Lung Problems Archives

Chronic Obstructive Pulmonary Disease and Comorbidities

COPDResults of epidemiological studies have shown that chronic obstructive pulmonary disease (COPD) is frequently associated with comorbidities, the most serious and prevalent being cardiovascular disease, lung cancer, osteoporosis, muscle weakness, and cachexia.

Mechanistically, environmental risk factors such as smoking, unhealthy diet, exacerbations, and physical inactivity or inherent factors such as genetic background and ageing contribute to this association.

No convincing evidence has been provided to suggest that treatment of COPD would reduce comorbidities, although some indirect indications are available. Clear evidence that treatment of comorbidities improves COPD is also lacking, although observational studies would suggest such an effect for statins, ? blockers, and angiotensin-converting enzyme blockers and receptor antagonists.

Large-scale prospective studies are needed. Reduction of common risk factors seems to be the most powerful approach to reduce comorbidities.

Whether reduction of so-called spill-over of local inflammation from the lungs or systemic inflammation with inhaled or systemic anti-inflammatory drugs, respectively, would also reduce COPD-related comorbidities is doubtful. [TheLancet.com]

chronic-fatigue-syndromeFibromyalgia (pronounced fy-bro-my-AL-ja), is a condition that affects five to six million Americans. Eighty to ninety percent of those diagnosed with fibromyalgia are women and most people are diagnosed during middle age. Fibromyalgia presents itself as widespread chronic pain, multiple tender points in joints and muscles, sleep disturbances and insomnia, chronic fatigue, stress, anxiety, and an interference with basic daily activities. A high percentage may also have irritable bowel syndrome, which could suggest a food allergy component.According to the National Institutes of Health web site, many people with fibromyalgia report varying degrees of success with complementary and alternative therapies such as massage, low impact exercise or stretching, chiropractic treatments, vitamins and minerals, eliminating allergic foods, avoiding caffeine or alcohol, and drinking a lot of water. Read the rest of this entry

Various Types of Sleep Related Disorders

Sometimes lack of sleep is caused by disorders that can also cause problems during the day. Examples include:

sleep related disorderNight sweats, which are caused by menopause, cancer, and infections.

Hypersomnia, which is excessive day time sleepiness caused by narcolepsy, being overweight, use of certain medicines, or drug and alcohol use.

Kleine Leven syndrome, where sufferers sleep up to 20 hours a day for several weeks.

Insomnia, which affects 30 to 50% of the population.

Narcolepsy, where sufferers may fall asleep easily during the day.

Periodic Limb Movement Disorder, where limbs move rhythmically during sleep.

Six percent of Americans suffer from sleep apnea, a condition where the sufferer stops breathing for 10 to 30 seconds, up to 400 times a night. Two to four percent of the American population suffers from apnea without a diagnosis. Sleep Apnea sufferers are six times more likely to die in a traffic accident due to fatigue. People who sleep next to apnea sufferers lose an average of one hour of sleep per night, and people with untreated apnea are four times more likely to suffer a stroke. Half of those with sleep apnea snore heavily.

SleepApneaDisorder/ [ Press release ]/ LYMAN, S.C., April  19, 2011 /- Southern Home Medical Equipment,  Inc. a Holding Company providing healthcare services,  healthcare professionals and equipment to medical institutions, announced today  that in response to the growing demand for specialized solutions for respiratory  therapy illnesses, Southern Home has launched its Respi-Care Respiratory Therapy  Program.  The program provides specialized treatment for Sleep Apnea,  bronchodilator therapy, tracheostomy care and other respiratory illnesses.

Respi-Care combines the expertise of certified respiratory therapists with  the latest in respiratory therapy equipment, patient assessment and education to  both the patient and health care staff.  The Respi-Care treatment program is provided to patients through  home health, skilled nursing and other facilities. Read the rest of this entry

The Canadian Thoracic Society released new guidelines on sleep disordered breathing, which provide the latest recommendations for sleep apnea diagnosis and treatment. The guidelines are created for health-care professionals by physicians who are experts in sleep disordered breathing. They are designed to keep health-care professionals up to date on the most recent evidence about how to diagnose and manage sleep apnea.

