Please share an interesting fact about sleep apnea.

A: A majority of fibromyalgia patients also have sleep apnea.

Obesity: Obesity contributes to sleep apnea, incontinence, gerd, asthma, varicose veins, & arthritis.

You're: You're far more likely to have sleep apnea if your neck measures 17 inches or more!

While: While sleep apnea devices (cpap machines) look cumbersome, they greatly improve the quality of life.

Asthma: Asthma is more common in people with obesity, sleep apnea, and stomach acid reflux.

Sleep: Sleep apnea can cause morning headaches.

40%: 40% of patients with high blood pressure also have sleep apnea.

On: On a sleep study, more than 5 episodes of apnea per hour is considered significant enough for cpap.

Snoring: Myth: snoring is the only problem caused by sleep apnea.

Enlarged: Enlarged nasal turbinates and a deviated septum can be components of sleep apnea.

That: Myth: it's only for fat people. Anyone can have sleep apnea. If you don't wake up refreshed, check.

You: You will feel so much better when you treat it. Most people are amazed by how much better they are.

Sleep: Sleep apnea patients wake up urinating more frequently. Treating sleep apnea helps to stay asleep.

There: There are home studies which are a good alternative to regular sleep tests in lab for most patients.

CPAP: CPAP is not just to make you sleep better or snore less, it is saving your heart! osa hurts hearts.

Any: Any more than 5 sleep apnea episodes per hour is considered significant: time for cpap!

Sleep: Sleep apnea doesn't only occur in obese people. Many other conditions can cause it.

About: About half of patients with sleep apnea are not obese.

Only: Myth: sleep apnea is only seen overweight men. Fact: it is not necessarily weight related.

It: It is associated with floppy eye syndrome, where the eyelids spontaneously evert at night.

It: It is a misconception that only obese people may have sleep apnea.

Myth:: Myth: people who aren't overweight can't have obstructive sleep apnea.

Sleep: In children, sleep apnea is less related to weight and more to anatomy.

It: Myth: it is only seen in overweight or obese patients.

Using: Using CPAP takes discipline and fortitude. Don't give up.

CPAP: Myth: CPAP is the only way to deal with sleep apnea.

Sleep: Sleep apnea is associated floppy eyelid syndrome, which can have allergy-like symptoms.

Sleep: Sleep apnea 101: compliance rates for CPAP use is only 50-60%. Obstructive sleep apnea can be fatal.

Sleep: Sleep apnea: only 10-20% of americans with osa have been diagnosed & are receiving treatment. (asaa).

Sleep: Sleep apnea 101: an apnea episode means you stop breathing for 10 seconds or more.

Sleep: Sleep apnea 101: hypopnea is an episode of decreased airflow (usually a drop in oxygen saturation).

Snoring,: Snoring, even with no actual apnea, is a risk factor for poorer academic performance in children.

5: 5 % of adults have sleep apnea and may present with symptoms of depression, adhd, chronic fatigue.

If: If you wake up with sleep paralysis in rem sleep, then blink your eyes and you will snap out of it.

Asians: Asians in particular may have increased risk of sleep apnea due to airway structure even w/o obesity.

Sleep: Sleep apnea in children may present with hyperactivity and adhd like symptoms.

Sleep: Sleep apnea can cause low testosterone, decreased sexual desire, erectile dysfunction.

Board: Board certified sleep specialist can be board certified psychiatrist, pulmonologist, neurologist etc.

90%: 90% of narcoleptics with cataplexy have hla dqb1* 0602, compared to only 12-25% of the population.

Sleep: Sleep apnea (ap-ne-ah) is a common disorder in which you have one or more pauses in breathing sleep.

Sleep: Sleep apnea involves stopping breathing temporarily during sleep. The person wakes as a result.

The: The person with sleep apnea who wakes in the night often does not know why he/she woke.

People: People of any age can have sleep apnea, even kids!

People: People with sleep apnea are often not overweight. Sleep apnea causes obesity if left untreated.

Sleep: Sleep apnea can be a very serious disease process leading to cardiac disease, stroke, other problems!

Many: Many people think it's not serious, but it can actually lead to many fatal disease processes.

Untreated: Untreated sleep apnea increases risk of death and heart attack.

Not: Not only obese, normal weight person can also have sleep apnea.

Central: Central sleep apnea, csa, can be idiopathic, due to cheynes stokes, narcotics, newborn, CPAP excess.

