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Sleep apnea diagnosis

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https://www.readbyqxmd.com/read/29344749/diagnosis-of-sleep-apnea-in-patients-with-stable-chronic-heart-failure-using-a-portable-sleep-test-diagnostic-device
#1
Inês Araújo, Filipa Marques, Sandra André, Manuel Araújo, Sara Marques, Rita Ferreira, Patrícia Moniz, Margarida Proença, Pedro Borrego, Cândida Fonseca
PURPOSE: ApneaLink is a portable device for the screening of sleep apnea, a prevalent and underdiagnosed comorbidity in heart failure patients. A prospective cross-sectional study in patients with chronic heart failure was carried out to assess the sensitivity and specificity of apnea-hypopnea index (AHI) measurements using ApneaLink against the standard polysomnography test. METHODS: Adult patients with a prior hospitalization in an acute heart failure hospital unit were recruited for the study...
January 17, 2018: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/29343998/rationale-and-design-for-a-monocentric-prospective-study-sleep-apnea-diagnosis-using-a-novel-pacemaker-algorithm-and-link-with-aldosterone-plasma-level-in-patients-presenting-with-diastolic-dysfunction-sapaad-study
#2
Laure Champ-Rigot, Virginie Ferchaud, Jean-Noël Prévost, Pierre Moirot, Arnaud Pellissier, Damien Legallois, Joachim Alexandre, Patrice Scanu, Remy Morello, Eric Saloux, Paul Ursmar Milliez
Previous studies showed good agreement between pacemaker respiratory disturbance index (RDI) and polysomnography for diagnosis of severe sleep apnea (SA). The aim of this study is to investigate the diagnostic accuracy of RDI compared with apnea-hypopnea index (AHI) from a cardiorespiratory sleep study for the diagnosis of severe SA within patients requiring a pacemaker and meeting diastolic dysfunction criteria. Secondary objectives are as follows: correlation between plasma aldosterone level and SA severity, diagnostic accuracy of RDI for moderate SA, prevalence of SA among patients with diastolic dysfunction, occurrence of arrhythmias, and improvement of RDI with continuous positive airway pressure therapy...
2018: Clinical Medicine Insights. Cardiology
https://www.readbyqxmd.com/read/29335917/basal-sympathetic-predominance-in-periodic-limb-movements-in-sleep-after-continuous-positive-airway-pressure
#3
Meng-Ni Wu, Chiou-Lian Lai, Ching-Kuan Liu, Chen-Wen Yen, Li-Min Liou, Cheng-Fang Hsieh, Ming-Ju Tsai, Sharon Chia-Ju Chen, Chung-Yao Hsu
PURPOSE: This study investigated the basal autonomic regulation in patients with obstructive sleep apnea (OSA) showing periodic limb movements in sleep (PLMS) emerging after therapy with continuous positive airway pressure (CPAP). METHODS: Data of patients with OSA undergoing a first polysomnography for diagnosis and a second polysomnography for therapy with CPAP were reviewed. Patients with OSA showing PLMS on the first polysomnography were excluded. By using heart rate variability analysis, epochs without any sleep events and continuous effects from the second polysomnography were retrospectively analyzed...
January 15, 2018: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/29332674/sleep-apnea-and-pesticide-exposure-in-a-study-of-us-farmers
#4
Brittney O Baumert, Megan Ulmer Carnes, Jane A Hoppin, Chandra L Jackson, Dale P Sandler, Laura Beane Freeman, Paul K Henneberger, David M Umbach, Srishti Shrestha, Stuart Long, Stephanie J London
INTRODUCTION: Carbamate and organophosphate pesticides inhibit acetylcholinesterase, and poisoning leads to respiratory depression. Thus, involvement in sleep apnea is plausible, but no data exist at lower levels of exposure. Other pesticides could impact sleep apnea by different mechanisms but have not been studied. Our study examines the associations between pesticide exposure and sleep apnea among pesticide applicators from a US farming population. PARTICIPANTS AND METHODS: We analyzed data from 1569 male pesticide applicators, mostly farmers, from an asthma case-control study nested within the prospective Agricultural Health Study...
