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Sleep Apnea Syndromes: HELP
Articles by Erik C. Skobel
Based on 4 articles published since 2008

Between 2008 and 2019, Erik Skobel wrote the following 4 articles about Sleep Apnea Syndromes.
+ Citations + Abstracts
1 Editorial SERVE-HF: What does it mean for cardiac rehabilitation? 2016

Skobel, Erik C / Krüger, Stefan. ·Clinic for Cardiac and Pulmonary Rehabilitation, Aachen, Germany erik.skobel@online.de. · Klinik für Pneumologie, Kardiologie und Internistische Intensivmedizin, Florence Nightingale Krankenhaus, Germany Klinik für Kardiologie, Pneumologie und Angiologie, Universitätsklinikum Düsseldorf, Germany. ·Eur J Prev Cardiol · Pubmed #26635359.

ABSTRACT: -- No abstract --

2 Review Impact of SERVE-HF on management of sleep disordered breathing in heart failure: a call for further studies. 2016

Linz, Dominik / Fox, Henrik / Bitter, Thomas / Spießhöfer, Jens / Schöbel, Christoph / Skobel, Erik / Türoff, Anke / Böhm, Michael / Cowie, Martin R / Arzt, Michael / Oldenburg, Olaf. ·Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Strasse 1, Geb. 40, 66421, Homburg, Saarland, Germany. dominik.linz@uks.eu. · Herz- und Diabeteszentrum NRW, Ruhr University Bochum, Bad Oeynhausen, Germany. · Medizinische Hochschule Hannover, Klinik für Pneumologie und Deutsches Zentrum für Lungenforschung (DZL), Hannover, Germany. · Charité, Universitätsmedizin Berlin, Interdisziplinäres Schlafmedizinisches Zentrum, Berlin, Germany. · Rehaklinik "An der Rosenquelle", Aachen, Germany. · Asklepios Klinik Wansbek, Hamburg, Germany. · Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Strasse 1, Geb. 40, 66421, Homburg, Saarland, Germany. · National Heart and Lung Institute, Imperial College London (Royal Brompton Hospital), London, England, UK. · Universitätsklinikum Regensburg, Klinik und Poliklinik für Innere Medizin II, Regensburg, Germany. ·Clin Res Cardiol · Pubmed #26872963.

ABSTRACT: Sleep disordered breathing (SDB) (obstructive sleep apnea, central sleep apnea/Cheyne-Stokes respiration or the combination of both) is highly prevalent in patients with a wide variety of cardiovascular diseases including hypertension, arrhythmia, coronary artery disease, myocardial infarction and stroke (reviewed previously in the September issue of this journal). Its close association with outcomes in chronic heart failure with reduced ejection fraction (HF-REF) suggests that it may be a potential treatment target. Herein, we provide an update on SDB and its treatment in HF-REF.

3 Article Risk factors for, and prevalence of, sleep apnoea in cardiac rehabilitation facilities in Germany: The Reha-Sleep registry. 2015

Skobel, Erik / Kamke, Wolfram / Bönner, Gerd / Alt, Bernd / Purucker, Hans-Christian / Schwaab, Bernhard / Einwang, Hans-Peter / Schröder, Klaus / Langheim, Eike / Völler, Heinz / Brandenburg, Alexandra / Graml, Andrea / Woehrle, Holger / Krüger, Stefan. ·Clinic for Cardiac and Pulmonary Rehabilitation, Rosenquelle, Aachen, Germany erik.skobel@rosenquelle.de. · MediClin Rehabilitation Centre of Spreewald, Burg/Spreewald, Germany. · Park Klinikum, Bad Krozingen, Germany. · Park-Klinik Bad Hermannsborn, Bad Driburg, Germany. · Teutoburger Wald Clinic, Rothenfelde, Germany. · Curschmann Clinic, Timmendorfer Strand, Germany. · Clinic Hohenried, Department of Cardiology, Bernried, Germany. · ZAR, Stuttgart, Germany. · Clinic for Cardiac Rehabilitation DRV, Teltow/Seehof, Germany. · Clinic for Cardiac Rehabilitation Rüdersdorf, Germany Center of Rehabilitation Research University of Potsdam, Germany. · Clinical Trial Center Aachen, University Hospital Aachen, Aachen, Germany. · ResMed Science Center, Martinsried, Munich, Germany. · University Hospital Aachen, RWTH, Internal Medicine I, Cardiology, Pulmonology & Vascular Medicine, Aachen, Germany. ·Eur J Prev Cardiol · Pubmed #24879359.

