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Sleep apnoea - Springer Nature

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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 Recent non-invasive electrical stimulation systems have been introduced with the intention of improving the tongue muscle tone in patients with obstructive sleep apnoea and snorers. The aim of this research was to provide a review of the first findings published in the literature regarding the effectiveness of non-invasive electric stimulation systems for the treatment of primary snoring and OSA. The new devices were found to be safe in increasing snoring by about half after device training, with no complications, according to all reports. Conclusions Intraoral non-invasive electrical stimulation devices may be a more effective alternative to current treatments for snoring.

Source link: https://doi.org/10.1007/s11325-022-02615-0


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 The case control trial of 101 patients with PAF recruited at two tertiary centers in two tertiary centers enrolled in 101 patients with PAF. Cardiac autonomic function was assessed by 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, increased cardiac sympathetic modulation was observed and decreased cardiac sympathetic modulation, according to a Frequency-domain analysis. During REM sleep, there were no differences in HRV parameters. The first investigation of HRV in PAF patients with and without OSA is included in the paper. During steady-state non-REM sleep, this study shows an ongoing rise in parasympathetic nervous modulation and relative decrease in sympathetic modulation in PAF patients with OSA.

Source link: https://doi.org/10.1007/s10840-022-01202-3


Obstructive sleep apnoea in women with idiopathic intracranial hypertension: a sub-study of the idiopathic intracranial hypertension weight randomised controlled trial (IIH: WT)

Obesity is a risk factor for idiopathic intracranial hypertension and obstructive sleep apnoea. In IIH, we sought to determine the prevalence of OSA in IIH and assess the diagnostic results of OSA screening methods. In addition, we investigated the connection between weight loss, OSA, and IIH over a 12-month period. Methods A sub-analysis of a multi-centre, randomised parallel group trial comparing the effect of bariatric surgery vs. community weight management intervention on IIH-related outcomes over 12 months is included in a study. Obtained in the OSA sub-study were the 66 women in the IIH: WT trial, with 46 of them being included in the IIH: WT case. Despite accounting for changes in the body mass index, over 12 months there was a positive relationship between changes in papilloedema and AHI, which was not surprising. The increase in AHI was attributed to an increase in papilloedema without shedding weight. A further investigation into whether OSA treatment has a positive influence on papilloedema should be carried out.

Source link: https://doi.org/10.1007/s00415-021-10700-9


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

Purpose This research looked at the lateral pharyngeal wall's obstructive sleep apnoea prediction using ultrasound and MRI. 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 significant improvement in the OSA group's compared to the control group, although U. S. findings revealed no significant difference except in the case of LPWT using MRI during MM. Obese patients had significantly higher LPWT values. BMI and LPWT were found to have a significant relationship. Compared to women, men showed significantly higher LPWT MRI findings and left-sided LPWT using U. S. versus to women. The severity of LPW obstruction was correlated with LPWT, according to LPWT, but LPW collapse was highly correlated with AHI. The severity of LPW's demise depended on the AHI's. In 67%, the U. S. successfully detected LPW-based fire severity in 67%.

Source link: https://doi.org/10.1007/s11325-022-02597-z


Effects of heated humidification on positive airway pressure side effects in patients with obstructive sleep apnoea: a meta-analysis

Purpose: According to a previous report, heated humidification reduced the side effects of positive airway pressure in patients with obstructive sleep apnoea. In patients with OSA, we investigated the connection between heated humidification and the side effects of PAP. The heated humidification group, relative to the control group, reported changes in dry nose, blocked nose, runny nose, dry throat, and dry throat, but did not improve positive airway pressure adherence, although not increased positive airway pressure adherence. Conclusions Heated humidity reduced some PAP side effects in patients with OSA, but did not improve PAP adherence.

Source link: https://doi.org/10.1007/s11325-022-02596-0


Treatment of sleep apnoea with tonsillectomy: a retrospective analysis using long-term follow-up data

Purpose This single-group, retrospective, post-test retrospective study was conducted to determine medical outcomes in treating obstructive sleep apnoea with tonsillectomy alone and had the longest follow-up times to date. Patient data was reviewed for home sleep apnoea questionnaire and Epworth Sleepiness Scale results.

Source link: https://doi.org/10.1007/s00405-022-07350-6

* 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