February 2018: Sleep Health
https://www.readbyqxmd.com/read/29332673/prevalence-and-comorbidity-of-sleep-conditions-in-australian-adults-2016-sleep-health-foundation-national-survey
#5
Sarah L Appleton, Tiffany K Gill, Carol J Lang, Anne W Taylor, R Douglas McEvoy, Nigel P Stocks, David A González-Chica, Robert J Adams
OBJECTIVE: To determine the prevalence of sleep conditions (obstructive sleep apnea [OSA], insomnia symptoms, simple snoring, and restless legs) and their associated burden of chronic conditions in a community sample. DESIGN: Cross-sectional national adult online survey. SETTING: Community-based sample. PARTICIPANTS: Australian adults ≥18 years, N = 1011. MEASUREMENTS: A cross-sectional national online survey assessed diagnosed OSA, OSA symptoms, insomnia symptoms, sleep problems, excessive daytime sleepiness (Epworth Sleepiness Scale ≥11), and physician-diagnosed health conditions (heart disease, diabetes, hypertension, reflux disease, lung disease, depression, anxiety/panic disorder, arthritis)...
February 2018: Sleep Health
https://www.readbyqxmd.com/read/29329966/-overview-of-the-knowledge-and-attitudes-of-physicians-in-brazzaville-on-obstructive-sleep-apnea-syndrome
#6
E L P Bemba, A R Ouedraogo, G C Ngouoni, R G Bopaka, P P Koumeka, K B Ossale Abacka, J Mboussa
INTRODUCTION: Obstructive sleep apnea syndrome (OSAS) is the leading sleep-related breathing disorder. Its complications and its repercussions on the quality of life of patients make the OSAS a real public health problem. The objective of this study is to both asses physicians knowledge of OSAS and describe their attitudes towards suspect subjects in Brazzaville. MATERIAL AND METHOD: This was a cross-sectional study of 230 doctors practicing in various hospitals in the city of Brazzaville...
January 9, 2018: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/29319596/obstructive-sleep-apnea-assessed-by-overnight-polysomnography-in-patients-with-keratoconus
#7
Emilio Pedrotti, Christian Luigi Demasi, Adriano Fasolo, Erika Bonacci, Tommaso Brighenti, Nicola Gennaro, Marcello Ferrari, Giorgio Marchini
PURPOSE: To determine the prevalence of obstructive sleep apnea (OSA) in patients with keratoconus (KCN) and to evaluate the association between the severity of KCN and OSA. METHODS: OSA was diagnosed with an overnight home sleep apnea test. As estimated by home monitoring, an apnea-hypopnea index threshold of ≥5 sleep-related obstructive breathing events per hour was considered suggestive of OSA. For grading KCN severity (Amsler-Krumeich classification), slit-lamp biomicroscopy, corneal topography, and pachymetry measurements were performed...
January 9, 2018: Cornea
https://www.readbyqxmd.com/read/29318566/diagnostic-accuracy-of-level-iv-portable-sleep-monitors-versus-polysomnography-for-obstructive-sleep-apnea-a-systematic-review-and-meta-analysis
#8
REVIEW
Lusine Abrahamyan, Yeva Sahakyan, Suzanne Chung, Petros Pechlivanoglou, Joanna Bielecki, Steven M Carcone, Valeria E Rac, Michael Fitzpatrick, Murray Krahn
PURPOSE: Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder. In-laboratory, overnight type I polysomnography (PSG) is the current "gold standard" for diagnosing OSA. Home sleep apnea testing (HSAT) using portable monitors (PMs) is an alternative testing method offering better comfort and lower costs. We aimed to systematically review the evidence on diagnostic ability of type IV PMs compared to PSG in diagnosing OSA. METHODS: Participants: patients ≥16 years old with symptoms suggestive of OSA;intervention: type IV PMs (devices with < 2 respiratory channels); comparator: in-laboratory PSG; outcomes: diagnostic accuracy measures;studies: cross-sectional, prospective observational/experimental/quasi-experimental studies; information sources: MEDLINE and Cochrane Library from January 1, 2010 to May 10, 2016...
January 9, 2018: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/29317057/the-complex-associations-between-obstructive-sleep-apnea-and-auto-immune-disorders-a-review
#9
Mayand Vakil, Steven Park, Anna Broder
Obstructive sleep apnea is known to be associated with diseases such as hypertension, metabolic disorder, and cancer. A more controversial and less understood association is that of sleep apneas and the development and worsening of autoimmune and rheumatologic disorders. Through the main pathways of intermittent hypoxia and sleep deprivation, we hypothesize that obstructive sleep apnea creates a chronic inflammatory state that worsens or incites autoimmune disorders. This thorough review of the available literature highlights our current understanding of the relationship between these disease processes in order to demonstrate the importance of diagnosis and appropriate management of sleep disorders in patients suffering from rheumatologic diseases...
