ovale, blood pressure, and heart rhythm disorders...
2018: Medicina
https://www.readbyqxmd.com/read/30503688/surgical-ablation-of-lingual-tonsils-in-the-treatment-of-obstructive-sleep-apnea
#7
C Mure, M Blumen, A Alali, L Page, F Chabolle
OBJECTIVES/HYPOTHESIS: The retrolingual space is one of the potential sites of obstruction identified in patients with obstructive sleep apnea syndrome (OSAS). Hypertrophied lingual tonsils (LT) can obstruct the airway at this level. The goal of this study was to measure the tolerance and efficacy of lingual tonsillectomy in patients with OSAS. STUDY DESIGN: A retrospective chart review was conducted recruiting all patients with OSAS confirmed on sleep recording, who either had failed or refused medical treatment and who underwent lingual tonsillectomy...
November 29, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/30503161/clinical-and-experimental-aspects-of-breathing-modulation-by-inflammation
#8
REVIEW
Fernando Peña-Ortega
Neuroinflammation is produced by local or systemic alterations and mediated mainly by glia, affecting the activity of various neural circuits including those involved in breathing rhythm generation and control. Several pathological conditions, such as sudden infant death syndrome, obstructive sleep apnea and asthma exert an inflammatory influence on breathing-related circuits. Consequently breathing (both resting and ventilatory responses to physiological challenges), is affected; e.g., responses to hypoxia and hypercapnia are compromised...
November 11, 2018: Autonomic Neuroscience: Basic & Clinical
https://www.readbyqxmd.com/read/30497796/prevalence-of-pulmonary-embolism-in-patients-with-obstructive-sleep-apnea-and-chronic-obstructive-pulmonary-disease-the-overlap-syndrome
#9
Jiang Xie, Fei Li, Xiaofan Wu, Weiwei Hou
OBJECTIVE: Growing evidence indicates that both obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD) may be closely associated with the prevalence of pulmonary embolism (PE). However, the relationship of overlap syndrome (OS) (coexistence of OSA and COPD) with PE is unclear. The purpose of this study was to investigate whether OS were associated with increased PE prevalence. METHODS: We performed a retrospective chart review of patients who underwent sleep study at Beijing An Zhen Hospital from 2011 to 2014...
November 26, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30484174/safety-and-efficacy-of-non-steroidal-anti-inflammatory-drugs-nsaids-used-for-analgesia-after-bariatric-surgery-a-retrospective-case-control-study
#10
Hicham Abou Zeid, Rita Kallab, Marie Antoinette Najm, Hisham Jabbour, Roger Noun, Fadi Sleilati, Salim Chucri, Christine Dagher, Ghassan Sleilaty, Nicole Naccache
BACKGROUND: Non-steroidal anti-inflammatory drugs (NSAIDs) are cornerstone in multimodal analgesia protocols. This point is of great value in morbidly obese patients due to the high prevalence of restrictive pulmonary disease and obstructive sleep apnea. The aim of this study was to test the hypothesis that NSAIDs do not increase acute bariatric surgery complications while optimizing postoperative analgesia. METHODS: Databases of two medical centers were retrospectively reviewed to find all patients who underwent bariatric surgery between 1 January 2017 and 31 December 2017...
November 27, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/30482010/sleep-apnea-and-cardiovascular-complications-of-the-acromegaly-response-to-the-medical-treatment
#11
Maria García-Alvarez, Vicente Climent
Acromegaly is a rare disease characterized by high levels of growth hormone (GH) and insulin- like growth factor 1 (IGF-1). The excess of GH leads to the development of different manifestations in different organs, from subtle signs in the bones and soft tissues to the development of respiratory and cardiac insufficiency. In the cardiovascular system, the GH/IGF-1 axis exerts its influence on three major aspects: myocyte growth and structure, cardiac contractility and vascular function. In this article, we review the different cardiovascular and respiratory complications as well as the effects of the different treatments on these complications...
November 26, 2018: Minerva Endocrinologica
https://www.readbyqxmd.com/read/30481819/sleep-disorders-are-a-prevalent-and-serious-comorbidity-in-dry-eye
#12
Masahiko Ayaki, Kazuo Tsubota, Motoko Kawashima, Taishiro Kishimoto, Masaru Mimura, Kazuno Negishi
Purpose: Sleep is an essential life habit and closely associated with lifespan, diabetes, hypertension, and mental health. Sleep disorders are a prominent, but overlooked problem in patients with dry eye disease (DED), characterized by a poor sleep index, short sleep duration, long sleep latency, and poor subjective sleep. DED and sleep disorders are more prevalent in women than men. Moreover, sleep quality in DED is worse than in other eye diseases, including glaucoma, retinal diseases, cataract, and allergic and chronic conjunctivitis...
November 1, 2018: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/30477841/efficacy-of-exercise-as-a-treatment-for-obstructive-sleep-apnea-syndrome-a-systematic-review
#13
REVIEW
Benjamin Bollens, Grégory Reychler
INTRODUCTION: Obstructive Sleep Apnea Syndrome (OSAS) is a prevalent condition associated with numerous adverse health consequences. Exercise therapy was described as a valuable OSAS treatment alternative to continuous positive airway pressure. OBJECTIVE: The objective of the present systematic review was to assess the efficacy of exercise in reducing OSAS severity and associated comorbidities. SETTING: We queried MEDLINE and SCOPUS and ScienceDirect databases with the following keywords: "sleep apnea" and "sleep disordered breathing" for the population and "physical activity", "fitness" and "exercise" for the intervention...
