Could My Snoring Be Obstructive Sleep Apnea?

Jul 24, 2025 | Ear Nose Throat, Sleep, Your Health

Does your bed partner complain that you snore loudly or gasp for air in the middle of the night? Have you been nudged awake or kicked to the couch because your loved one can’t sleep? These are telltale symptoms of obstructive sleep apnea, and if you suspect you may have the condition, the person lying beside you may be your best ally.

Fred Lin, MD

Fred Lin, MD, a sleep surgeon and Division Chief of Sleep Surgery of the Mount Sinai Health System, recommends people to take this feedback seriously.

“Bed partners are often the first to see an important quality of life and possible health issue,” says Dr. Lin. “People with sleep apnea are generally unaware of nighttime symptoms like snoring or interruptions in their breathing. It is very possible to not experience daytime symptoms, like drowsiness and difficulty concentrating, and may even blame factors like young children or work stress.”

 
What is obstructive sleep apnea?

Affecting as many as 22 million people in the United States, obstructive sleep apnea (OSA) is a serious sleep disorder that causes your breathing to repeatedly start and stop throughout the night. The condition occurs when the muscles of the upper airway relax and block the flow of air, which prevents your body from getting the oxygen it needs and causes you to wake up repeatedly during the night.

These nighttime disruptions can negatively affect the sleep of the OSA sufferer and can put a significant strain on relationships. In fact, frustrated companions are often the reason patients eventually visit a doctor.

“Bed partners end up suffering significantly,” he adds. “They may struggle to fall asleep or stay asleep. Some couples end up sleeping in separate rooms.”

 
How do I know if my snoring is obstructive sleep apnea?

Consistent snoring, pauses in breathing, or gasping for air in the middle of the night are common symptoms of the condition and should be evaluated by a physician. If left untreated, sleep apnea can lead to serious complications. For instance, individuals with OSA are more likely to have high blood pressure, stroke, heart disease, and diabetes.

That being said, it is hard to make a diagnosis from symptoms alone. To know for sure, Dr. Lin explains, you need a sleep study. In the past, patients had to stay overnight at a sleep center for testing. But today, for most patients, a sleep study is performed at home using minimally invasive equipment, sometimes requiring only a special finger and wristband gadget that is connected to a smartphone. Home sleep tests record the number of times your breathing is interrupted throughout the night, revealing if you have OSA and, if so, how severe it is.

“Home studies are unbelievably easy to do with the current technology,” explains Dr. Lin. “Most insurances cover the studies and the devices are generally mailed directly to the patient’s home. I don’t think anyone should be nervous about having a sleep study.”

 
How is obstructive sleep apnea treated?

If you are diagnosed with sleep apnea, there are three types of treatments that can help. Dr. Lin likes to start with the least invasive treatment.

  • CPAP (continuous positive airway pressure) therapy has long been the gold standard treatment for OSA. This is a machine that uses air pressure to keep the airway open throughout the night. Patients wear a mask while sleeping—placed over the nose or both the nose and mouth—that connects to this device. Although several options and models are available, research shows that only half of patients can tolerate sleeping with the mask.
  • Oral appliances are an alternative to CPAP machines or are sometimes used in conjunction with a CPAP device. Oral appliances are worn in the mouth to reposition your lower jaw while you sleep. These appliances are made by a dentist and molded specifically to fit your teeth.
  • Surgery is recommended when noninvasive therapies fail to provide relief or patients struggle to successfully use CPAP, oral appliances, or both. There are numerous options that open, reshape, enhance, or stimulate the upper airway and eliminate symptoms like snoring and breathing interruptions.
 
What are the surgical options to treat sleep apnea?

The type of surgery required depends on the severity of your symptoms, the severity of the condition, and your unique anatomy. Dr. Lin works closely with patients to decide what procedure is right for them.

  • Soft tissue procedures—Dr. Lin likes to compare the upper airway to a house. With soft tissue surgeries, the goal is to make more room internally renovating the space. This may involve nasal, palate, or tonsil surgery, which creates more room in the passageways for air to flow.
  • Skeletal surgeries—With skeletal surgeries, the goal is to make the house bigger by building it out as you would by adding a new room. These more extensive operations include widening or forward movement of the jaws and chin advancement. The goal of these surgeries is to improve the position, balance, and movement of the upper airway.
  • Neurostimulation/Hypoglossal Nerve Stimulator—Inspire ™ therapy is a newer therapy that has been approved by the United States Food and Drug Administration. It stimulates the base of the tongue to expand the airway. Like a pacemaker, the device is surgically implanted into your chest and connected by a wire to the upper airway. You can control the device using a remote device. Mount Sinai’s Division of Sleep Surgery was one of the early adopters of Inspire therapy.

