Cardiologists

Screening for Obstructive Sleep Apnea Can Improve Patient Outcomes1

Sleep apnea affects half of all patients with cardiovascular disease. Sleep apnea puts an enormous strain on the heart and remodels the cardiac substrate through stretching, oxidative stress and frequent sympathetic surges.1

Undiagnosed Sleep Apnea Is a Major Comorbidity and Risk Factor in CVD

Screening for obstructive sleep apnea can improve patient outcomes.Screening all patients, new (undiagnosed) and existing (under-titrated CPAP), was reported to improve patient outcomes and have a 42% relative risk reduction in AFib recurrence3-4 and a 38% risk reduction in CVD mortality.2

AHA recommends that screening for sleep
apnea risk should be integrated into routine
clinical care5

A simple yes/no questionnaire called STOP-BANG takes just a few minutes and indicates a high probability of obstructive sleep apnea and supports the required documentation for Medicare and commercial insurance payers.6-7

Total Sleep Solutions

Total Sleep Solutions™ is a novel cross-disciplinary model of care developed in collaboration with cardiologists and sleep physicians for the management of cardiac patients. Itamar Medical has extensive experience with a variety of cardiology practices to ensure every patient is properly screened, diagnosed, treated and monitored for treatment compliance.
More than 50% of cardiovascular patients remain undiagnosed or treated for sleep apnea. A simple questionnaire can help you identify patients who may be at risk for sleep apnea, making them eligible for a diagnostic sleep test.
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To be eligible for insurance coverage for sleep apnea therapy, your patients need a validated diagnosis. Diagnosis is obtained with an easy to use sleep study, performed at the patient’s home.
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Adequately treated sleep apnea has been associated with improved cardiovascular outcomes and lower rates of hospital readmission.
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The success of sleep apnea therapy depends on patients’ compliance. Compliance to therapy should be optimized to improve cardiovascular outcomes. Your patients will benefit from your staying informed and updated on their progress.
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References

1. Anter E. Circulation: Arrhythmia and Electrophysiology. 2017, Atrial Substrate and Triggers of Paroxysmal Atrial Fibrillation in Patients with Obstructive Sleep Apnea
2. Young et al, J Sleep 2008; Sleep Disordered Breathing and Mortality: Eighteen-Year Follow-up of the Wisconsin Sleep Cohort
3. Shulka, A (2015, February 12) Effect of OSA treatment on Atrial Fibrillation Recurrence
4. Neilan et al, JAHA, 2013 Effect of Sleep Apnea and Continuous Positive Airway Pressure on Cardiac Structure and Recurrence of Atrial Fibrillation
5. Circulation. November 2016, Sleep Duration and Quality: Impact on Lifestyle Behaviors and Cardiometabolic Health
6. Chung, F. (2018, March 8). High STOP-BANG score indicates a high probability of obstructive sleep apnea.
7. CMS Medicare Outpatient Sleep Studies Guidelines