Podcast appearances and mentions of susan redline

Register now for ATS 2023 in Washington, D.C.Get ready for a series of dynamic scientific programming with presentations covering the basic sciences, research breakthroughs and clinical treatment!This podcast is a discussion with Dr Susan Redline, Professor of Sleep Medicine at Brigham and Women's Hospital about the current burden of health disparities among Obstructive sleep apnea patients. Spotlight placed on etiological ,pathophysiological and clinical differences among various racial, gender groups along with their clinical implications. Dr Redline's perspective on long term outlook regarding diagnostic modalities used routinely in Sleep practices and future direction of sleep research are discussed. 

Welcome to Season Four of Talking Sleep! In this episode we talk with Dr. Susan Redline about the American Heart Association's recent scientific statement on the relationship between obstructive sleep apnea and heart disease and the need to collaborate with cardiologists to improve the diagnosis and treatment of OSA. Dr. Redline also gives a sneak peak of her SLEEP 2022 keynote address.

Have you ever experienced heart palpitations and were unsure if it warranted speaking to your doctor? Has your doctor placed you on statins for rising cholesterol based on a family history of heart disease? What does sleep apnea have to do with heart palpitations?  The American Heart Association issued a statement in June 2021 that “between 40% and 80% of people in the U.S. with cardiovascular disease also have obstructive sleep apnea (OSA), yet it is under recognized and undertreated in cardiovascular practice.”1 Sleep Apnea Pathfinders set out to find out more about Atrial Fibrillation (A-fib).  AF is defined as an irregular, often rapid heart rate where the hearts upper chamber (atria) beat out of coordination with the lower chambers (ventricles) and causes poor blood flow.In this interview with CEO of STOPAFIB.org, Mellanie True Hills, we discuss a wide range of topics from what is Afib to how does it overlap with sleep apnea.  Ms. Hills is an award winning author for her book A Woman's Guide to Saving Her Own Life: The Heart Program for Health and Longevity.   40% of individuals don't have observable symptoms; roughly 6 million people affected by Afib.  "When you have Afib, you have a 500% increase risk of stroke.”   Heart failure is a big issue as is cognitive issues.She discusses the way to diagnose Afib: Electrocardiogram or loop recorder. The risk factors for Afib involve people with high blood pressure, underlying heart disease, diabetes, congestive heart failure, as well as sleep apnea.  For those she encounters who wake up with their heart racing, a common question is have they had a sleep study.  “The two (Afib and Sleep Apnea) go hand in hand”, according to Ms. Hills. Crossover issues of women not being referred based on language.  Women tend to be diagnosed with mild sleep apnea.  The research is also showing that women may experience hypopneas, (partial closures of the airway) more than apneas (full closure of airway)2.  David discusses the impact of the American Academy of Sleep Medicine guidelines of defining desaturation with a 3% or 4% measurement (2 & 3).Triggers are discussed.  The sympathetic nervous system is engaged (for those with sleep apnea, this is nightly).  She posits that Afib runs in families and also added that so does sleep apnea.  Paroxysmal, Persistent and Long standing. They discuss typical treatment.Intrathoracic pressure of sleep apnea can cause a stretching of the atria of the heart.  Results in remodeling of the heart and also electrical signaling. Ms. Hills shared her story of how she experienced Afib and how her surgical procedure helped her get rid of Afib.  Ms. Hills was gracious to share her sleep apnea story and how diagnosed with sleep apnea, she had to reframe how treating her condition as a means to keep her Afib managed.  She learned of the connection through research done by Drs. Susan Redline and Virend Somers in 2008 showing the connection between Afib and sleep apnea.David shared family history with heart conditions and sleep apnea.Treating Afib early is key.1.      Newsroom.heart.org Statement published online June 21, 2021 “Sleep Apnea worsens heart disease, yet often untreated”; A scientific statement by the American Heart Association in their associations journal Circulation2.      Prolonged partial upper airway obstruction during sleep-an underdiagnosed phenotype of sleep disordered breathing; Anttalainen, U; et al3.      Cardiovascular and somatic comorbidities and sleep measures using three hypopnea criteria in mild obstructive sleep-disordered breathing: sex, age and body mass index differences in a retrospective sleep clinic cohort; Johnson, K; et al

