Screening for Obstructive Sleep Apnea in Cardiovascular Patients
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Questions and Answers

Which medical condition is closely associated with sleep apnea?

  • Down Syndrome
  • Weight management
  • Insomnia
  • Cardiovascular disease (correct)

What is the purpose of the ADHERE registry?

  • To study the utilization of home monitoring during therapy optimization
  • To monitor patients with Inspire UAS during therapy optimization
  • To assess the long-term management of sleep apnea patients (correct)
  • To evaluate the effects of hypoglossal nerve stimulation on cognition and language

What is the role of the dental sleep medicine in the 21st century?

  • To optimize upper airway stimulation
  • To evaluate patients for ENT consultation
  • To provide patient education and expectation management (correct)
  • To perform drug-induced sleep endoscopy

Which is the goal of the HOME study?

<p>To determine if HSAT can replace in-laboratory PSG titration (C)</p> Signup and view all the answers

How many subjects will be randomized for the HOME study?

<p>n=100 (C)</p> Signup and view all the answers

What is the indication for the investigational use of upper airway stimulation?

<p>Sleep apnea (A)</p> Signup and view all the answers

What is the goal of population health initiatives?

<p>To improve overall health outcomes of the population (D)</p> Signup and view all the answers

Who is the Vice Chair of Education and Associate Professor of Otolaryngology at Thomas Jefferson University?

<p>Shalini Manchanda, MD (B)</p> Signup and view all the answers

What is the medical specialty of Amit Patel, MD?

<p>Pulmonary Medicine (A)</p> Signup and view all the answers

Who is the Editor in Chief of the publication mentioned in the text?

<p>Asim Roy, MD (D)</p> Signup and view all the answers

Which outcome measures are collected in the ADHERE registry?

<p>Changes to AHI and ESS from baseline to 12 months (D)</p> Signup and view all the answers

Which population was included in the sub-analysis of the ADHERE registry?

<p>Patients aged 65 and older (D)</p> Signup and view all the answers

Which surgical approach reduced operative time by 33%?

<p>The 2-incision technique (C)</p> Signup and view all the answers

What percentage of patients reported clinical improvement compared to baseline in the ADHERE registry?

<p>Over 90% (A)</p> Signup and view all the answers

Which organization highlighted the need for collaboration between cardiovascular and sleep medicine teams?

<p>Heart Rhythm Society (B)</p> Signup and view all the answers

What is the primary outcome measured in the STAR clinical trial?

<p>Change in AHI and ODI (D)</p> Signup and view all the answers

Which company was the first to receive FDA approval for the Upper Airway Stimulation (UAS) device?

<p>Inspire Medical Systems (D)</p> Signup and view all the answers

What is the purpose of the Inspire therapy system's Sleep Remote?

<p>To remotely adjust therapy settings (C)</p> Signup and view all the answers

What are the three overarching goals proposed by the Institute for Healthcare Improvement?

<p>Improving patient experience, improving population health, and reducing healthcare costs (B)</p> Signup and view all the answers

What is the estimated prevalence of undiagnosed sleep apnea in the United States according to the report commissioned by AASM in 2016?

<p>Approximately 23.5 million (A)</p> Signup and view all the answers

What are some of the negative cardiovascular outcomes associated with sleep apnea?

<p>Elevated blood pressure levels, systemic inflammation, vascular endothelial dysfunction, and adrenergic stimulation (B)</p> Signup and view all the answers

What is the potential impact of using artificial intelligence algorithms for sleep studies?

<p>Improved efficiency and accuracy in scoring sleep studies (C)</p> Signup and view all the answers

Flashcards

Sleep Apnea and Cardiovascular Disease

Sleep apnea is closely linked to cardiovascular problems.

ADHERE Registry Purpose

Tracks long-term sleep apnea treatment effects.

Dental Sleep Medicine Role

Educates patients on sleep apnea expectations.

HOME Study Goal

Tests if home sleep testing is as good as in-lab tests for sleep apnea.

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HOME Study Subjects

100 participants were randomized.

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Upper Airway Stimulation Indication

Treatment for sleep apnea.

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Population Health Initiative Goal

Improve the overall health of a group of people.

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Shalini Manchanda's Role

Education Vice Chair and Otolaryngology Professor.

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Amit Patel's Specialty

Pulmonary Medicine specialist.

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ADHERE Registry Outcome Measures

Collected changes in AHI and ESS (sleepiness) over 12 months.

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ADHERE Sub-analysis Population

Patients aged 65 and older.

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2-Incision Surgical Approach

Reduced operating time by 33% in sleep apnea procedures.

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ADHERE Registry Clinical Improvement Percentage

Over 90% of patients reported improvement compared to baseline.

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Heart Rhythm Society's Focus

Advocated for collaboration between sleep and cardiology.

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STAR Trial Primary Outcome

Change in AHI (apnea-hypopnea index) and ODI (oxygen desaturation index).

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First UAS Device FDA Approval

Inspire Medical Systems.

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Sleep Remote Function

Allows remote adjustment of Inspire therapy settings.

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Institute for Healthcare Improvement Goals

Improving patient experience, population health, and reducing costs.

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Undiagnosed Sleep Apnea Prevalence

Estimated at 23.5 million in the US (2016 AASM report).

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Cardiovascular Outcomes with Sleep Apnea

Elevated blood pressure, inflammation, vascular issues, and adrenaline.

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Artificial Intelligence in Sleep Studies

Could lead to more accurate and faster sleep study scoring.

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