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Section 1.
Question. 1. How did this discussion come about?
Answer. 1. The discussion was posted on LinkedIn Chronic Pain Support Group. "Sleep Apnea Diagnosed Immediately After Heart Attack May Resolve Itself; Delayed or Repeated Sleep Tests May Be Preferable."
Question. 2. So why should you show interest, by creating a webpage?
Answer. 2...
A. The answer to this will be demonstrated towards the end of this page - however, for the, moment it is because an Educated Medical Person was trying to Suppresses my views that you will observe only came as a result of the scientific paper posted.
B. Please accept this paper is not entirely as presented in the original discussion - in making this web page I have inserted/added many comments and conclusions to make it more readable and to answer unasked or answered question.
Question. 3. If we are understand the suppression - is it not best we review and comment on the discussion paper first?
Answer. 3. Indeed it is, let us start.
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The Discussion.
Sleep Apnea Diagnosed Immediately After Heart Attack May Resolve Itself; Delayed or Repeated Sleep Tests May Be Preferable.
Question. 1. It is stated; Conducting a diagnostic sleep test shortly after a Heart Attack can help Doctors rule out Sleep Apnea in Patients? What does this mean?
Answer. 1...
A. If one was in possession of the answer to the conundrum. "What came first the Chicken or the Egg, it may well be an answerable - other than that is it just an answer to the old age Medical Sciense adage of; "Watchful waiting."
B. Meaning from a presented symptoms apply a treatment, one already knows cannot as the evidence demonstrates - cure; thus, "watchful waiting" is the time when something waiting for something tangible that can be done, like an operation or following a Heart Attack.
C. In addition; Electric Shock Paddles on the chest of a Heart Attack Victim or a night time Breathing Machine.
Question. 2. In question 1 there was a mention of Sleep Tests. Is there a value in such tests?
Answer. 2. Tests conducted in the immediate aftermath of a Heart Attack are somewhat unreliable for positively diagnosing Sleep Apnea.
Question. 3. Who created these test results to give such an Opinion?
Answer. 3. The results it appears came from a single-center study scheduled for presentation at the American College of Cardiology’s 66th Annual Scientific Session.
Question. 4. What is the expected outcome?
Answer. 4. As a result, it may be best to repeat the test after a few months or to delay initial testing before making a definitive diagnosis and initiating treatment.
Question. 5. What is the Hypothetical outcome predicted to be?
Answer. 5.
A. In view of the strong association between Sleep-Disordered Breathing, Heart Attack and the established negative prognostic implications of untreated Sleep Apnea in these Patients, cardiologists are becoming increasingly aware of the importance of screening for Sleep Disorders in their daily practice.”
B. Prognostic = relating to or serving to predict the likely course of a medical condition.
Question. 6. Just who is the highly educated medical practitioner or scientists who published this - guesswork?
Answer. 6. Jeanette Ting, MB, ChB, senior resident at National University Heart Centre, Singapore and the study’s lead author, in a press release.
Question. 7. What was the searched for outcome of such study?
Answer. 7. It appears the aim was to determine if screening should be performed during the acute phase soon after a Heart Attack or after a period of stabilization.”
Question. 8. If we accept. "Sleep Apnea Diagnosed Immediately After Heart Attack May Resolve Itself" what is the connection?
Answer. 8. Sleep Apnea is thought to contribute to cardiovascular disease by increasing Stress on the Heart and Blood vessels, causing inflammation, reducing available oxygen and affecting hormones.
Question. 9...
A. I have as always to laugh when a so called Scientifically Proven paper has the word. "Thought," somewhere within?
B. How then, are Doctors no matter how clever or qualified; able to utilise such research findings?
Answer. 9...
A. Yes it is clear; if one, after much detailed scientific study still has to use the word; Thought, it is a clear indication the work is nowhere near completion - therefore not ready for publication unless of course the Funding is running out.
B. Doctors can use questionnaires to identify Patients who might have Sleep Apnea, but the only definitive test is an overnight sleep study, in which a specialist uses electrodes and sensors to monitor how often the Patient stops breathing during sleep and the length of each pause.
Question. 10...
A. What were the protocols utilised with the. "Over Night Sleep Study," to gather the study participants.
B. And what was the outcome of the statics complied as a result of the study.
Answer. 11...
A. For the study, researchers performed an overnight sleep test in 397 Patients treated for Heart Attack at Singapore’s National University Heart Center.
