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Predictors of CPAP adherence following stroke and transient ischemic attack
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 - October 24, 2018 Category: Sleep Medicine Authors: David R. Colelli, Maneesha Kamra, Phavalan Rajendram, Brian J. Murray, Mark I. Boulos Tags: Original Article Source Type: research

Sleep apnea screening is uncommon after stroke
To assess (1) pre and post-stroke screening for sleep apnea (SA) within a population-based study without an academic medical center, and (2) ethnic differences in post-stroke sleep apnea screening among Mexican Americans (MAs) and non-Hispanic whites (NHWs).
Source: Sleep Medicine - September 26, 2018 Category: Sleep Medicine Authors: Devin L. Brown, Xiaqing Jiang, Chengwei Li, Erin Case, Cemal B. Sozener, Ronald D. Chervin, Lynda D. Lisabeth Tags: Brief Communication Source Type: research

Joint effects of OSA and self-reported sleepiness on incident CHD and stroke
Although excessive daytime sleepiness (EDS) is a common symptom of obstructive sleep apnea (OSA), and both EDS and OSA have separately been associated with increased risk of cardiovascular disease (CVD), their joint association with CVD risk is unknown.
Source: Sleep Medicine - February 3, 2018 Category: Sleep Medicine Authors: Rachel P. Ogilvie, Kamakshi Lakshminarayan, Conrad Iber, Sanjay R. Patel, Pamela L. Lutsey Tags: Original Article Source Type: research

Effect of CPAP treatment of sleep apnea on prognosis after ischemic stroke: an observational study
Introduction: To evaluate the adherence and the effect of CPAP treatment in long-term outcomes in patients with moderate to severe sleep disordered breathing (SDB) after an ischemic stroke.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: J. Haba-Rubio, J. Vujica, P. Michel, R. Heinzer Tags: Sleep Breathing Disorders Source Type: research

Prevalence of obstructive sleep apnea in patients with acute stroke
Introduction: Stroke or Cerebrovascular Disease is a serious neurological disorder and is the second leading cause of death globally. Apart from the well-known modifiable risk factors for stroke like diabetes, hypertension and ischemic heart disease, Obstructive Sleep apnea (OSA) is emerging as an independent and eminently modifiable risk factor. The reported prevalence rate of OSA in stroke patients in various studies ranges from 30-80%. This prospective study was undertaken over a period of 20 months to determine the prevalence of OSA in newly diagnosed stroke patients.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: S.P. Mantha, U.M. Krishnaswamy, M.V. Javali Tags: Sleep Breathing Disorders Source Type: research

Is level III polygraphy a feasible and valid method to diagnose OSA in stroke patients?
Introduction: Portable sleep recording devices have been developed to  shorten the delay in sleep apnea diagnosis. In stroke patients current AASM guidelines still recommend attended polysomnography (PSG) for the diagnosis of sleep apnea. The aim of this study was to compare feasibility and validity of non-attended type III polygraphy (PG) to a type II PSG in the d iagnosis of sleep apnea in a stroke rehabilitation unit.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: M. Saletu, A. Schwarzinger, S. Kotzian, B. Saletu, S. Haider, J. Spatt Tags: Neurological Sleep Disorders Affecting Sleep Source Type: research

PAP adherence of stroke patients with obstructive sleep apnea after a novel treatment strategie during in-hospital rehabilitation
Introduction: Meta-analyses report a high prevalence of moderate to severe obstructive sleep apnea (OSA) of more than 50% in stroke patients, with adherence rates for positive airway pressure (PAP) therapy of only 30%. The primary objective of this study is to determine whether PAP adherence in stroke patients with OSA can be improved by a novel, coaching like, PAP training strategy during in-hospital rehabilitation.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: S.T. Kotzian, M.T. Saletu, A. Schwarzinger, S. Haider, B. Saletu, J. Spatt Tags: Sleep Breathing Disorders Source Type: research

Cerebral hemodynamics in sleep apnea and actigraphy-determined sleep duration in a sample of the Hispanic community health study: study of Latinos
Introduction: We sought to evaluate cerebral hemodynamics in sleep apnea and actigraphy-determined short sleep duration using transcranial Doppler ultrasound (TCD) blood flow velocity in a sub-sample of Hispanics/Latinos without stroke and cardiovascular disease.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: D. Yang, T. Rundek, S. Patel, D. Cabral, S. Redline, F. Testai, J. Jianwen Cai, P. Zee, A. Ramos Tags: Other Source Type: research