  Vidcast:  https://youtu.be/1YUDCkhva2g   If you tend to sleep poorly and are prone to migraine headaches, beware that a doozie may strike you two days later.  This warning comes from a Harvard study of 98 young persons 35 yrs on average who wore wrist devices to quantitate their sleep and kept headache diaries.     The data shows that a night with 6 and a half hours or less of fragmented sleep triggers a 39% chance of a migraine the second day after.  Ironically, the chance of a next day migraine is lower.     Migraine sufferers should do all they can to assure a good nights sleep every night including avoiding caffeine, late night meals, and agitation.    Suzanne M. Bertisch, Wenyuan Li, Catherine Buettner, Elizabeth Mostofsky, Michael Rueschman, Emily R. Kaplan, Jacqueline Fung, Shaelah Huntington, Tess Murphy, Courtney Stead, Rami Burstein, Susan Redline, Murray A. Mittleman Neurology Dec 2019, 10.1212/WNL.0000000000008740; DOI: 10.1212/WNL.0000000000008740   #Migraines #insomnia #fragmentedsleep  

Vidcast:  ttps://youtu.be/r3cfXswib-I   Yoga instruction or individual physical therapy, PT, over a 12 week period leads to better sleep for those plagued by low back pain.  Boston University investigators report this conclusion following their study of  320 adults with back pain.   Those using yoga enjoyed a 12% improvement in sleep while those having physical therapy noted  9% better sleep.  The best news is that this sleep improvement is sustained for at least a year.   Previous work credits both yoga and PT with improving low back pain.  Now we know that yoga and PT can also help the nearly 60% of those with low back pain that also have sleep problems.     Eric J. Roseen, Hanna Gerlovin, Alexandra Femia, Jae Cho, Suzanne Bertisch, Susan Redline, Karen J. Sherman, Robert Saper. Yoga, Physical Therapy, and Back Pain Education for Sleep Quality in Low-Income Racially Diverse Adults with Chronic Low Back Pain: a Secondary Analysis of a Randomized Controlled Trial. Journal of General Internal Medicine, 2019; DOI: 10.1007/s11606-019-05329-4   #sleep #lowbackpain #yoga #physicaltherapy

Dr. Susan Redline, Professor of Sleep Medicine and director of programs in Sleep and Cardiovascular Medicine and Sleep Medicine Epidemiology at Harvard Medical School, explores effects of early life influences and sleep deficiency in childhood on predisposition to obesity. She also looks at age and gender vulnerabilities and identifies early childhood risk factors. Series: "UCSF Consortium for Obesity Assessment, Study and Treatment" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 24583]

Dr. Susan Redline, Professor of Sleep Medicine and director of programs in Sleep and Cardiovascular Medicine and Sleep Medicine Epidemiology at Harvard Medical School, explores effects of early life influences and sleep deficiency in childhood on predisposition to obesity. She also looks at age and gender vulnerabilities and identifies early childhood risk factors. Series: "UCSF Consortium for Obesity Assessment, Study and Treatment" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 24583]

Dr. Susan Redline, Professor of Sleep Medicine and director of programs in Sleep and Cardiovascular Medicine and Sleep Medicine Epidemiology at Harvard Medical School, explores effects of early life influences and sleep deficiency in childhood on predisposition to obesity. She also looks at age and gender vulnerabilities and identifies early childhood risk factors. Series: "UCSF Consortium for Obesity Assessment, Study and Treatment" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 24583]

Dr. Susan Redline, Professor of Sleep Medicine and director of programs in Sleep and Cardiovascular Medicine and Sleep Medicine Epidemiology at Harvard Medical School, explores effects of early life influences and sleep deficiency in childhood on predisposition to obesity. She also looks at age and gender vulnerabilities and identifies early childhood risk factors. Series: "UCSF Consortium for Obesity Assessment, Study and Treatment" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 24583]