ABSTRACT: AIM: To determine the prevalence of, and the risk factors for, sleep apnoea in cardiac rehabilitation (CR) facilities in Germany. METHODS: 1152 patients presenting for CR were screened for sleep-disordered breathing with 2-channel polygraphy (ApneaLink™; ResMed). Parameters recorded included the apnoea-hypopnoea index (AHI), number of desaturations per hour of recording (ODI), mean and minimum nocturnal oxygen saturation and number of snoring episodes. Patients rated subjective sleep quality on a scale from 1 (poor) to 10 (best) and completed the Epworth Sleepiness Scale (ESS). RESULTS: Clinically significant sleep apnoea (AHI ≥15/h) was documented in 33% of patients. Mean AHI was 14 ± 16/h (range 0-106/h). Sleep apnoea was defined as being of moderate severity in 18% of patients (AHI ≥15-29/h) and severe in 15% (AHI ≥30/h). There were small, but statistically significant, differences in ESS score and subjective sleep quality between patients with and without sleep apnoea. Logistic regression model analysis identified the following as risk factors for sleep apnoea in CR patients: age (per 10 years) (odds ratio (OR) 1.51; p<0.001), body mass index (per 5 units) (OR 1.31; p=0.001), male gender (OR 2.19; p<0.001), type 2 diabetes mellitus (OR 1.45; p=0.040), haemoglobin level (OR 0.91; p=0.012) and witnessed apnoeas (OR 1.99; p<0.001). CONCLUSIONS: The findings of this study indicate that more than one-third of patients undergoing cardiac rehabilitation in Germany have sleep apnoea, with one-third having moderate-to-severe SDB that requires further evaluation or intervention. Inclusion of sleep apnoea screening as part of cardiac rehabilitation appears to be appropriate.

4 Article Long-term effects of dynamic atrial overdrive pacing on sleep-related breathing disorders in pacemaker or cardioverter defibrillator recipients. 2009

Sinha, Anil-Martin / Bauer, Alexander / Skobel, Eric C / Markus, Kai-U / Ritscher, Guido / Noelker, Georg / Breithardt, Ole-Alexander / Brachmann, Johannes / Stellbrink, Christoph. ·II. Medizinische Klinik, Klinikum Coburg, Germany. anilmartin.sinha@klinikum-coburg.de ·Pacing Clin Electrophysiol · Pubmed #19250100.

ABSTRACT: INTRODUCTION: Sleep-related breathing disorders occur in 20-30% of Europeans and North Americans, including 10% of sleep apnea syndrome (SAS). A preliminary study suggested that atrial overdrive pacing with a fixed heart rate might alleviate SAS. However, it is not known whether dynamic atrial overdrive pacing alleviates SAS. METHODS: Patients with indications for a dual chamber pacemaker or implantable cardioverter-defibrillator (ICD) were screened for SAS using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. If PSQI was >5, cardio-respiratory polygraphy was performed before and 4 and 7 months after device implantation. Patients were randomized to algorithm ON-OFF (group A) or OFF-ON (group B) and the apnea-hypopnea index (AHI) was measured. RESULTS: Out of 105 consecutive patients, 46 (44%) had a positive PSQI. This analysis included 12 patients (mean age = 61 +/- 10 years, body mass index 28.9 +/- 6.5 kg/m(2), left ventricular ejection fraction = 38.3 +/- 13.6%; 10 men). All patients suffered from obstructive or mixed SAS. There were no significant differences in PSQI or AHI between baseline and follow-up or between the two study groups. Therefore, the study was terminated ahead of schedule. CONCLUSIONS: The prevalence of obstructive or mixed SAS was high in pacemaker or ICD recipients and reduced left ventricular ejection fraction. In these patients, long-term dynamic atrial overdrive pacing using did not improve PSQI or SAS. Therefore, patients with relevant obstructive or mixed SAS should not be offered atrial pacing therapy.