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Talking Sleep

Too Much of a Good Thing? Benefits of Lower Pap Settings

Mar 7, 2025
Dr. Sanja Jelic, a prominent sleep medicine expert at Columbia University, and Dr. Daniel Gottlieb, an Associate Professor at Brigham and Women's Hospital, dive deep into the potential inflammatory effects of high-pressure PAP therapy for sleep apnea. They tackle eye-opening findings on how PAP settings might influence inflammatory markers and challenge existing beliefs about CPAP efficacy. Plus, they explore innovative alternatives like supplemental oxygen and advocate for personalized treatment to enhance cardiovascular health and overall outcomes in sleep medicine.
42:11

Podcast summary created with Snipd AI

Quick takeaways

  • Recent studies indicate that high-pressure CPAP therapy may inadvertently increase inflammatory markers like angiopoietin-2, questioning its cardiovascular benefits.
  • Exploring alternative treatments such as supplemental oxygen could provide better outcomes for patients with obstructive sleep apnea who resist CPAP therapy.

Deep dives

CPAP Therapy and Cardiovascular Risk

Despite expectations that treating obstructive sleep apnea with CPAP therapy would reduce cardiovascular risk due to the alleviation of intermittent hypoxia, recent studies have shown no significant decrease in this risk. Research conducted by Dr. Jellick and Dr. Gottlieb suggests that instead of lowering cardiovascular markers, CPAP may lead to an unexpected increase in certain inflammatory mediators, such as angiopoietin 2. This contradiction highlights the complexities of understanding how sleep apnea treatments impact overall health, particularly for patients with a history of cardiovascular events. The surprising findings challenge existing beliefs and emphasize the need for further exploration into the effects of CPAP on non-symptomatic individuals.

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