The impact of a telemedicine monitoring on positive airway pressure in na ïve obstructive sleep apnea patients' outcomes: a randomized controlled trial
Introduction: Untreated Obstructive Sleep Apnea (OSA) can lead to high morbidity, such as reduced cognitive function and increased risk of accidents, and it is associated with diseases such as systemic arterial hypertension, metabolic syndrome, acute myocardial infarction, and stroke. Multimorbidity implies to change organization of care and follow-up.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: S. Marques, A.R. Bento, S. Monteiro, A. Gralho, F. Silva, M. Duarte, S. Mayoralas, C. Caneiras Tags: Sleep Breathing Disorders Source Type: research

Subjective and objective features of sleep disorders in patients with acute ischemic or haemorrhagic stroke
Introduction: More than one third of stroke patients develop sleep disorders such as sleep apnea, periodic limb movement disorder, insomnia, and hypersomnia. However, scientific sleep data, especially based on polysomnography analysis, in the group of stroke patients are scarce. The aim of the study was to investigate the subjective and objective sleep parameters in the patients with an acute ischemic or haemorrhagic stroke.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: E. Pajediene, A. Pajeda, G. Urnieziute, E. Paulekas, V. Liesiene, I. Bileviciute-Ljungar, G. Jurkeviciene, K. Petrikonis Tags: Neurological Sleep Disorders Affecting Sleep Source Type: research

Association between desaturation indices and comorbidities in patients with OSA- A cross sectional study
Introduction: Obstructive sleep apnea (OSA) is characterized by episodic, complete or partial nocturnal cessation of breathing with associated oxygen desaturation. It is also a known risk factor for systemic illnesses like hypertension, ischaemic heart disease and stroke. A major mechanism which triggers many of the systemic complications of OSA is hypoxemia which is measured in the hypopnea index component of the apnea-hypopnea index (AHI) and oxygen desaturation index. In the present study, we have attempted to find the association between various OSA indices and prevalent comorbidities among patients evaluated in Sleep Clinic.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: A. Choudhury, U.M. Krishnaswamy, S.P. Mantha, N. Verma, P. Ramachandran, U. Devaraj, G.A. D'souza Tags: Sleep Breathing Disorders Source Type: research

Effect of bright light treatment in patient with post-stroke insomnia
Introduction: Post-stroke insomnia is associated with physical and mental health-related quality of life as well as functional outcomes in stroke patients during rehabilitation. Hypnotics could aggravate sleep apnea or delay neurological recovery in post-stroke insomnia, so non-pharmacologic treatment of insomnia after stroke is needed. Bright light treatment has been regarded as effective non- pharmacologic treatment for insomnia in general population. However, there has been no study using bright light treatment in post-stroke insomnia.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: K.-L. Joa, Y.-H. Yoo, W.-H. Kim Tags: Insomnia Source Type: research

Relationship between sleep disordered breathing and coronary artery calcium in ischemic stroke patients
Introduction: Obstructive Sleep Apnea (OSA) is associated with increased risk of stroke and cardiovascular mortality. In ischemic patients, the major cause of death during follow-up is coronary artery disease. Coronary calcium score (CAC) is a score measured from quantification of calcified plaques with chest computed tomography. CAC has been shown to be associated with future risk of myocardial infarction and cardiovascular mortality. Several studies showed the positive correlation between sleep apnea and CAC in normal population, which may be contributed by progressive worsening of atherosclerosis.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: Y.H. Choi, S.H. Yim, K.H. Cho, Y.-J. Cho, K. Heo, Y.D. Kim Tags: Sleep Breathing Disorders Source Type: research

An association between the risk of obstructive sleep apnea, as measured by stop-bang questionnaire and arterial hypertension in the adult population in Poland
Introduction: Obstructive sleep apnea is a common chronic medical condition strongly linked with obesity. Obstructive sleep apnea has been associated with cardiovascular morbidity such as arterial hypertension, stroke and heart failure, but the majority of these studies were done in sleep laboratory populations of predominantly male subjects. We hypothesize that obstructive sleep apnea will be associated with arterial hypertension in both genders in the general population.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: A. Nahorecki, K. Postrzech-Adamczyk, K. Zatonska, J. Lawson, M. Wolyniec, R. Skomro, A. Szuba Tags: Sleep Breathing Disorders Source Type: research

Spontaneous improvement in both obstructive sleep apnea and cognitive impairment after stroke
Background: Knowledge available about the relationship between obstructive sleep apnea(OSA) and cognitive impairment after stroke is limited. The evolution of OSA and cognitive performance after stroke is not sufficiently described.
Source: Sleep Medicine - December 1, 2017 Category: Sleep Medicine Authors: J. Slonkova, M. Bar, P. Nilius, D. Berankova-Fiedorova, D. Salounova, K. Sonka Tags: Sleep Breathing Disorders Source Type: research

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