Photo Credit: Andrew Richards
Untreated sleep apnea is associated with depression symptoms. The treatment with CPAP (Continuous Positive Airway Pressure) improves these symptoms in most, but not all patients.
In this multicenter prospective cohort study published in January 2014 CHEST journal, researchers evaluated 300 patients with OSAHS and depressive symptoms.
After an average of 529 days of CPAP therapy, the mean depression score decreased from 9.2 to 5.4 (p<0.0001), but 125 (41.7%) patients presented persistent depressive symptoms. The persistence of depressive symptoms was independently associated with persistent excessive daytime sleepiness (EDS), comorbid cardiovascular disease, and female gender.
Persistent depressive symptoms are strongly associated with Excessive Daytime Sleepiness. Active monitoring of depressive symptoms is needed in CPAP-treated OSAHS patients.
My patients with obstructive sleep apnea and severe claustrophobia are petrified at just the thought of wearing a bulky mask for use with their CPAP (Continuous Positive Airway Pressure) machine. Well, here is the answer to their prayers; a small, flexible, open, and wearable nasal interface from Respironics – Nuance Nasal Gel Pillows. Take a look.
Like it? Talk to us or your home medical provider.
Sleep Well, Live Well.
Sleep-Disordered Breathing May Worsen Pregnancy Outcomes – MPR.
Evidence from published observational studies suggests that maternal sleep-disordered breathing is associated with increased risk of gestational hypertension and gestational diabetes, according to research published in the January issue of the American Journal of Obstetrics & Gynecology.
Sushmita Pamidi, MD, of McGill University in Montreal, and colleagues conducted a systematic review of the literature and meta-analysis of selected studies to assess the association between sleep-disordered breathing and risk of adverse pregnancy outcomes, including gestational hypertension/preeclampsia, gestational diabetes, and low-birth-weight infants.
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My patients frequently complaint about the CPAP masks as to how big, bulky, and uncomfortable they are. Well, here is the latest; a small and comfortable mask called Wisp from Respironics.
Which one is your favorite?