Treating sleep apnea greatly improves stroke patients' neurological & functional recovery

(Regenstrief Institute) A large, randomized controlled trial has found that commencing treatment for sleep apnea as soon as possible after a stroke or a mini-stroke improves speech impairment and other neurological symptoms as well as walking and other physical functioning. Benefits of sleep apnea treatment after stroke are greater than benefits from tPA.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

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Conclusion: The causative mechanism seems to be multifactorial, but occurrence may differ depending on the stroke stage. Combined use of subjective and objective assessment methods may increase PSSD detection and early treatment.
Source: Journal of Neuroscience Nursing - Category: Neuroscience Tags: Executive Summary Source Type: research
ConclusionSleep apnea is associated with an increased risk of complications and resource utilization in patients undergoing shoulder arthroscopy.
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research
Background: It is established that a strong correlation exists between morbid obesity and obstructive sleep apnea (OSA). OSA has been shown to be associated with increased incidence of stroke, hypertension and coronary artery disease. Current evidence suggests that a large number of patients with OSA deny experiencing symptoms. Despite these findings, there is a lack of data regarding the incidence of undiagnosed OSA in patients with obesity.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Dongmei Ye, Chen Chen, Dongdong Song, Mei Shen, Hongwei Liu, Surui Zhang, Hong Zhang, Jingya Li, Wenfei Yu, Qiwen Wang
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Authors: Peng YJ, Zhang X, Nanduri J, Prabhakar NR Abstract Sleep apnea with periodic cessation of breathing during sleep is a highly prevalent respiratory disorder affecting an estimated 10% of adults. Patients with sleep apnea exhibit several co-morbidities including hypertension, stroke, disrupted sleep, and neurocognitive and metabolic complications. Emerging evidence suggests that a hyperactive carotid body (CB) chemo reflex is an important driver of apneas in sleep apnea patients. Gasotransmitters carbon monoxide (CO) and hydrogen sulfide (H2S) play important roles in oxygen sensing by the CB. We tested the h...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
In 2015, a multi-national randomized controlled phase IV clinical trial of adaptive servo-ventilation for the management of heart failure with central sleep apnea was halted in progress because more patients in the study group were dying than in the control group. One year later, another large clinical trial reported results on the effectiveness of continuous positive airway pressure (CPAP) in preventing sudden death and other cardiovascular events such as heart attack and stroke in patients with pre-existing vascular disease as well as obstructive sleep apnea.
Source: Cardiovascular Pathology - Category: Cardiology Authors: Source Type: research
Continuous positive airway pressure (CPAP) has been shown to improve functional, motor and cognitive outcomes in post-stroke obstructive sleep apnea (OSA). However, rates of CPAP adherence are often low and factors impacting CPAP adherence remain under-explored. Our objective was to determine predictors of CPAP adherence in patients who had a stroke or transient ischemic attack (TIA).
Source: Sleep Medicine - Category: Sleep Medicine Authors: Tags: Original Article Source Type: research
This article will review the effectiveness of bariatric procedures on the remission and improvement of diabetes and its implicated mechanisms. PMID: 30298760 [PubMed]
Source: Expert Review of Endocrinology and Metabolism - Category: Endocrinology Tags: Expert Rev Endocrinol Metab Source Type: research
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
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