December 2018: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/30476296/obstructive-sleep-apnea-and-dyslipidemia-from-animal-models-to-clinical-evidence
#14
David Barros, Francisco García-Río
Lipid metabolism deregulation constitutes the pathogenic basis for the development of atherosclerosis and justifies a high incidence of cardiovascular-related morbidity and mortality. Some data suggest that dyslipidemia may be associated with sleep-disordered breathing, mainly obstructive sleep apnea (OSA), due to alterations in fundamental biochemical processes, such as intermittent hypoxia (IH). The aim of this systematic review was to identify and critically evaluate the current evidence supporting the existence of a possible relationship between OSA and alterations in lipid metabolism...
November 24, 2018: Sleep
https://www.readbyqxmd.com/read/30474230/the-shifting-relationship-between-weight-and-pediatric-obstructive-sleep-apnea-a-historical-review
#15
REVIEW
Katherine R Keefe, Prachi N Patel, Jessica R Levi
OBJECTIVES: For more than a century, pediatric obstructive sleep apnea (OSA) was associated with failure to thrive. However, that association has faded over the last few decades. A 21st century child with OSA is much more likely to be overweight than underweight. This raises the question: Has pediatric OSA changed over time, or has the rise of childhood obesity in the United States created a new, separate disease? This literature review explores the historical shift in the relationship between weight and OSA, and the associated changes in treatment...
November 25, 2018: Laryngoscope
https://www.readbyqxmd.com/read/30462265/split-night-polysomnography-overestimates-apnea-hypopnea-index-in-high-risk-professions
#16
Jessica K Rouse, Sean R Shirley, Aaron B Holley, Vincent Mysliwiec, Robert J Walter
Introduction: According to the American Academy of Sleep Medicine (AASM) guidelines, split-night polysomnography (SN-PSG) is an acceptable alternative to full-night PSG (FN-PSG) and may be considered in patients with an apnea-hypopnea index (AHI) ≥20/hr within the first 2 hours of the study. While SN-PSGs are an accurate approximation of moderate-to-severe obstructive sleep apnea (OSA), there remains the potential to misclassify the severity of sleep disordered breathing. Risks associated with the misclassification of OSA severity may be significant in high-risk professions such as active duty service members (ADSMs)...
November 21, 2018: Military Medicine
https://www.readbyqxmd.com/read/30461507/nursing-interventions-improve-continuous-positive-airway-pressure-adherence-in-obstructive-sleep-apnea-with-excessive-daytime-sleepiness-a-systematic-review
#17
Laura López-López, Irene Torres-Sánchez, Irene Cabrera-Martos, Araceli Ortíz-Rubio, Maria Granados-Santiago, Marie Carmen Valenza
PURPOSE: The purpose of this systematic review was to summarize the effectiveness of interventions in the literature to improve adherence to continuous positive airway pressure (CPAP) treatment in patients with excessive daytime sleepiness. METHODS: In this review, we considered only randomized controlled trials that included interventions to improve CPAP adherence in adult obstructive sleep apnea (OSA) patients with high daytime sleepiness. FINDINGS: Eight trials were included in this review...
November 19, 2018: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/30454974/outcomes-of-roux-en-y-gastric-bypass-versus-sleeve-gastrectomy-in-super-super-obese-patients-bmi-%C3%A2-60-kg-m-2-6-year-follow-up-at-a-single-university
#18
Konstantinos Arapis, Nicoletta Macrina, Diana Kadouch, Lara Ribeiro Parenti, Jean Pierrre Marmuse, Boris Hansel
BACKGROUND: Among the population of morbidly obese people, super-super-obese (SSO) individuals (body mass index >60 kg/m2 ) present a treatment challenge for bariatric surgeons. OBJECTIVES: To compare the long-term outcomes between laparoscopic sleeve gastrectomy (SG) and laparoscopic Roux-en-Y gastric bypass (RYGB) and to evaluate the efficacy of SG as a stand-alone bariatric procedure for SSO patients. SETTING: University hospital, Paris, France...
October 11, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/30453780/association-of-anxiety-and-depression-in-obstructive-sleep-apnea-patients-a-systematic-review-and-meta-analysis
#19
Sergio Garbarino, Wayne A Bardwell, Ottavia Guglielmi, Carlo Chiorri, Enrica Bonanni, Nicola Magnavita
BACKGROUND: Obstructive sleep apnea (OSA) has been associated with mental disorders, but the strength of this association is unknown. The aim of our study was to investigate the association among OSA, depression, and anxiety in adults and to quantitatively summarize the results. METHODS: A literature search in Medline, PubMed, PsycInfo, Scopus, and Web of Science was conducted. Seventy-three articles were selected for study. RESULTS: The pooled prevalence of depressive and anxious symptoms in OSA patients was 35% (95% CI, 28-41%) and 32% (95% CI, 22-42%), respectively...
November 19, 2018: Behavioral Sleep Medicine
https://www.readbyqxmd.com/read/30450712/a-retrospective-study-on-sleep-disordered-breathing-in-morquio-a-syndrome
#20
Giulia Facchina, Alessandro Amaddeo, Geneviève Baujat, Sylvain Breton, Caroline Michot, Briac Thierry, Syril James, Timothé de Saint Denis, Michel Zerah, Sonia Khirani, Valerie Cormier-Daire, Brigitte Fauroux
Respiratory problems are common in Morquio-A syndrome (MPS IVA) but objective data on sleep-disordered breathing are scarce. The aim of our study was to review polygraphic (PG) findings and the need for noninvasive continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) in children with MPS IVA. A retrospective review of the clinical charts and PG of 16 consecutive children (7 boys, mean age 10.5 ± 4.2 years) with MPS IVA seen over a period of 3 years was performed. The prevalence of obstructive sleep apnea (OSA) was 69% with only five patients, all younger than 10 years old, having a normal PG...
November 18, 2018: American Journal of Medical Genetics. Part A
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