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Patient Insights on Integrating Sleep Apnea Testing into Routine Stroke and TIA Care.
J Patient Exp
December 2024
Pain Research, Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, USA.
AHA/ASA guidelines recommend patients with ischemic stroke or transient ischemic attack (TIA) be considered for obstructive sleep apnea (OSA) evaluation, given the high prevalence of OSA and improved outcomes for cerebrovascular disease when OSA is treated. However, OSA testing has not been incorporated into routine cerebrovascular management. We interviewed 30 patients hospitalized for acute stroke/TIA at six Veterans Affairs facilities participating in a stepped-wedge implementation trial to improve timely OSA testing after stroke/TIA.
View Article and Find Full Text PDFScreening prediction models using artificial intelligence for moderate-to-severe obstructive sleep apnea in patients with acute ischemic stroke.
J Stroke Cerebrovasc Dis
December 2024
Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, 100, Ziyou 1st Road, Sanmin District, Kaohsiung 807, Taiwan; Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; College of Professional Studies, National Pingtung University of Science and Technology, Pingtung, Taiwan. Electronic address:
Background: Obstructive sleep apnea (OSA) is common after stroke. Still, routine screening of OSA with polysomnography (PSG) is often unfeasible in clinical practice, primarily because of how limited resources are and the physical condition of patients. In this study, we used several artificial intelligence techniques to predict moderate-to-severe OSA and identify its features in patients with acute ischemic stroke.
View Article and Find Full Text PDFEthanol abolishes ventilatory long-term facilitation and blunts the ventilatory response to hypoxia in female rats.
Respir Physiol Neurobiol
November 2024
Department of Neuroscience, Spinal Cord and Brain Injury Research Center, College of Medicine, University of Kentucky, 741 S. Limestone St., Lexington, KY 40508, USA.. Electronic address:
Obstructive sleep apnea (OSA) is a breathing disorder in which airway obstruction during sleep leads to periodic bouts of inadequate (hypopneic) or absent (apneic) ventilation despite neurorespiratory effort. Repetitive apneic and hypopneic exposures can induce intermittent hypoxemia and lead to a host of maladaptive behavioral and physiological outcomes. Intermittent hypoxia treatment (IH), which consists of alternating exposure to hypoxic and normal air, can induce a long-lasting increase in breathing motor outputs called long term facilitation (LTF).
View Article and Find Full Text PDFSleep apnea prevalence and severity after coronary revascularization versus no intervention: a systematic review & meta-analysis.
Sleep Breath
November 2024
Department of Pulmonary Diseases and Clinical Allergology, Sleep Research Center, University of Turku, Turku, Finland.
Article Synopsis
- Obstructive sleep apnea (OSA) is prevalent in patients with coronary artery disease (CAD), affecting 40-80% of those with cardiovascular issues, and this study specifically examines its occurrence and severity in acute coronary syndrome (ACS) patients.
- The systematic review included eight studies that analyzed the sleep patterns of ACS patients post-treatment, focusing on those who underwent procedures like coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI).
- Results indicated that patients with OSA had significantly higher apnea-hypopnea index (AHI) scores compared to those without OSA, particularly in those who underwent PCI, highlighting the need for OSA screening and management after acute coronary treatments.
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