Arterial: Arterial pco2 less than 40 mm hg during wake - hypocapnia induces central apneas.

Cheyne-­‐Stokes: Cheyne-­‐stokes pattern of breathing is characterized by alternating periods of hyperpnea and apnea.

Sleep: Sleep apnea may be a spectrum from snoring to upper airway resistance sydrome to hypopneas to apneas.

3-5%: 3-5% of children have osa.

OSA: Osa and RLS can trigger sleep walking, sleep talking, night terrors in children.

Pediatric: Pediatric osa, minorities 2 to 4 x increased risk.

Pediatric: Pediatric osa, surgery has been the “gold standard” – adenotonsillectomy (at), 60-70% effective*.

Pediatric: Pediatric osa, CPAP 2nd line of therapy.

Pediatric: Pediatric osa, psg gold standard for diagnosis.

To: To reduce sids, avoid co-sleeping with adult – entrapment risk.

CPAP: CPAP reduces sleepiness and improves cognition.

CPAP: CPAP reduces mva and hospitalization rates.

CPAP: CPAP reduces gerd or heart burn.

CPAP: CPAP reduces high blood pressure.

CPAP: CPAP helps with glucose control in diabetes.

GERD: Gerd is common in osa patients (53-76%).

Blood: Blood pressure is reduced by approx 2 to 4 mm with CPAP treatment, atleast 4 hours per night.

2-4: 2-4 fold higher odds of complex arrhythmias in osa pts.

CPAP: CPAP treatment showed beneficial response 50 % of glucose metabolism.

A: A nonrandomized trial of CPAP for 10 days in acute stroke patients found a significant 8 mm hg fall.

Stroke: Stroke patients treated with cpap had less depressive symptoms at 7 and 28 days.

Autopap: Autopap improves compliance for approx 12 more minutes per night compared to cpap.

Studies: Studies have shown that those who have worse sleep efficiency on CPAP titration night are less adher.

Lunesta (eszopiclone): Lunesta (eszopiclone) enhances CPAP compliance, sleep efficiency, sleep latency and total sleep time.

Mask: Mask preference does not seem to matter too much for CPAP adherence.

Modafinil: Modafinil (provigil) is approved for residual sleepiness in osa patients.

Sleep: Sleep study usually measures • eeg • eog • chin emg • leg emg • airflow • effort • oxygen saturation.

Oral: Oral appliance can be used for mild to moderate obstructive sleep apnea.

Only: Only the custom devices (prepared by dentist) significantly reduced the ahi in sleep apnea.

Failure: Failure rate with prefabricated (non-custom) devices was 69% in sleep apnea.

Tongue: Tongue retaining device td, can also be used to treat sleep apnea.

No: No one surgery is routinely effective except tracheostomy – uppp has ~ 40-50% success rate.

Palatal: Palatal implants can worsen sleep apnea.

1%: 1% change in weight results in ~ 3% change in ahi.

Roux-en-Y: Roux-en-y is most common gb performed for morbid obesity and sleep apnea • mortality rates < 2%.

Sleep: Sleep apnea has been independently shown to be an independent risk factor for mortality.

Hormone: Hormone replacement in females has been shown to be associated with lower ahi.

Donepezil: Donepezil – shown to reduce ahi in Alzheimer's disease.

Modafinil/Armodafinil: Modafinil/armodafinil – adjunctive for eds; should not be used in isolation.

Upper: Upper aiiway exercises and shown moderate reduction in ahi in mild/mod osa.

Dijeridoo: Dijeridoo or oropharyngeal exercises improve sleep apnea.

Depending: Depending on definition positional therapy helps in approx 50 % of the patients.

Almost: Almost one-third of commercial drivers have some degree of sleep apnea. Scary!

Obesity: Obesity – increased visceral fat; parapharyngeal fat pads – increased neck size.

Macroglossia,: Macroglossia, elongated soft palate, increased lateral pharyngeal walls, adeno-tonsillar hypertrophy.

Craniofacial: Craniofacial abnormalities: recessed mandible (retrognathia)/maxilla, narrowed hard palate-osa risk.

Nasal: Nasal airway restriction: septal deviation, allergic rhinitis, nasal polyps.

Heredity: Heredity = increased risk for osa.

Uvula: Uvula enlargement: > 1.5 cm in length or > 1.0 cm in width.

