Obstructive Sleep Apnea Treatment to Improve Cardiac Rehabilitation
| Status: | Terminated |
|---|---|
| Conditions: | Insomnia Sleep Studies, Peripheral Vascular Disease, Cardiology, Cardiology, Pulmonary, Pulmonary |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 8/4/2018 |
| Start Date: | October 1, 2014 |
| End Date: | June 29, 2018 |
This is a randomized clinical trial in U.S. Veterans to evaluate the impact of treatment for
obstructive sleep apnea (OSA) on the effectiveness of cardiac rehabilitation, including
impact on exercise capacity, disability, and quality of life.
obstructive sleep apnea (OSA) on the effectiveness of cardiac rehabilitation, including
impact on exercise capacity, disability, and quality of life.
Obstructive sleep apnea (OSA) is a highly prevalent condition in patients with coronary heart
disease and is associated with impaired exercise performance, functional limitation and
reduced health-related quality of life. The investigators hypothesize that identification and
treatment of OSA in patients undergoing cardiac rehabilitation will improve the response to
rehabilitation. The proposed study will test this hypothesis using a parallel group,
randomized, clinical trial comparing OSA treatment with continuous positive airway pressure
(CPAP) to an educational control group in patients undergoing cardiac rehabilitation who
screen positive for previously undiagnosed OSA.
disease and is associated with impaired exercise performance, functional limitation and
reduced health-related quality of life. The investigators hypothesize that identification and
treatment of OSA in patients undergoing cardiac rehabilitation will improve the response to
rehabilitation. The proposed study will test this hypothesis using a parallel group,
randomized, clinical trial comparing OSA treatment with continuous positive airway pressure
(CPAP) to an educational control group in patients undergoing cardiac rehabilitation who
screen positive for previously undiagnosed OSA.
Inclusion Criteria:
- Veterans referred for cardiac rehabilitation at the VA Boston Healthcare System.
- Moderate to severe OSA (AHI >15) on home sleep testing.
Exclusion Criteria:
- Dangerous levels of sleepiness (Epworth Sleepiness Scale score >16 or a report of
falling asleep at the wheel of a car within the past 2 years).
- Physical limitation precluding exercise testing.
We found this trial at
1
site
Boston, Massachusetts 02130
Principal Investigator: Daniel J Gottlieb, MD MPH
Phone: 857-203-6375
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