Secondary Hypertension and Sleep Apnea: Screening, Diagnosis, and Treatment

[madman]

* approximately 30-50% of patients with hypertension have obstructive sleep apnea but as many as 80% of those with resistance hypertension have sleep apnea

Drs Marwah Abdalla and Susan Redline discuss when to suspect sleep apnea; how to approach screening, diagnosis, and treatment; and how it fits into hypertension management.

Thread 'Diagnosis and Management of Obstructive Sleep Apnea'

Oct 8, 2022

Diagnosis and Management of Obstructive Sleep Apnea A Review (2020)
Daniel J. Gottlieb, MD, MPH; Naresh M. Punjabi, MD, PhD


IMPORTANCE Obstructive sleep apnea (OSA) affects 17% of women and 34% of men in the US and has a similar prevalence in other countries. This review provides an update on the diagnosis and treatment of OSA.

OBSERVATIONS The most common presenting symptom of OSA is excessive sleepiness, although this symptom is reported by as few as 15% to 50% of people with OSA in the general population. OSA is associated with a 2- to 3-fold...

• madman
• sleep apnea; hypoxia; treatments
• Replies: 21
• Forum: Health & Wellness

Thread 'High Hematocrit on TRT: practical “numbers plus action” guide'

Feb 24, 2026

How often should men on TRT check their hematocrit?​

The standard monitoring schedule includes a baseline CBC before starting TRT, a recheck at 3 to 6 weeks, another at 3 months, and then at 6 and 12 months once stable. Any dose or formulation change resets the monitoring clock, requiring a recheck 4 to 6 weeks later. Men with risk factors for elevated hematocrit (sleep apnea, smoking, COPD, or a history of clotting) should check more frequently: every 3 months until the trend is stable.




* The monitoring schedule, the intervention ladder, and the attention...

• madman
• hypogonadism; t-therapy; hematocrit; cvd
• Replies: 6
• Forum: Testosterone Side Effect Management