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HuffPost Went into People's Bedroom to Take Pictures!

Are we ever really aware of all the things we do when we're sound asleep at night? HuffPost Lifestyle set out to answer that very question and gained permission from 15 people to let us bring a camera into their bedrooms and capture exactly what happens when they drift off to dreamland. The camera snapped an [...]

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What is Your Favorite Oral Appliance? Why?

A question for my dental sleep medicine colleagues helping patients with sleep apnea; what is your favorite oral appliance and why?

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When Should I Try an Oral Appliance? Here Are the 2015 Guidelines!

After you have tried continuous positive airway pressure (CPAP) for at least 6 months and failed, only then you should try an oral appliance as the former corrects apnea (the cessation of respiration) and oxygen drops better. For snoring without the sleep apnea, an oral appliance will be the first choice, though. Do remember that sleeping [...]

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Not Feeling Well Despite Using CPAP? Make Sure Your Machine is Working - a Study

Dr. Zhu and colleagues' study published in this month's Journal of Clinical Sleep Medicine (July 2015) showed the auto-titrating continuous positive airway pressure (CPAP) devices are inconsistent in treating obstructive sleep apnea. The study also raised a serious concern about the accuracy of the device compliance reports. These are the compliance reports that the sleep physician [...]

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Congestive Heart Failure? ASV Machine can be Harmful - a Study

On Wednesday, May 13, 2015, ResMed released a field safety notice for Congestive Heart Failure patients currently being treated for central sleep apnea syndrome with adaptive servo-ventilation (ASV) machine - a more sophisticated version of continuous positive pressure machine (CPAP). In particular, if you have shortness of breath, chronic heart failure and a reduced left ventricular ejection [...]

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CPAP Reduces the Risk of a Repeat Angioplasty - CHEST Journal April 2015

CPAP Reduces the Risk of Revascularization - CHEST April 2015Between 2002 and 2012, Xiaofan Wu, MD and colleagues identified 390 patients with OSA who had undergone angioplasty of the blocked coronary arteries. Obstructive Sleep Apnea was diagnosed in these patients through in-laboratory sleep studies and defined by an apnea-hypopnea (apnea = cessation of respirations, hypopnea [...]

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Should I Try a Mask or a Cannula for My CPAP?

You are recently diagnosed with Obstructive Sleep Apnea, a serious disease in which a person’s respirations become shallow or stop completely repeatedly during sleep. Your doctor has prescribed a Continuous Positive Airway Pressure (CPAP) to keep your upper airway open and your respirations going. This treatment reduces your fatigue, tiredness, and daytime sleepiness besides reducing [...]

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Untreated Sleep Apnea increases Long-term Complications after Bypass Surgery - a Study in CHEST May 2015

Photo Credit - Blausen.Obstructive Sleep Apnea is independently associated with a higher rate of long-term cardiovascular events after Coronary Artery Bypass Graft surgery (CHEST May 2015).Sixty-seven consecutive patients referred for CABG underwent clinical evaluation and standard sleep study in the preoperative period. The primary end point was major adverse cardiac or cerebrovascular events (MACCEs) (combined [...]

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Watching TV Causes Sleep Apnea - a Study in CHEST March 2015

Excess sitting is emerging as a novel risk factor for cardiovascular disease, diabetes, mental illness, and all-cause mortality. Physical activity, distinct from sitting, is associated with better sleep and lower risk for Obstructive Sleep Apnea, yet relationships among sitting behaviors and sleep/OSA remain unknown. We examined whether total sitting time and sitting while viewing television [...]

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