PPT-Screening for Obstructive Sleep Apnoea in Cardiac Rehabilitation – A Single Site Experience.

Robert Zecchin Justine Thelander Julie Hungerford Gail Lindsay Jan Baihn Yeng Chai Inga Saliba A Robert Denniss Westmead Hospital NSW Australia Background Obstructive sleep apnoea OSA is an independent risk factor for coronary heart disease . This disorder is an independent risk factor for hypertension heart failure myocardial infarction stroke and arrhythmias where severity of sleep apnoea typically predicts risk OSA may also impair cognitive function mood diabetic control and potential 6 OBSTRUCTIVE SLEEP APNOEA HYPOPNOEA SYNDROME OSAHS IN ADULTS What is the Sleep ApnoeaHypopnoea Syndrome People who suffer from obstructive sleep apnoeahyp opnoea syndrome OSAHS breathe shallowly or stop breathin g Alyssa Brzenski. Case . A 31 month old term 17kg girl presents for Tonsillectomy and Adenoidectomy as an outpatient. She has a history of frequent ear infections, which have resolved since ear tubes were placed. According to her mom she snores loudly and is much more active than the other children her age. Mom doesn’t think that she stops breathing at night but notices that she always breathes through her mouth and always seems to have bad breath. She has no other past medical history. On exam you observe an overweight female with grade III tonsils but an otherwise unremarkable airway, heart and lung exam.. Obstructive sleep apnoea (OSA) syndrome is a potentially serious disorder affecting millions of people around the world. Many of these individuals are undiagnosed while those who are diagnosed, often Alyssa Brzenski. Case . A 31 month old term 17kg girl presents for Tonsillectomy and Adenoidectomy as an outpatient. She has a history of frequent ear infections, which have resolved since ear tubes were placed. According to her mom she snores loudly and is much more active than the other children her age. Mom doesn’t think that she stops breathing at night but notices that she always breathes through her mouth and always seems to have bad breath. She has no other past medical history. On exam you observe an overweight female with grade III tonsils but an otherwise unremarkable airway, heart and lung exam.. Poor bedfellow. Dessislava. . Ianakieva. , MD. Sleep Medicine Fellow. 5/17/17. Objectives. Understand the mechanism of sleep apnea. Know factors that increase the incidence of sleep apnea in adults . OSA. – a common problem. Two types of breathing interruption characteristic of OSA:. APNOEA . – where the muscles and soft tissues in the throat relax and collapse sufficiently to cause a total blockage of the airway. Alexandra Dati. UF Dietetic Intern. June 17, 2015. Outline. Objectives. Review of sleep apnea. Sleep apnea in children. Vitamin D and sleep apnea. Implications for practice. Objectives. Obtain basic knowledge of obstructive sleep apnea. Advance . Notice of Proposed Rulemaking. Mark Patterson. Federal Railroad Administration. Office of Safety. Medical Review Board. August 22, 2016. Obstructive Sleep Apnea. Advance . Notice of Proposed Rulemaking. Robert . Zecchin*, . Cuynet Ada, Jim Pouliopoulos, Saurabh Kumar, . A. . Robert Denniss. . Westmead . Hospital, Sydney NSW.. Global . incidences of out-of-hospital cardiac arrest and survival . rates: Systematic . Alister Neill. TE HA ORA . MOE. THE BREATH OF LIFE (SLEEPING). Sleep health. Sleep that is fully restorative, enabling full potential. Achieving optimum total sleep time. Major health issues. Sleep deprivation (TST < 5 hours/ night). Dr. . Rrhab. F. . Gwada. Up until the 1950s, strict bed rest was thought to be the best medicine after a heart attack. . Following discharge moderately stressful activity such as climbing stairs was discouraged . causing recurrent arousals, intermittent hypoxaemia, sleep fragmentation and poor sleep quality. There is accumulating evidence that OSA is being considered as an independent risk factor for hyperten Dr Irene Hadjikoumi, SpR. Dr Christos Tzivinikos, SHO. Dr Helen Wolfenden, SHO. Dr Marian McGowan, Consultant . Dept. of Developmental Paediatrics. St George’s Hospital, London . Prevalence of Obstructive Sleep Apnoea Syndrome (OSAS).