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Latest Physician News2018-12-14T14:13:55+00:00

Latest in Sleep Medicine News

Sleep-disordered breathing (SDB) and Atrial Fibrillation: A Case of Bidirectional Relationship and Continuous PAP Compliance Monitoring

Sleep-disordered breathing (SDB) is a contributor to atrial fibrillation (AF) and the treatment of obstructive sleep apnea can reduce the recurrence of AF following catheter ablation. On the other hand, the impact of AF therapy and conversion to sinus rhythm is not fully understood. This is a case of a middle-aged man with SDB and persistent AF who exhibited improvement in SDB events, following sinus rhythm conversion. This supports the hypothesis that a bidirectional relationship between SDB and AF exist and highlights the importance of continuous monitoring of CPAP compliance, beyond improvement of daytime sleepiness.

Improvement in Sleep-Disordered Breathing Indices Downloaded From a Positive Airway Pressure Machine Following Conversion of Atrial Fibrillation to Sinus Rhythm.

J Clin Sleep Med. 2018 Nov 15;14(11):1953-1957

Authors: Monahan K, Upender R, Sherman K, Sheller J, Montgomery J, Abraham RL

Consumer sleep tracking devices: What to believe?

Consumer sleep technologies (CSTs) such as fitness trackers and smartphone apps have become increasingly popular. Most of these devices appear to utilize data generated from in-built accelerometers to determine sleep parameters but the exact mechanisms and algorithms are proprietary. These devices claim to measure the sleep duration of their users and in some cases purport to measure sleep quality, sleep stages including REM sleep. The growing literature comparing these devices against polysomnography/actigraphy shows that they tend to underestimate sleep disruptions and overestimate total sleep times and sleep efficiency in normal subjects. This American Academy of Sleep Medicine position statement details the advantages and disadvantages of CSTs and provides guidance when approaching patient-generated health data from CSTs in a clinical setting.

Latest in Sleep Medicine Research

  1. Maia Palhano, AC, Kim, LJ, Moreira, GA, Santos Coelho, FM, Tufik, S, Levy Andersen, M et al.. Narcolepsy, Precocious Puberty and Obesity in the Pediatric Population: a Literature Review. Pediatr Endocrinol Rev. 2018;16 (2):266-274. doi: 10.17458/per.vol16.2018.Narcolepsypubertyobesity. PubMed PMID:30556659 .
  2. Steuer, AE, Raeber, J, Steuer, C, Boxler, MI, Dornbierer, DA, Bosch, OG et al.. Identification of new urinary gamma-hydroxybutyric acid (GHB) markers applying untargeted metabolomics analysis following placebo-controlled administration to humans. Drug Test Anal. 2018; :. doi: 10.1002/dta.2558. PubMed PMID:30548573 .
  3. Mahoney, CE, Cogswell, A, Koralnik, IJ, Scammell, TE. The neurobiological basis of narcolepsy. Nat. Rev. Neurosci. 2018; :. doi: 10.1038/s41583-018-0097-x. PubMed PMID:30546103 .
  4. Luo, G, Ambati, A, Lin, L, Bonvalet, M, Partinen, M, Ji, X et al.. Autoimmunity to hypocretin and molecular mimicry to flu in type 1 narcolepsy. Proc. Natl. Acad. Sci. U.S.A. 2018; :. doi: 10.1073/pnas.1818150116. PubMed PMID:30541895 .
  5. Paudel, D, Lin, Q, Yan, C, Liu, S, Zhang, B. A false alarm of narcolepsy: obstructive sleep apnea masquerading as narcolepsy and depression. Sleep Breath. 2018; :. doi: 10.1007/s11325-018-1767-7. PubMed PMID:30523556 .
  6. Hershner, S, Kakkar, R, Chung, F, Singh, M, Wong, J, Auckley, D et al.. Narcolepsy, Anesthesia, and Sedation: A Survey of the Perioperative Experience of Patients With Narcolepsy. Anesth. Analg. 2018; :. doi: 10.1213/ANE.0000000000003954. PubMed PMID:30540615 .
  7. Vignatelli, L, Antelmi, E, Ceretelli, I, Bellini, M, Carta, C, Cortelli, P et al.. Red Flags for early referral of people with symptoms suggestive of narcolepsy: a report from a national multidisciplinary panel. Neurol. Sci. 2018; :. doi: 10.1007/s10072-018-3666-x. PubMed PMID:30539345 .
  8. Stephansen, JB, Olesen, AN, Olsen, M, Ambati, A, Leary, EB, Moore, HE et al.. Neural network analysis of sleep stages enables efficient diagnosis of narcolepsy. Nat Commun. 2018;9 (1):5229. doi: 10.1038/s41467-018-07229-3. PubMed PMID:30523329 PubMed Central PMC6283836.
  9. Golden, EC, Lipford, MC. Narcolepsy: Diagnosis and management. Cleve Clin J Med. 2018;85 (12):959-969. doi: 10.3949/ccjm.85a.17086. PubMed PMID:30526757 .
  10. Nasto, B. T cells fingered as culprits for narcolepsy. Nat. Biotechnol. 2018;36 (12):1130. doi: 10.1038/nbt1218-1130. PubMed PMID:30520862 .
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