CPAP Underperforms: The Sequel

Professor, Department of Medicine, Uniformed Services University, Bethesda, Maryland; Physician, Pulmonary/ Sleep and Critical Care Medicine, MedStar Washington Hospital Center, Washington, DCServe as a director, office, partner, employee, advisor, consultant, or trustee for: Metapharm Inc." To date, it has 299 likes and 90 comments, which are almost all negative. I'm glad to see that it's generated interest, and I'd like to address some of the themes expressed in the posts.

But several comments warrant a more in-depth discussion. The original piece focuses on CPAP and cardiovascular outcomes but made no mention of or ejection fraction . The effects of CPAP on each are touted by cardiologists and PAP-pushers alike and are drivers of frequent referrals. It's my fault for omitting them from the discussion.

There are a million reasons why two systematic reviews on the same topic might come to different conclusions. In this case, the included studies only partially overlap, and broadly speaking, it appears the authors made trade-offs. The review cited by the ACC/AHA had broader inclusion and significantly more patients and paid for it in heterogeneity . The AASM analysis achieved 0% heterogeneity but limited inclusion to fewer than 100 patients.

Source: Healthcare Press (healthcarepress.net)

Sleep Apnoea Continuous Positive Airway Pressure CPAP Sleep Disturbance Abnormal Sleep Pattern Sleep Disorder Somnipathy Atrial Fibrillation AF Afib A-Fib Afib Afib Atrial Fib Atrial Fibrillation (AF) Atrial Fibrillation (A-Fib) AF - Atrial Fibrillation Fellowship Fellows Residency Residents Sleep Obstructive Sleep Apnea

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