B. This initial test was conducted within five days of hospital admission.
C. A subgroup of 102 Patients underwent a second sleep test at home six months later.
D. A total of 52% of Patients tested positive for Sleep Apnea in the initial test.
E. Forty-two percent had Obstructive Sleep Apnea, the most common form of the disorder.
F. Ten percent had Central Sleep Apnea, a less common form in which the Brain fails to properly signal the muscles that control breathing.
G. About a quarter of the Patients underwent a second sleep study after six months.
H. A majority of the Patients initially found to have Sleep Apnea showed a change of status in the follow-up sleep study.
I. Among those initially diagnosed with Obstructive Sleep Apnea, 46% no longer had Sleep Apnea at the 6-month test.
J. Among those initially diagnosed with Central Sleep Apnea, 83% were found to have Obstructive Sleep Apnea at the 6-month test.
K. The vast majority - 93% of those initially found to have no Sleep Apnea, remained Apnea-free at six months.
L. Overall, Patients with Sleep Apnea were older, had a higher body mass index - BMI and more often had High Blood Pressure compared to those without Sleep Apnea.
M. Patients showed no significant change in BMI between the first and second sleep tests.
N. The study bolsters evidence from previous smaller studies suggesting Sleep Apnea diagnosed immediately after a Heart Attack may resolve naturally over time.
O. In addition, because different types of Sleep Apnea may require different treatments, the change in Apnea type observed in this study underscores the need for repeated or delayed testing after the initial hospitalization for a Heart Attack.
P. Finding the optimal timing to screen for Sleep Apnea is important because of the need to avoid unnecessary treatment in People whose Sleep Apnea may resolve over time, while identifying those who truly need to receive treatment to reduce their cardiovascular risk.
Q. Making accurate Sleep Apnea diagnoses also has a bearing on health care costs.
R. It is important to determine if the Patient truly has underlying Sleep-Disordered Breathing,
S. Ting says. A repeat sleep study six months later on those found to have obstructive Sleep Apnea or Central Sleep Apnea should be considered before commencing therapy.
T. Alternatively, deferring the sleep study to six months’ follow-up may be considered.”
U. The study was limited by a small sample size.
V. In addition, the baseline sleep study was conducted at the hospital while the second sleep study was performed at the Patients’ home, which could have influenced the findings.
W. The researchers plan to further analyze the data to assess how Sleep Apnea might affect measures of Heart Function.
X. Ting will present the study, “Prevalence and Evolution of Sleep Disordered Breathing in Acute Myocardial Infarction,” on March 19, at 9:30 AM ET at Poster Hall C at the American College of Cardiology’s 66th Annual Scientific Session in Washington.
Conclusion.
A. Lots of numbers and percentages expressed in many different formats - do these numbers really give an accurate analyses of these two sets of symptoms, or are they so complicated even the researchers/writers do not understand them or - is Item W, a perfect demonstration, they do not.
B. Let us accept; to the researchers the numbers do make sense - how does this balance out or equate to anything other than of Novel but not scientific interest in the understandings; when the true cause of either of the listed symptoms remains unknown.
C. Moreover - the understanding of impact of multiple pre existing symptoms, with or without any form of medically approved treatment and the effect the entire body chemistry has as a contraindication for or against any of the presenting symptoms and medications prescribed, that in reality was an Initiating or contributing cause to the Heart Attack and the Sleep Apnea.
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Section 3.

The reality is; there is no such thing as Medical Science if there were; surely there would be at least one definitive cure for one illness, are we really to consider - a life time of ever increasing medication is to be considered a cure, does medication not clearly demonstrate itself as just short-term management of symptoms.
Leaving me no option but to accept Talking Cures if is only an, "opinion" is No different than the Scientifically Proven without any known illness understanding or treatment - without definitive cures is the main, thus is just for profit...
...Talking Cures with no financial gain desired - is for education of us as a race of People, blinded by so much Science.
Whilst it must be recognised, the framework - part of the content, for this paper is in the public domain and credit given to the authors;
Peter Smith Talking Cures asserts the right to be recognised as author and Intellectual ©Copyright holder of his contribution to this document
"Sleep Apnea Diagnosed Immediately After Heart Attack." Author Peter Smith Talking Cures Copyright 28th March 2017.
Thus, in keeping with the generosity of many contributors - this document is free to use as an Education or Patient led assistance - in its entirety.