Sleep Medicine

  • Beyond depression: Other uses for tricyclic antidepressants
    Joanne Schneider, DNP, RN, CNP, Mary Patterson, CNP and Xavier F. Jimenez, MD, MA
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 807-814; DOI: https://doi.org/10.3949/ccjm.86a.19005

    The pharmacology of these drugs, their potential uses in conditions other than depression, and safety considerations.

  • A link between A-fib and sleep apnea is no surprise, but why?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 706-707; DOI: https://doi.org/10.3949/ccjm.86b.11019

    The two conditions commonly coexist, and treating the sleep apnea results in better rhythm-directed outcomes in the A-fib.

  • Should I evaluate my patient with atrial fibrillation for sleep apnea?
    Mirna B. Ayache, MD, MPH, Reena Mehra, MD, MS, FCCP, FAASM and Kenneth A. Mayuga, MD, FACC, FHRS
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 709-712; DOI: https://doi.org/10.3949/ccjm.86a.19033

    Yes. The prevalence of sleep apnea is high in patients with atrial fibrillation, and vice versa.

  • SEEDS for success: Lifestyle management in migraine
    Jennifer Robblee, MD, MSc and Amaal J. Starling, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 741-749; DOI: https://doi.org/10.3949/ccjm.86a.19009

    Lifestyle counseling can be based on the mnemonic SEEDS: sleep, exercise, eat, diary, and stress.

  • What are the risks to inpatients during hospital construction or renovation?
    Amjad Kanj, MD, Yuqing Gao, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 650-652; DOI: https://doi.org/10.3949/ccjm.86a.19008

    Risks include mold infection, Legionnaires disease, sleep deprivation, exacerbation of lung disease, and physical injury.

  • A sleeping beast: Obstructive sleep apnea and stroke
    Zachary McKee, BS and Dennis H. Auckley, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 407-415; DOI: https://doi.org/10.3949/ccjm.86a.18033

    Up to two-thirds of patients who have had a stroke have obstructive sleep apnea afterward, with worse outcomes.

  • Narcolepsy: Diagnosis and management
    Erin C. Golden, MD and Melissa C. Lipford, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 959-969; DOI: https://doi.org/10.3949/ccjm.85a.17086

    Treatments can offer enhanced quality of life.

  • What you can do for your fibromyalgia patient
    Carmen E. Gota, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 367-376; DOI: https://doi.org/10.3949/ccjm.85gr.18002

    Fibromyalgia is a defi ned syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.

  • 2017 Update in perioperative medicine: 6 questions answered
    Ryan Munyon, MD, Steven L. Cohn, MD, FACP, SFHM, Barbara Slawski, MD, MS, SFHM, Gerald W. Smetana, MD, MACP and Kurt Pfeifer, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 863-872; DOI: https://doi.org/10.3949/ccjm.84a.17068

    Topics: cardiac risk assessment, surgery after percutaneous intervention, statins, sleep apnea, bridging anticoagulation, and frailty.

  • The USPSTF and screening for obstructive sleep apnea: Dispelling misconceptions
    Reena Mehra, MD, MS and Nancy Foldvary-Schaefer, DO, MS
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 429-431; DOI: https://doi.org/10.3949/ccjm.84a.17023

    Their finding of insufficient evidence might be misinterpreted and needs to be put into context.

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