January 2018: Medical Hypotheses
https://www.readbyqxmd.com/read/29310503/decision-making-for-position-dependent-obstructive-sleep-apnea-syndrome-on-the-basis-of-patient-information-and-physical-examinations-of-the-upper-airway-acquired-on-an-outpatient-basis
#10
Minoru Endo, Takahito Kondo, Rie Shimada, Kiyoaki Tsukahara
CONCLUSIONS: Patients with body mass index (BMI) < 25 kg/m2 and obstructive sleep apnea syndrome (OSAS) are highly suspicious for position-dependent OSAS. Diagnosis of position-dependent/position-independent OSAS can be difficult in patients satisfying both 'BMI >25 kg/m2' and 'any of tongue enlargement (TE), palatine tonsil hypertrophy (PTH) and obstruction by Muller's maneuver (OMM)'. Polysomnography is warranted in such patients. OBJECTIVES: The objective was to retrospectively elucidate criteria for differentiating position-dependent OSAS on the basis of patient information and physical examinations of the upper airway obtainable in clinics...
January 8, 2018: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29300109/improving-the-diagnosis-of-obstructive-sleep-apnea-in-children-with-nocturnal-oximetry-based-evaluations
#11
Annelies Van Eyck, Stijn L Verhulst
No abstract text is available yet for this article.
January 4, 2018: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/29298287/polysomnography-based-diagnosis-in-mexican-adult-patients-with-obstructive-sleep-apnea-syndrome-osas-clinical-suspicion
#12
Edgar Arrazola-Cortés, Josefina Hernández-Cervantes, Brenda González-Pérez, Sergio Sauri-Suárez, Luz Berenice López-Hernández, Christian Gabriel Toledo-Lozano, Vanessa Orellana-Villazón, Sofía Lizeth Alcaraz-Estrada, Silvia García
INTRODUCTION: Obstructive sleep apnea syndrome (OSA) occurs in 2-4% of adults, increasing by 2.5 times the risk of sudden death. OBJECTIVE: Establish the concordance of the clinical diagnostic and electrical diagnosis in an adult series that underwent polysomnography. MATERIALS AND METHODS: Patients with sleep disorders that underwent consecutively polysomnography recording. RESULTS: In this study, 51 subjects from 24 to 77 years old (54...
December 4, 2017: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/29296051/effects-of-continuous-positive-airway-pressure-on-anxiety-depression-and-major-cardiac-and-cerebro-vascular-events-in-obstructive-sleep-apnea-patients-with-and-without-coronary-artery-disease
#13
Ming-Chung Lee, Yu-Chih Shen, Ji-Hung Wang, Yu-Ying Li, Tzu-Hsien Li, En-Ting Chang, Hsiu-Mei Wang
Objective: Obstructive sleep apnea (OSA) is associated with bad cardiovascular outcomes and a high prevalence of anxiety and depression. This study investigated the effects of continuous positive airway pressure (CPAP) on the severity of anxiety and depression in OSA patients with or without coronary artery disease (CAD) and on the rate of cardio- and cerebro-vascular events in those with OSA and CAD. Materials and Methods: This prospective study included patients with moderate-to-severe OSA, with or without a recent diagnosis of CAD; all were started on CPAP therapy...
October 2017: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/29295578/devices-for-ambulatory-monitoring-of-sleep-associated-disorders-in-children-with-neurological-diseases
#14
Adriana Ulate-Campos, Melissa Tsuboyama, Tobias Loddenkemper
Good sleep quality is essential for a child's wellbeing. Early sleep problems have been linked to the later development of emotional and behavioral disorders and can negatively impact the quality of life of the child and his or her family. Sleep-associated conditions are frequent in the pediatric population, and even more so in children with neurological problems. Monitoring devices can help to better characterize sleep efficiency and sleep quality. They can also be helpful to better characterize paroxysmal nocturnal events and differentiate between nocturnal seizures, parasomnias, and obstructive sleep apnea, each of which has a different management...
