Episode 7 - OSA and cardiovascular disease

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!

Time Stamps

00:45 intro
3:00 best advice
6:50 pick of the month
12:12 discussion begins
12:30 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 afib
19:30 arrhythmia and auto-cpap
21:30 heart failure and preserved EF
22:50 why does OSA predispose to atrial fibrillation
26:00 anti arrhythmic drugs for afib with co-morbid sleep apnea
29:00 minutes coughing can be edited if you want
29:30 rate or rhythm control for afib?
31:00 fatigue or sleepiness?
32:20 Other sleep related arrhythmias
32:36 Non sustained ventricular tachycardia
33:00 Sustained ventricular tachycardia
36:00 arrhythmia and management on the sleep end
37:40 Long QT
38:00 Chronic afib
38:30 sinus pause
39:30 AV block
42:00 2 Lead ECG problems
43:00 medicare games
44:30 positional therapy
47:15 virtual visits discussed vs face to face

48:30 screening afib for OSA
50:33 compliance and non compliance - sleep heart health study
51:00 Meta –review JAMA
52:40 arrhythmia and cpap, when will my arrhythmia improve?
54:30 treat sleep apnea prior to cardioversion?
58:50 PVC’s
1:01:00 7 pvc/minute
1:02:00 PACs?
1:03:00 bigeminy or trigemini?
1:04:20 oxygen nadir and oxygen desaturation index
1:12:30 using oxygen nadir to reach the patient
1:15 wrap up