Importance of use re: co-morbidities for pts with Sleep Disordered Breathing. (SDB)

    • Cardiovascular disease- Sleep disordered Breathing (SDB) causes lack of air entering lungs during apnea, causing blood oxygen levels to fall, fluctuations in HR and B/P.
    • HTN- treatment of (SDB) with Cpap has been shown to markedly improve B/P control.
    • Heart failure – common with SDB, these pts have worse diastolic function, Cpap lowers daytime heart rate and systolic B/P increasing ejection fraction. (The amount of oxygenated blood pumped from the heart to all organs in the body)
    • Stroke -increased risk with Sleep Disordered Breathing
    • Arrythmias – more frequent in persons with – SLEEP Disordered Breathing, and increase with number of apneas and severity of desaturations
    • CAD-( coronary artery disease) – SLEEP Disordered Breathing patients twice as likely to develop artery calcifications.
    • TYPE 2 diabetes – sleep disordered breathing can disrupt glucose metabolism in pts with diabetes, thought largely to be a response to the oxygen desaturation events that accompany each apnea and hypopnea.
What can I do to improve or succeed at cpap therapy?
  • Proper fit and comfort of mask
  • Discuss options, Full face mask, nasal, with or without chin strap
  • Sleep position, may affect choice, as well as if you open mouth when sleeping.
Learn proper use and function of your device, you can always defer to your manual or contact your DME. Comfort controls YOU can adjust:
  • Tube temp (air temp)
  • Humidity
  • Ramp time if applicable
Consistency is key! Make it your new sleep habit, you will acclimate faster with consistent use.
  • Try to go to bed at a consistent time.
  • Wear for naps
  • Wear if you watch tv or read in bed, put your mask on first, since these activities will tend to make you sleepy.