Untreated sleep apnea may worsen markers of heart health and diabetes
(Reuters Health) - - Properly treating a common sleep-related breathing disorder may have benefits for the heart and for blood sugar, a new study suggests.
Conditions: Sleep Apnea, Obstructive; Diabetes Mellitus, Type 2; Continuous Positive Airway Pressure; Myocardial Dysfunction; Echocardiography; Obesity Interventions: Device: Sham CPAP; Device: Therapeutic CPAP Sponsors: Instituto Nacional de Enfermedades Respiratorias; Fundación Clínica Médica Sur; National Council of Science and Technology, Mexico Active, not recruiting - verified July 2017
CONCLUSIONS: As it is impossible to exclude the existence of gastric tumors only in preoperative gastroscopy and ultrasonography, especially as there is a higher risk in obese patients, routine histological examination of tissue excised during bariatric procedures should be considered. Since most of the neoplasms were found to be benign, there is no need to abandon the bariatric procedure if a pathology is found and resected. Bariatric surgeons should always focus on thorough examination of the abdominal and the pelvic cavity, especially in female patients. PMID: 28694898 [PubMed - in process]
Conclusions Further research is needed to characterize the work environment and lifestyle practices (particularly sleep, smoking, diet and exercise) of truck and bus drivers to understand the interactions between various risk factors and health outcomes. Obtaining baseline information, including national prevalence rates of health issues, is vitally important for public health, regulatory organizations, and industry to coordinate prevention efforts.
CONCLUSION: Findings from the current study suggest an increasing frequency of secondary forms of hypertension, highlighting the burden of OSA and PA in hypertensive patients. PMID: 28691036 [PubMed - in process]
Abstract Reverse or inverted dipping (ie, the phenomenon characterized by higher nighttime compared with daytime blood pressure values) is an alteration of circadian blood pressure rhythm frequently documented in hypertension, type 2 diabetes mellitus, chronic kidney disease, and sleep apnea syndrome, and generally regarded as a harmful condition. Available literature on the clinical and prognostic implications of reverse dipping is scanty. The present article will review a number of relevant issues concerning reverse dipping, in particular: (1) its possible mechanisms; (2) prevalence and clinical correlates, (3) concomita...
People with both sleep apnea and type 2 diabetes have more than double the risk of worsening retina disease compared to diabetics without the sleep breathing disorder, a UK study suggests.
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CONCLUSIONS: Acoustic transference function of middle ear is similar in adults with and without OSA. Severe OSA is independently associated with cochlear function impairment in patients with no significant co-morbidities. PMID: 28681146 [PubMed - as supplied by publisher]
ConclusionsAcoustic transference function of middle ear is similar in adults with and without OSA. Severe OSA is independently associated with cochlear function impairment in patients with no significant co-morbidities.
Objectives/HypothesisAlthough previous studies have reported increased perioperative complications among obstructive sleep apnea (OSA) patients undergoing any surgery requiring general anesthesia, there is a paucity of literature addressing the impact of OSA on postoperative transsphenoidal surgery (TSS) complications. The aim of this study was to analyze postoperative outcomes in transsphenoidal pituitary surgery patients with OSA. Secondarily, we examined patient characteristics and comorbidities. Study DesignRetrospective analysis. MethodsThe 2002 to 2013 National Inpatient Sample was queried for patients undergoing TSS...