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Archive for April, 2008

Nasal surgery may improve quality of life in apneics

Nasal surgery to remove obstructions from the airway is associated with improvements in quality of life for patients with obstructive sleep apnea and symptoms of nasal blockages, according to a report in the April 2008 issue of Archives of Otolaryngology–Head & Neck Surgery, one of the journals.

Obstructive sleep apnea (OSA) is characterized by episodes of partial or complete blockage of the airway during sleep, leading to snoring and daytime sleepiness, according to background information in the article. Blockage of the nasal passages also is common in OSA patients, causing fragmented sleep and leading to daytime tiredness and poor quality of life.

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News media has a long way to go to understand sleepiness

CNN’s Judy Fortin missed the point in her latest story on CNN.com about "fatigue." The basis of the story, which is also the headline, is that "Fatigue is more than just plain tired."

I hope Fortin didn’t have to find rocket scientists to help her come to that conclusion for the story. Even though the story touches on several good points, it leaves one lacking.

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Snorers may be cause of high blood pressure in bed partners: study

Snorers may be sending their partners to an early grave by pushing up their blood pressure, according to a new study.

Scientists have found that blood pressure increases in response to noises at night, whether you are awake or asleep.

Snoring is often one of the telltale signs of sleep apnea. While many people with apnea snore, not everyone who snores has apnea.

Aircraft noise and heavy traffic also have health impacts, the study found.

High blood pressure or hypertension is a known risk factor for heart disease, stroke, kidney disease and dementia.

For their study, scientists monitored 140 sleeping volunteers at their homes near Heathrow and other major European airports.

They found that the blood pressure of participants went up noticeably after a "noise event," which was a sound louder than 35 decibels. This included a passenger jet flying overhead, traffic passing outside or snoring.

Similar blood pressure rises were triggered by other noise sources such as traffic.

, one of the study’s authors from Imperial College London, said: "Noise from air traffic can be a source of irritation, but it can also be damaging for people’s health.

"Our studies show that night-time aircraft noise can affect your blood pressure instantly and increase the risk of hypertension," he said.

, of the , said the study, published in the , made sense.

"There have already been studies on dogs which show that those who are subjected to loud noise such as snoring may suffer from intermediate high blood pressure," she said.

Almost everyone is likely to snore at one time or another, and while most people with apnea snore, not everyone who snores has apnea. It has been found in all age groups. Estimates of snoring vary widely based on how it is defined.

Habitual snoring has been found in about 24 percent of adult women and 40 percent of adult men. Both men and women are more likely to snore as they age. Men, however, become less likely to snore after the age of 70.

Obstructive sleep apnea is best treated by the use of a positive airway pressure device, such as a continuous positive airway pressure device, or CPAP, or a bi-level positive airway pressure device, or bi-level. Some people mistaken refer to all bi-level devices as BiPAP machines, although the word BiPAP is a registered trademark of Respironics, Inc., for a specific line of bi-level devices. The term xPAP is used when speaking of positive airway pressure machines, overall, when one specific type of machine is not being discussed.

Other treatments for apnea exist, though the success rate at eliminating the apneas — especially without surgery — are not close to the almost 100 percent success rate of xPAP devices. They include oral devices, including custom devices made by dentists; surgeries; and an implant that’s been on the market for a few years with mixed comments.

Links of interest

Have you had bouts of insomnia lasting two weeks or more? Do you walk around in a constant fog, feeling sleepy, fatigued, and as though you have no energy? Perhaps you "feel" older than you are, or maybe it’s all you can do to stay awake while driving. If any of that, or similar issues are familiar, or if you snore or have disrupted sleep, even if just a few simple, repeat trips to the bathroom during the night, check out these two online tests to help you get to the root of the issue. While they will not make a diagnosis for you, they will help you, your physician, or, more appropriately, a sleep specialist, find out what’s causing you the problem sleepiness.

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