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Sleep apnoea - Europe PMC

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Last Updated: 24 April 2022

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New non-invasive electrical stimulation devices for treatment of snoring and obstructive sleep apnoea: a systematic review.

Introduction Recently, new non-invasive electrical stimulation kits have been introduced with the intention of improving the tongue muscle tone for patients with obstructive sleep disorders such as apnoea and snorers. The aim of this research was to provide a review of the first findings published in the literature on the use of non-invasive electric stimulation methods for primary snoring and OSA. These new devices are found to be effective in improving snoring by around half after device calibration, without major complications, according to all research. Conclusions Intraoral non-invasive electrical stimulation devices can be a viable alternative to current therapy for snoring.

Source link: https://europepmc.org/article/MED/35460429


Obstructive sleep apnoea and left ventricular diastolic dysfunction among first responders to the 9/11 World Trade Center terrorist attack: a cross-sectional study.

A small number of studies have found an association between OSA and left ventricular diastolic dysfunction. According to studies, first responders to the 9/11 World Trade Center terrorist attack had a high incidence of OSA. Participants were determined from a total of 1007 participants with a mean age of 51 years, mainly non-Hispanic white men, with a median age of 51 years. When comparing those who were screening as OSA high risk versus OSA low risk, an evaluation showed no significant association with LVDD. The OR for LVDD was significant among those with OSA diagnosis and those at risk of OSA, and after adjusting for waist-hip ratio, diabetes, and coronary artery calcium score percentile, the relationship remained stable. Conclusion The strong correlation between OSA and LVDD in this population may help with future recommendations for LVDD screening in high-risk asymptomatic patients with OSA.

Source link: https://europepmc.org/article/MED/35440460


Paraoxonase-1 Concentrations in Obstructive Sleep Apnoea: A Systematic Review and Meta-Analysis.

The antioxidant enzyme paraoxonase-1 can be useful in monitoring the antioxidant defense systems and the effects of drugs in OSA patients. PON-1 serum concentrations in OSA patients and non-OSA controls were investigated by systematic review and meta-analysis. The meta-analysis included 11 studies in 429 OSA patients and 258 non-OSA controls. PON-1 concentrations in the pooled serum PON-1 were significantly lower in OSA. In OSA patients, further research is needed to establish the clinical use of PON-1 measurements for risk stratification and monitoring.

Source link: https://europepmc.org/article/MED/35453451


Does obstructive sleep apnoea modulate cardiac autonomic function in paroxysmal atrial fibrillation?

We compared cardiac autonomic function in paroxysmal atrial fibrillation patients with and without obstructive sleep apnoea. Methods Case control study of 101 patients with PAF recruited at two tertiary centers in two separate tertiary centers. Cardiac autonomic function was assessed by using measures of heart rate variability and reported by sleep stage for patients with and without OSA. In either REM or non-REM sleep, PAF patients with and without OSA did not differ between PAF patients with and without OSA. During non-REM sleep in PAF patients with OSA showed increased cardiac arrest and reduced cardiac sympathetic modulation, according to a Frequency-domain analysis. During REM sleep, there were no differences in HRV parameters. Conclusions This is the first review of HRV in PAF patients with and without OSA. During steady-state non-REM sleep, this study shows a steady increase in parasympathetic nervous modulation and a modest reduction in sympathetic modulation in PAF patients with OSA.

Source link: https://europepmc.org/article/MED/35397040


Cognition, emotion, and Obstructive Sleep Apnoea Syndrome before and after severe weight loss treatment.

Introduction This research was designed to compare the results of a conservative approach and the Sleeve Gastrectomy technique for weight loss on the cognitive-emotional results of obese women treated for Obstructive Sleep Apnoea Syndrome. For women with Obstructive Sleep Apnoea Syndrome, the conservative strategy produced better results for inhibitory control, and surgery showed enhanced results for cognitive flexibility, speed of information processing, and general cognitive and emotional wellbeing. Memory and cognitive flexibility were lower in the comparison group than in control groups, but not in control groups. Lower middle pressure for behaviour change may have reduced learning after interventions. Both women with Obstructive Sleep Apnoea may be affected by the improvement of both conditions' social impacts. Obstructive Sleep Apnoea Syndrome's worsening raises demand that cognitive deficits be sustained longer and more targeted efforts to avoid results from falling back into normal habits.

Source link: https://europepmc.org/article/MED/35371402


A VIRTUAL Sleep Apnoea management pathway For the work-up of Atrial fibrillation patients in a digital Remote Infrastructure: VIRTUAL-SAFARI.

We describe the implementation of a virtual SDB management scheme in an AF outpatient clinic and evaluate the effectiveness and feasibility of this new approach. Methods and findings Prospectively, consecutive AF patients without prior SDB diagnosis were digitally referred to a virtual SDB administration pathway and taught to use WatchPAT-ONE for one night. The transition time from digital referral to finalization of the sleep study was 18 [11-24] days. Patients with SDB were urged to take more cardiovascular medications and had elevated body mass indices. Conclusion This new virtual AF management pathway allowed remote SDB testing in AF outpatient clinics with a short time to diagnosis and high patient satisfaction. Structured SDB testing findings in a high detecting of previously unknown SDB in AF patients scheduled for AF ablation.

Source link: https://europepmc.org/article/MED/34718525


A systematic review of the feasibility and safety of day case nasal and/or palatopharyngeal surgery in patients with obstructive sleep apnoea

Introduction: According to recent reports, obstructive sleep apnoea is not a complete remedy for same-day discharge after surgery. The aim of this systematic review was to determine the acceptability and safety of day case nasal and/or palatopharyngeal surgery in patients with OSA. There were 268 nasal surgeries, 738 palatopharyngeal surgeries, and 735 combined nasal and palatopharyngeal surgery. As day patients, a total of 860 patients were safely discharged. In 86/1750 patients, Post-anaesthetic respiratory diseases were recorded. Conclusion Based on recent findings, day surgery is feasible in carefully chosen patients with OSA undergoing nasal and/or palatopharyngeal surgery.

Source link: https://europepmc.org/article/PPR/PPR474993


The prognostic role of ultrasound and magnetic resonance imaging in obstructive sleep apnoea based on lateral oropharyngeal wall obstruction.

Purpose Using ultrasound and MRI, this report investigated the obstructive sleep apnoea prediction and the lateral pharyngeal wall's predictive value. According to overnight polysomnography, one hundred patients with and without OSA were enrolled, as well as without OSA. Results In the case of LPWT during MM on the left side, there was significantly higher LPWT using MRI in the OSA group relative to the control group, but U. S. findings showed no significant difference in the case of LPWT during MM on the left side. Patients with Obese had significantly higher LPWT values, with some of them having elevated LPWT values. BMI and LPWT were found to have a strong correlation. Compared to women, men had significantly higher LPWT MRI results and left-sided LPWT using U. S. compared to women. The LPW obstruction was correlated with LPWT, according to LPWT, but LPW collapse was highly correlated with AHI. The severity of LPW's demise varied based on the AHI's. Conclusion The use of LPWT measurements in detecting OSA and LPWT-based obstructions in detecting OSA and LPWT-based obstructions was a result of U. S. LPWT.

Source link: https://europepmc.org/article/MED/35353290

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions