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Diagnosis and Treatment of Sleep Apnea in Cerebrovascular Disease - NCT00984308-06516(Clinical Trial 352647)



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City:  West Haven
State:  
CT
Zip Code: 06516
Conditions: Obstructive Sleep Apnea - Hypertension - Stroke - Transient Ischemic Attack
Purpose: Sleep apnea is common among veterans with cerebrovascular disease (stroke or transient ischemic attack [TIA]), leads to hypertension, and is associated with recurrent stroke and death. Although continuous positive airway pressure (CPAP) safely treats sleep apnea, few veterans with cerebrovascular disease are diagnosed with sleep apnea or offered treatment.
Study summary: The project seeks to evaluate whether a diagnostic and therapeutic intervention strategy among veterans with cerebrovascular disease and hypertension using unattended polysomnography and auto-titrating CPAP with a targeted adherence evaluation and educational protocol results in: an improved rate of diagnosed sleep apnea, an improved rate of treated sleep apnea, and lowered mean 24-hour systolic blood pressure. Secondary aims include: to determine whether the intervention strategy reduces the number of antihypertensive medications; to collect data supporting a cost-effectiveness evaluation if the intervention strategy is effective; and to determine whether the intervention strategy reduces daytime sleepiness.
Criteria: Inclusion Criteria: Stroke or Transient Ischemic Attack Hypertension Exclusion Criteria: - Prior diagnosis of sleep apnea or other sleep disorder - Life expectancy < 6 months or Hospice - Non-English speaker - Unable/unwilling to use mask - Inability to give informed consent - Oxygen dependent COPD - Chronic renal failure with dialysis
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Data Source: ClinicalTrials.gov
Date Processed: September 22, 2010
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