Obstructive Sleep Apnea: Diagnosis, Treatment, and Cardiovascular Implications

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In this SCCR Science Series session, Elaine Costa, MD, a postdoctoral scholar in the Department of Otolaryngology, Head, and Neck Surgery (OHNS) provides an overview of obstructive sleep apnea (OSA).




Here she covers:

 

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Father of sleep medicine

Survey

 

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Prevalence

 

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* obstructive is the most common type




Sleep Apnea

Risk Factors

 

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Pathophysiology

Respiratory Events

 

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What are the symptoms?

How do we evaluate them?

 

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How do I know I have OSA!

Sleep Study

 

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PSG TYPES

 

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IN-LAB vs. AT HOME

FIGURE 1 Polysomnographic Example of OSA

 

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Severity Classification

 

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Clinical Practice Guideline for. the Diagnostic Testing for Adult OSA

 

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ConsumerWrist-Worn Sleep Trackers vs Polysomnography

 

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Clinical Cardiovascular Consequences

OSA is a modifiable CVD risk factor

Potential Etiological Risk Factors for Sleep Apnea and the Downstream Consequences

 

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Treatment

Types of PAP machines

 

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The effect of surgical weight loss on upper airway fat in obstructive sleep apnea

 

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Medicines

Zepbound (tirzepatide)

AD109

 

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Oral devices

Mouth taping?

 

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Myofunctional therapy

 

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Surgical procedures

Complementary evaluation

Tonsillectomy

 

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Palate Surgery

Skeletal Surgery

Upper airway stimulation

Other