Is surgery the only option for treating sleep apnea or snoring
I do predominantly the line share of sleep apnea surgery in our department. I collaborate closely with the pulmonologists, who are the sleep medicine s. Those are the s that help diagnose and treat sleep apnea, as well. If those patients fail their, their medical or their conservative therapy, that's typically when they get sent to see me for surgical considerations to, to look at potential cures for their apnea. It's not uncommon for me to see a lot of patients for, who come in for snoring complaints and, you know, are wondering whether or not they have sleep apnea. So sleep apnea is condition where you actually stop breathing at night.
Snoring is somewhere on that spectrum, towards the more mild, you know, milder end of that spectrum. But, you know, really the only way to determine if you have sleep apnea, the gold standard of testing, is really getting a sleep study. And that's an overnight, monitored study where patients, you know, sleep in a room that's similar to a hotel room but they're being monitored and they're hooked up, you know, for sound so to speak with different monitors and cables on them. And that's really our best test to diagnose sleep apnea. The treatment for sleep apnea is typically a nonsurgical therapy; something called CPAP,
which stands for Continuous Positive Airway Pressure. And it's the patients that don't tolerate their CPAP who end up seeing me for surgical considerations. And there's a number of reasons why patients may not tolerate their CPAP. But there are some surgeries that can be helpful in patients who are not tolerant of their medical therapy. And I offer a variety of surgeries including nasal surgery, a variety of palatal surgeries for the kind of tonsil and soft pallet region and then also a variety of tonguebased procedures, as well. But we typically see a patient back after their procedure in about three weeks to recheck everything, make sure that they're healing okay.
After that, I normally recheck a sleep study in about three months after their surgery, just to give everything a chance to heal and to scar. And we, you know, make further recommendations based on the result of their followup sleep study after their surgery. We're exploring the, a new technology now which is actually a nerve stimulator for sleep apnea. It's an implantable device, very similar to a pacemaker that goes into the patient's chest. And there's an electrode that will actually stimulate the nerve that goes to the tongue to provide the tongue with a little bit of more tone when they're sleeping at night, and thereby eliminating their sleep apnea.
Sleep Apnea and Hypertension Sleep Apnea Thousand Oaks Malibu Westlake Village Ronald Popper
When a patient stops breathing, the oxygen level drops. In an effort to increase oxygen levels, blood vessels constrict, thereby increasing blood pressure and blood flow and oxygen to the brain and the heart. In addition, when a sudden arousal from sleep occurs, there is a release of adrenaline and other mediators that, over time, will narrow and stiffen blood vessels
thus leading to high blood pressure. Successfully treating obstructivesleep apnea can reverse these changes and result in lowering the blood pressure. If you suffer from high blood pressure and a sleep disorder such as Obstructive Sleep Apnea Syndrome, the two conditions may be related. Hello, I'm Ronald Popper. Thank you for watching.
If you or a loved one needs moreinformation on sleep disorders please visit our web site at sleepmd4u where you'll find more tutorials in this series as well as our white paper on obstructive sleep apnea that is free for you to download. For a direct consultation you canreach us through our web site or by calling the number on your screen. Always remember,
sleep well tonight for a better day tomorrow.
Sleep apnea research The HeartBEAT Study Susan Redline
I'm Susan Redline. I'm from Harvard Medical School and I lead the HeartBEAT study. And HeartBEAT stands for Heart Biomarkers in Apnea Treatment Study. And what this study is is the first ever controlled, randomized study comparing treatment outcomes in patients with sleep apnea. And very specifically we've identified using prior research that sleep apnea and heart disease are highly correlated. And it appears that sleep apnea increases your risk for heart disease. What we didn't know before the study
is whether treatment of sleep apnea might reduce your heart disease risk factors. And furthermore we also didn't know what might be the best treatment. Because of the funding opportunity we were able to for the very first time move our questions out of a typical sleep laboratory, where we know patients have sleep disorders, into cardiology practices, and pilot and refine an approach for screening and diagnosing new cases of sleep apnea and heart disease.
Already we analyzed our crosssectional data and we saw for example that sleep apnicsâ€” that the severity of sleep apnea correlated or was associated with how high your blood pressure went up at night during sleep. So one of the things we are going to be looking for is whether treatment with CPAP or with oxygen reduces not only your daytime blood pressure but your average blood pressure over a 24hour period, including that period at night when many heart attacks and strokes occur.