Getting to the heart of sleep apnoea

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John Flynn Hospital’s Dr Jon Meulet performs new pacemaker procedure that contains a new algorithm for detecting sleep apnoeaCardiac surgery in Australia took a leap forward when Dr Jon Meulet (cardiologist) inserted a new pacemaker containing an algorithm for detecting sleep apnoea at John Flynn Private Hospital, a well-known cardiac hospital in the Gold Coast and Northern NSW area. This was the first such procedure to be carried out at a private hospital in Australia.

On Thursday, 11 September, Doreen Grant, 90, received the new pacemaker – the Sorin REPLY 200 – that contains a new algorithm for detecting sleep apnoea. “The procedure went very well and Ms Grant is now resting comfortably at home,” Dr Meulet said.

Sleep apnoea is highly prevalent and vastly undiagnosed in many pacemaker patients. It increases risk of mortality and of common cardiovascular co-morbidities such as hypertension, atrial fibrillation and heart failure. Moreover, sleep apnoea complicates the management of common cardiovascular co-morbidities.

“The REPLY 200 provides us with an intuitive tool to offer more comprehensive care to our patients. Many of our pacemaker patients have co-morbidities such as hypertension and atrial fibrillation. If cardiovascular medical treatment is not working as well as expected for the patient, we can easily check whether sleep apnoea is a complicating factor and adjust the treatment plan accordingly,” he said.

Dr Meulet’s special interests include all rhythm disturbances and their management, including atrial fibrillation, cardiac re-synchronisation therapy (CRT) for heart failure, pacemaker and ICD implantation and extraction.

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