Enlargement: Enlargement of lateral walls: > 25% impingement pharyngeal space by peritonsillar tissues.

Tonsillar: Tonsillar enlargement: > 50% lateral impingement of posterior pharyngeal airspace.

Exceedingly: Exceedingly high prevalence (86.6%) of osa among obese patients with type 2 diabetes.

Independent: Independent of total body fat, obstructive sleep apnea is associated with Insulin resistance.

CPAP: CPAP therapy improves Insulin sensitivity in patients with osa.

OSA: Osa is an oxidative stress disorder.

Heavy: Heavy snoring (% of night >50%) increases prevalence of carotid atherosclerosis but not femoral.

Men: Men 40 to 70 years old with ahi ≥ 30 were 68% more likely to develop coronary heart disease.

OSA: Osa predicted incident heart failure in men but not in women.

Men: Men with ahi ≥ 30 were 58% more likely to develop heart failure than those with ahi < 5.

Sleep: Sleep apnea is an independent risk factor for systemic hypertension.

Individuals: Individuals with sdb had 4 times the odds of atrial fibrillation, 3 times the odds of nsvt, 2 x v e.

Non: Non sustained ventricular tachycardia - continue the study but pt will need a holter/cardiac eval.

Conduction: Conduction impairment related to increased vagal tone owing to high upper airway resistance.

Severe: Severe sinusal bradycardia: 5 to 10% in osa.

Prolonged: Prolonged sinusal pauses or avb 2nd or 3rd degree.

Conduction: Conduction impairments more frequent during oxygen desaturation and rem.

Higher: Higher prevalence of atrial fibrillation in patients with hypertrophic cardiomyopathy (hcm) and osa.

High: High prevalence of osa in patients with atrial fibrillation resistant to ablation.

Low: Low efficacy of atrial fibrillation ablation in severe obstructive sleep apnea.

Upper: Upper airway soft tissue structures are enlarged in patients with sleep apnea.

OSA: Osa is an inflammatory disorder and may be linked to atherosclerosis.

OSA: Osa is extremely common in obese type 2 diabetics.

Sleep: Sleep apnea is associated with significant cardiovascular consequences.

Atrial: Atrial fibrillation commonly recurs in patients with sleep apnea.

Increases: Increases in extracellular Adenosine levels occur as a result of intense brain activity (e.g., seizu.

Most: Most effective surgeries osa, tracheotomy bariatric surgery for weight management, mma advance.

Heart: Heart failure associates with central sleep apnea, that is more problematic than osa and need tx.

If: It's a myth that: if i loose weight my sleep apnea will be cured.

Nocturnal: Nocturnal symptoms indicate sub-optimally treated asthma.

Untreated: Untreated osa is a risk factor for htn, cv disease and death.

Untreated: Untreated osa shifts timing of sudden cardiac death earlier (12 am – 6 am).

Pulmonary: Pulmonary HTN may improve with cpap.

Sleep: Sleep apnea can be cured with weight loss!

Acromegaly: Acromegaly 60% have sleep apnea.

Routine: Routine thyroid screening in persons suspected of osa is not indicated in absence of sx low thyroid.

Cushings: Cushings syndrome increased prevalence of osa (33%).

Studies: Studies show up to 50% of men and 30% of women affected by snoring.

Over: Over 30 million americans suffer from sleep apnea & an estimated 10 million remain undiagnosed.

Sleep: Sleep apnea is more common than adult diabetes and asthma.

80%: 80% of difficult to control hypertension is related to undiagnosed osa.

50%: 50% of congestive heart failure scenarios are related to undiagnosed osa.

60%: 60% of strokes (cva) are related to undiagnosed osa.

Sleep: Sleep apnea leads to obesity and obesity makes sleep apnea worse.

The: The average med school in the us spends exactly 4 hours teaching their future graduates about sleep.

Many: Many people with sleep apnea will be cured with sleep positional therapy.

People: People with sleep apnea may stop breathing up to 400 times at night, each lasting 10 to 30 seconds.

Ignore: Sleep apnea is no joke. It has killed many people, don't let it take you, get it addressed asap!

Ignore: It's a myth that: sleep apnea just means i snore a lot.

Ignore: Even thin people who do not snore can have it!

Sleep: Sleep apnea is associated with causing depression, stroke, and afib, as well as many other things!

Morning: Morning headaches can be sign of sleep apnea due to co2 build up throughout the night.