Join us this month as we discuss OSA and cardiovascular disease with Dr. Peter Farrehi, a cardiologist at the University of Michigan. We focus on arrhythmias, but do delve into other topics as well. We hope you enjoy!
00:45 intro3:00 best advice6:50 pick of the month12:12 discussion begins12:30 What should we be looking for on a sleep ECG?14:00 See the patient or do the sleep study first?16:38 should every patient with afib get a sleep study?17:15 STOP BANG screening and afib19:30 arrhythmia and auto-cpap21:30 heart failure and preserved EF22:50 why does OSA predispose to atrial fibrillation26:00 anti arrhythmic drugs for afib with co-morbid sleep apnea29:00 minutes coughing can be edited if you want29:30 rate or rhythm control for afib?31:00 fatigue or sleepiness?32:20 Other sleep related arrhythmias32:36 Non sustained ventricular tachycardia33:00 Sustained ventricular tachycardia36:00 arrhythmia and management on the sleep end37:40 Long QT38:00 Chronic afib38:30 sinus pause39:30 AV block42:00 2 Lead ECG problems43:00 medicare games44:30 positional therapy47:15 virtual visits discussed vs face to face
48:30 screening afib for OSA50:33 compliance and non compliance - sleep heart health study51:00 Meta –review JAMA52:40 arrhythmia and cpap, when will my arrhythmia improve?54:30 treat sleep apnea prior to cardioversion?58:50 PVC’s1:01:00 7 pvc/minute1:02:00 PACs?1:03:00 bigeminy or trigemini?1:04:20 oxygen nadir and oxygen desaturation index1:12:30 using oxygen nadir to reach the patient1:15 wrap up