Post Reply 
Sleep Apnea and Heart Failure
Author Message
zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #1
Sleep Apnea and Heart Failure
http://www.healthcare.philips.com/pwc_hc...984200.pdf

Definition of Obstructive Sleep Apnea (OSA):
• Obstructive Sleep Apnea (OSA) is a potentially life-altering and life-threatening
breathing disorder that occurs during sleep.
• The upper airway repeatedly collapses, causing cessation of breathing (apnea)
or inadequate breathing (hypopnea) and sleep fragmentation.
• Sleep fragmentation results in chronic daytime sleepiness.

Prevalence:
• 50-60% of patients with impaired cardiac function suffer from sleep related
breathing disorders.1
• Nearly 30% of patients with severe heart failure suffer from daytime sleepiness.1
• 4% of men and 2% of women aged 30-60 meet minimal diagnostic criteria for OSA
with excessive daytime sleepiness (an estimated 18 million people). An even greater
number of people have subclinical apnea/hypopnea during sleep.
• The majority of OSA sufferers remain undiagnosed and untreated.

Consequences if OSA is Left Untreated:
• Hypertension
• Cardiac Arrhythmias
• Myocardial Ischemia
• Myocardial Infarction
• Stroke
• Motor vehicle and work-related accidents
due to sleepiness
• Decreased quality of life
• OSA patients, prior to diagnosis and treatment,
consume 2 1/2 times more health care resources
than patients without OSA.

Identification of OSA:
Signs and Symptoms
• Snoring, interrupted by pauses in breathing (apnea)
• Excessive daytime sleepiness
• Gasping or choking during sleep
• Restless sleep
• Intellectual deterioration
• Poor judgment/concentration
• Memory loss
• Irritability
• Hypertension
Nocturnal angina
• Depression
• Obesity
• Large neck/girth
(>17” in men, >16” in women)
• Oropharyngeal crowding
• Morning headaches
• Sexual dysfunction
• Nocturia

Identification:
The key signs and symptoms that indicate a high probability of OSA are:
excessive daytime sleepiness
plus
disruptive snoring or pauses in breathing (apnea)
or gasping or choking during sleep.

Diagnosis
• If a patient’s signs and symptoms indicate sleep apnea, evaluation
by a physician specializing in sleep disorders is recommended.
• A sleep study provides information about how a patient breathes and sleeps. The data
that is collected will enable the physician to determine the type and severity of sleep
apnea and determine treatment options. Also, information about the physiologic
consequences of the abnormal breathing events is obtained

Intervention:
Primary
• Positive Airway Pressure (PAP) therapy is the treatment of choice for Obstructive
Sleep Apnea. This therapy includes Continuous Positive Airway Pressure (CPAP),
automatic CPAP, and bi-level positive airway pressure.
Secondary
• Less common treatments include surgery, body position modification,
and oral appliances, which may be effective in certain individuals.
Overall
• Any intervention should include lifestyle changes such as weight loss (if needed),
good sleep hygiene, and avoidance of alcohol, sedatives, and hypnotics.

Impact of PAP Therapy:
PAP treats Obstructive Sleep Apnea by providing a gentle flow of positive pressure
air via a mask. The positive pressure air splints the airway open during
sleep to prevent airway collapse. This results in:
• Elimination of snoring and abnormal breathing events
• Absence of daytime sleepiness or fatigue
• Improved quality of life
• Reduction or elimination of comorbidities, such as hypertension
• Decreased consumption of health care resources
Obstructive Sleep Apnea is a serious, potentially life-altering and life-threatening condition that is:
• Easily identified
• Effectively treated
06-06-2012 05:48 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
mjbearit Offline

Preferred Members-2

Posts: 605
Joined: May 2012

Machine: REMstar Auto AFlex DS550
Mask Type: Nasal pillows
Mask Make & Model: RESMed Swift FX
Humidifier: Heated humidifier - 2
CPAP Pressure: 12.5-20
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: So Cal

Post: #2
RE: Sleep Apnea and Heart Failure
(06-06-2012 05:48 PM)zonk Wrote:  Impact of PAP Therapy:
PAP treats Obstructive Sleep Apnea by providing a gentle flow of positive pressure
air via a mask. The positive pressure air splints the airway open during
sleep to prevent airway collapse. This results in:
• Elimination of snoring and abnormal breathing events
• Absence of daytime sleepiness or fatigue
• Improved quality of life
• Reduction or elimination of comorbidities, such as hypertension
• Decreased consumption of health care resources
Obstructive Sleep Apnea is a serious, potentially life-altering and life-threatening condition that is:
• Easily identified
• Effectively treated

You left out CHEAPLY TREATED! The cost of a brand new top of the line Automatic PAP machine with all the bells and whistles is a drop in the bucket compared to the ambulance ride to the ER, treatment in the ER, surgery, rehabilitation, nursing home during rehab, home appliances such as continued use of oxygen, walkers, etc., continuing care, and or possibly ending up a veg draining your entire families resources....even a funeral!

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
06-06-2012 06:36 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  failure to record 2nd part of night Beej 10 284 12-03-2016 02:08 AM
Last Post: sonicboom
  [Equipment] Respironics blower failure SleepyinMTL 2 129 12-03-2016 12:52 AM
Last Post: trish6hundred
  [Equipment] low heart rate BrownFox292 4 242 11-24-2016 03:34 AM
Last Post: holden4th
Angry [News] DANGER OF UNDIAGNOSED SLEEP APNEA srlevine1 7 541 11-21-2016 03:26 PM
Last Post: srlevine1
  Central Sleep Apnea? wayne99 8 753 11-20-2016 06:39 AM
Last Post: wayne99
  Sleep Apnea Alphabet Soup ladytimes 2 211 11-13-2016 02:16 PM
Last Post: ladytimes
  [News] Vitamin D - possible help for sleep apnea patients? ApneaNews 46 14,017 10-28-2016 05:01 PM
Last Post: scotty

Forum Jump:

Who's Online (Complete List)