CPAP Machines and Heart Disease: A Surprising Connection

Sharing our new publication, led by Ali Azarbarzin, identifying which patients with heart failure (HF) benefit most from treatment of their central sleep apnea using phrenic nerve stimulation. The study showed that people whose central sleep apnea (CSA) caused large surges in heart rate at baseline, later went on to have an 8-percentage point greater improvement in left ventricular ejection fraction with CSA treatment than those with small heart rate surges, over the 6-month trial. Article: https://lnkd.in/efFUv5Nj Longer-term observational data also showed consistent findings: over 12 months, those with larger CSA-induced heart rate surges experienced early and sustained heart function benefit long term that was not seen with lower heart rate surge patients. The work promises to enable future clinical prediction: i.e. selected patients with HF and CSA treated specifically to improve cardiac outcomes. Also, CSA — like OSA — now appears uniquely problematic when it provokes heart rate surges, but may not be harmful to the heart otherwise. OSA link: https://lnkd.in/eVmWubAg Thanks to our colleagues Robin Germany and Scott McKane at Zoll Respicardia for the excellent data and fruitful collaboration.

📣 New research showing that HF patients with CSA who experience large heart rate surges benefit most from treatment with phrenic nerve stimulation - with greater improvements in heart function sustained over 12 months. The ZOLL Respicardia remedē® System is the only FDA-approved therapy for moderate-to-severe CSA in adults, offering a proven treatment option for these patients. 📄 Read more: https://lnkd.in/efFUv5Nj Robin Germany Jason Vinson

Sleep health is whole-body health. 💤 I recently reviewed the Cleveland Clinic Journal of Medicine’s article, “Obstructive Sleep Apnea Basics” by Dr. Jessica Vensel Rundo. It reinforced how OSA remains highly underdiagnosed, despite being linked to serious comorbidities such as hypertension, diabetes, and cardiovascular disease. The use of screening tools (STOP-BANG, Epworth Sleepiness Scale) and polysomnography as the gold standard are critical in improving diagnosis. Next week, I’ll be attending the Las Vegas Institute’s “The Physiologic Approach to Treating OSA” course to further expand my knowledge and clinical skills. The course will cover: 1. Dental sleep medicine and the dentist’s role in OSA care 2. Identifying and reviewing the medical issues of OSA and SDB 3. Airway anatomy, clinical forms, and screening tools 4. Polysomnography, WatchPAT, and CBCT imaging in diagnosis 5. Snoring, mouth breathing, UARS, and pediatric OSA 6. Integration of sleep appliances into practice, financial considerations, and device delivery I’m excited to deepen my understanding and bring these insights back into clinical practice to better serve patients. #SleepApnea #Dentistry #OSA #ContinuingEducation #LVI

🚦 Why is NESA XSignal different from home-use vagus nerve devices? We’re often asked how NESA XSignal compares to devices like NeuroSym that work directly on the vagus nerve. 👉 Stimulating the vagus nerve can be very useful, it’s like fixing one set of traffic lights that are stuck on red. But the autonomic nervous system (ANS) is far more complex. It’s a global network of nerves regulating sleep, recovery, cardiovascular health, stress, digestion and more. If the vagus is one junction, the ANS is the whole traffic system. When the entire network is jammed and congested, clearing just one junction won’t restore full flow. That’s where NESA XSignal is different. Delivered in a professional clinical setting, it works across multiple nerve pathways in the hands and feet, not just the vagus to rebalance the ANS centrally, locally, and metamerically. The result? A more complete restoration of balance for patients seeking improvements in sleep, recovery, performance and resilience. 🧠 The ANS is complex. Your therapy should be too. 👉 Learn more: nesaclinics.co.uk Jenny Torney NESA WORLD Jonny Campbell

Burst suppression is not sleep. Its 🧠 shutdown. 👉 Burst Suppression matters! 🗣️ Avoid it if possible, especially in vulnerable brains. 👀 at the raw EEG! Narrative Review by: Anita Jegari, Maria Walline, Peter A. Goldstein & Seyed Safavynia. https://lnkd.in/drzqF8AF #anesthesia #neuromonitoring #EEG #delirium #patientSafety

The PPMD team was recently joined by pulmonologist Dr. Janaki Paskaradevan, psychologist Dr. Allison Clarke, and Maria Gonzalez, MSN, APRN, FNP-BC, CPN, from the Division of Pulmonary and Sleep Medicine at Ann & Robert H. Lurie Children's Hospital of Chicago, where they led a discussion on the critical role of BiPAP use in #Duchenne and #Becker. Webinar presentation and discussion emphasized the importance of consistent use of BiPAP—even when individuals feel well—and highlighted the potential long-term impact of not wearing prescribed breathing support. Learn more and watch the webinar recording: https://lnkd.in/eJZuypkQ

Patients expect more than treatment. That’s why creating a patient-centered workflow is essential in dental sleep medicine. Swipe through to learn why a patient-centered workflow matters. Learn about the practical steps to build your own workflow: https://lnkd.in/ghZA6tRR #DentalSleep #CaseManagement #SleepApnea #SleepApneaTreatment 

Balance Awareness Week One of the biggest barriers for people living with dizziness and imbalance is the diagnostic journey. Too often, patients bounce between services without clear answers. At Audiology Planet, we believe that early and accurate diagnostics are the foundation of effective treatment. Here are some of the essential vestibular diagnostic tests and why they matter: • Video Head Impulse Test (vHIT): Assesses semicircular canal function and high-frequency vestibulo-ocular reflex (VOR) integrity. Quick, non-invasive, and essential for detecting unilateral or bilateral vestibulopathy. • Vestibular Evoked Myogenic Potentials (VEMP): Measures otolith (saccule and utricle) function, providing crucial information about these linear acceleration sensors • Caloric Testing: A traditional but still valuable tool for identifying side-specific weaknesses in the horizontal canal • Videonystagmography (VNG): Tracks eye movements to analyse central vs peripheral causes of dizziness. • Audiological Testing: Hearing and balance are deeply interconnected; comprehensive audiometry helps differentiate inner ear causes from others. Why is this important? • Correct diagnosis means targeted therapy, not guesswork. • Reduces patient distress and time lost in uncertainty. • Prevents mismanagement and unnecessary interventions. • Provides the baseline to measure treatment outcomes. At Audiology Planet, our diagnostic protocols are designed to uncover what’s really happening in the balance system — so rehabilitation can be personalised, evidence-based, and effective. Also, we find that the diagnostic work leads to better patient compliance of the rehabilitation regime. Let’s make vestibular diagnostics a standard part of best practice, not an afterthought. #AudiologyPlanet #VestibularTesting #VestibularHealth #Dizziness #Vertigo #BalanceAwarenessWeek #VEDA

⏳ Deadline Extended! SLEEP Advances is inviting submissions for a special collection on Consumer Sleep Technology (CST). This issue will spotlight innovative insights and applications of CST in sleep medicine. We welcome: 📊 Observational studies 🧪 Interventional clinical trials 📑 Case reports, reviews, & meta-analyses 💭 Opinion papers 📅 New deadline: September 30 🔗 Learn more: https://lnkd.in/gnRdcP_j

At MAC we pride ourselves on offering a wide range of scientific solutions. From cutting-edge human modelling and EEG analysis to pioneering psychedelic studies and sleep assessments, our expert-led solutions are designed to support any clinical trial. Watch the video below to learn more about the advanced, non-routine assessments and techniques that set MAC apart from other CROs. #ClinicalResearch #ScientificSolutions #CRO #ClinicalTrials #CorporateVideo