December 25, 2017: Children
https://www.readbyqxmd.com/read/29291467/obstructive-sleep-apnea-as-a-risk-factor-associated-with-difficult-airway-management-a-narrative-review
#15
Siaw May Leong, Akhilesh Tiwari, Frances Chung, David T Wong
STUDY OBJECTIVE: The association between obstructive sleep apnea (OSA) and difficult airway had been studied in various clinical trials but the relationship between the two conditions has not been clearly established. The objective of this narrative review is to determine if OSA is a risk factor associated with difficult airway. DESIGN: The OVID Medline in process, Medline (vis Pub Med), EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Web of Science and SCOPUS were searched up to April 2016 using specific keywords...
December 29, 2017: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29286936/haddad-syndrome-novel-association-with-braf-mutation
#16
Suleiman Al Dakhoul
This is a report of a 36 week male infant who suffered abdominal distension and difficulty opening bowels within first few days of life and showed a pattern of hypoventilation and apnea associated with sleep. His diagnostic studies confirmed the diagnosis of congenital central hypoventilation syndrome CCHS (PHOX2B mutation) and Hirschsprung's disease and later found a further mutation of BRAF oncogene. This describes a novel association between these mutations and the shared qualities of tumorigenesis between BRAF and PHOX2B...
2017: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/29286590/the-association-between-sleep-apnea-and-suicidal-thought-and-behavior-an-analysis-of-national-survey-data
#17
Todd M Bishop, Lisham Ashrafioun, Wilfred R Pigeon
OBJECTIVE: Sleep disturbances have been associated with increased risk for suicidal thought and behavior. The literature in regard to sleep and suicide, however, has focused predominantly on generalized sleep disturbance or insomnia. The purpose of the current study is to examine relationships among sleep apnea and suicidal thought and behavior using a nationally representative sample. METHODS: We conducted a secondary analysis of 2014 data from the National Survey on Drug Use and Health...
December 19, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29285942/-non-alcoholic-fatty-liver-disease-as-a-component-of-the-metabolic-syndrome-and-its-causal-correlations-with-other-extrahepatic-diseases
#18
Tamás Halmos, Ilona Suba
Non-alcoholic fatty liver disease is the most common non-infectious chronic liver-disease in our age, and is a spectrum of all the diseases associated with increased fat accumulation in the hepatocytes. Its development is promoted by sedentary life-style, over-feeding, and certain genetic predisposition. Prevalence in the adult population, even in Hungary is ~30%. In a part of cases, this disease may pass into non-alcoholic steatohepatitis, later into fibrosis, rarely into primary hepatocellular cancer. Fatty liver is closely and bidirectionally related to the metabolic syndrome and type 2 diabetes, and nowadays there is a general consensus that fatty liver is the hepatic manifestation of the metabolic sycndrome...
December 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/29285601/stop-bang-questionnaire-the-validation-of-a-portuguese-version-as-a-screening-tool-for-obstructive-sleep-apnea-osa-in-primary-care
#19
Alexandre Rebelo-Marques, Cláudia Vicente, Bruno Valentim, Marcos Agostinho, Rosália Pereira, Maria Fátima Teixeira, Joaquim Moita
INTRODUCTION: The growing number of suspected patients diagnosed with obstructive sleep apnea (OSA) that are observed in sleep units has increased in the last decade. Therefore, screening methods have become important, especially in primary care (PC). AIM: This work aimed to test the performance of the STOP-Bang questionnaire for the suspicion/diagnosis of obstructive sleep apnea. METHODS: Eight-month prospective study; all patients referred from PC to the respective sleep clinic accompanied by a completed and translated version of the STOP-Bang questionnaire for a clinical evaluation...
December 29, 2017: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/29285333/obstructive-site-localization-in-patients-with-obstructive-sleep-apnea-syndrome-a-comparison-between-otolaryngologic-data-and-cephalometric-values
#20
D DI Venere, M Corsalini, G M Nardi, A Laforgia, F R Grassi, B Rapone, F Pettini
Purpose: Obstructive Sleep Apnea Syndrome (OSAS) is a respiratory disorder characterized by repeated obstructive episodes affecting upper airways.This study aims at examining the anatomical craniofacial and pharyngeal characteristics of the patient as to identify the obstructive site which triggers the pathologic process.Correlations between otolaryngologic data observed in the patient and the cephalometric ones for the identification of the obstructive site were also highlighted. Materials and methods: We worked on a sample of 16 patients, 12 males and 4 females, attended to at the Otolaryngology Operative Unit of Bari University Hospital...
July 2017: Oral & Implantology
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