What is Sleep Apnea?

Sleep apnea is a serious breathing disorder that causes sufferers to have dozens or hundreds of breathing pauses or “apneas” per night. These repeated periods of breathing pauses during sleep and the chronic sleep deprivation they cause have both physical and psychological consequences. People with untreated sleep apnea are more likely to have motor vehicle crashes, hypertension, and heart attacks, irregular heart beat stroke, depression, impotence and diabetes. Read the rest of this entry

Sleep Apnea Disorder/ [ Press Relese ] / The Healthy Trucking Association of America (HTAA) Summit will be the first venue to exhibit the new Transcend Sleep Apnea Therapy System. To be held at the Omni Hotel at CNN Center in Atlanta on March 1-3 this year, the HTAA Summit is the trucking industry’s premiere health and wellness event focused on improving the health of the nation’s professional driver population. Attracting trucking fleet safety directors, HR directors, recruitment and retention managers, and other fleet executives and industry leaders, this year’s Summit will feature sessions on sleep disorders, obesity and weight loss, hypertension and heart health, respiratory health, diabetes, and more.

Transcend is a new wearable obstructive sleep apnea ( OSA) therapy device designed to overcome hurdles associated with using a bulky, hassle-ridden traditional CPAP. Weighing about 1 lb, the FDA-approved Transcend is the smallest CPAP on the market. It is easy to operate, uses low power, replaces the messy humidification chamber with heat moisture exchange technology, and has optional battery back-up. Transcend will be on display at the Summit on March 2 and 3. Read the rest of this entry

New local coverage determination (LCD) adherence criteria for continued reimbursement of continuous positive airway pressure after 90 days among patients with obstructive sleep apnea may have a negative impact on their clinical care, according to research published in the October issue of Chest

Mark S. Aloia, Ph.D., of National Jewish Health in Denver, and colleagues evaluated information from a retrospective database of 150 patients who received neuropsychologic testing before treatment as well as three and six months after treatment. Patients were categorized using the new LCD criteria.  Read the rest of this entry

According to the National Heart, Lung and Blood Institute, the average sleep apnea sufferer stops breathing and loses oxygen between five and 30 times a night. This lack of oxygen leads to a host of complications, including high blood pressure, vascular disease, an abnormal heart rhythm, or even a fatal cardiac event. Now, a team of University of Missouri researchers is exploring the changes in distinct brain regions that contribute to these symptoms in hopes of combating this common health issue.

Sleep apnea occurs when the muscles in the back of the throat relax during sleep, leading the airway to narrow or close. It’s estimated that 12 million Americans are affected by sleep apnea, but it’s widely believed that the issue is under reported. There are no blatant signs or blood tests to diagnose the disrupted sleep. Most cases of sleep apnea are discovered when a partner notices an increase in snoring, or when the sufferer indicates daytime fatigue and sleepiness. Read the rest of this entry

SleepApneaDisorder/[Press Release]/-Dr. Markus Schmidt will review common sleep disorders and cardiovascular consequences of sleep apnea on Saturday, August 21st at 1:00 p.m. at the Health & Fitness Expo held at the Columbus Convention Center. The lecture is free and opened to the public attending the event.  

“Many residents in Central Ohio suffer from a sleep problem or disorder that affects not only their quality of life, but also their daytime performance and can have profound consequences on their overall mental and physical health,” says Dr. Markus Schmidt, medical director at the Ohio Sleep Medicine Institute. “Sleep is a vital element for our well-being, and addressing underlying conditions that contribute to insomnia, snoring, sleep apnea, restless nights or other sleep disturbances can completely change one’s life,” he adds. Read the rest of this entry

If you have COPD, chronic asthma, lung disease or sleep apnea, you won’t want to miss Pulmonary Smackdown: Breathe Easier! a program to help you gain control over your symptoms.

The program features pulmonologists, respiratory therapists and experts in diet, exercise, sleep and pharmacy to help you to learn to breathe easier and sleep better.

The day includes a panel discussion, workshops, cooking and exercise demonstrations, plus a healthy lunch prepared by a chef and Registered Dietitian. Learn how you can breathe easier, sleep better and improve your strength and stamina. Read the rest of this entry

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