 

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Expert Advice on Protecting Your Kids From Ticks

Updated on Jul 24, 2025 | Featured, Your Health

Being outside is wonderful for children’s development and health. However, if your plans include being in grassy or wooded areas, remember to try to protect your family from ticks and the risk of illnesses like Lyme disease.

The best protection is prevention. You can have children help in a way that also allows them to practice their developmental skills and understand the health benefits of avoiding ticks. Blair Hammond, MD, a pediatrician and Co-Founding Director for the Mount Sinai Parenting Center, explains how and offers four things to keep in mind and to discuss with your family.

Blair Hammond, MD

Choice and Independence

Encourage your child to pick out pants and long-sleeve shirts they’d like to wear to decrease the chance that a tick will get on the skin. You can treat outdoor clothing with permethrin, an insecticide, or buy already made tick-repellent clothing. Giving choices is great for fostering independence.

 Apply and Explain

You can apply insect repellent with DEET to your child’s exposed areas. You can make a game of it: “Where are your ankles? Let’s protect them with the insect repellent.”  Follow recommended safety tips from the American Academy of Pediatrics (AAP) on choosing the right product for your child’s needs. Remember that back and forth conversations and explaining things helps your child learn language and connect with you.

Routines

You can have a consistent routine of bathing after being outside (this removes non-attached ticks).  Also, try to incorporate tick checks into your nightly routines (a tick needs to be on a person for at least 24 to 48 hours to transmit Lyme disease). Pay special attention to hiding places like under the arms, in and around ears, behind legs, in the groin area, and along the scalp and in the hair. Having consistent routines helps with children’s self-regulation and behavior. Keeping pets free from ticks will also help. The AAP suggests checking your pets every day and using appropriate pet products.

No Need for Panic

If you do find a tick on you or your child, don’t panic. You can carefully remove the tick with tweezers by squeezing at the head and gently pulling back. If the tick has likely been on your child for more than 24 hours, or if you have any questions, call your health care provider. You can get additional guidance from the Centers for Disease Control and Prevention about what you should do about tick bites.

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What Is Chronic Venous Insufficiency, and How Do You Treat It?

Updated on Jul 23, 2025 | Featured, Your Health

Chronic venous insufficiency (CVI) isn’t a medical condition you normally hear much about. But it was in the news recently after President Trump was diagnosed with the condition.

In this Q&A, Prakash Krishnan, MD, FACC, System Director of Endovascular Services, at the Mount Sinai Health System, explains what causes this condition, which causes swelling and pain in the legs and primarily affects older adults. He says it is important for people with CVI to seek treatment to prevent possible complications.

“This condition may cause discomfort. However, with early initiation of conservative therapy with compression stockings, lifestyle modifications, and surveillance with a vascular physician, you can continue to lead an active lifestyle without limitations,” says Dr. Krishnan, who is also Professor of Medicine (Cardiology), and Radiology at the Icahn School of Medicine at Mount Sinai and Director of Endovascular Services and the Endovascular Intervention Fellowship at The Mount Sinai Hospital.

Prakash Krishnan, MD, FACC

What is chronic venous insufficiency, what causes it, and who is primarily affected?

Chronic venous insufficiency  is a vascular condition in which the veins are unable to efficiently circulate blood back to the heart from the legs, causing blood to pool in the lower limbs. This is due to dilated or damaged valves that are in the veins found in the lower limbs. Common causes are aging, prolonged standing or sitting, obesity, pregnancy, or a history of blood clots. CVI primarily affects older adults and people with a family history of vein disorders.

Is CVI a serious health issue? What kind of symptoms or complications can it cause?

If left untreated, serious complications may arise. Patients usually have symptoms such as leg swelling, pain, heaviness, cramping, difficulty walking, varicose veins, and skin changes. Advanced untreated disease may cause painful wounds and skin ulcers that are difficult to heal. In severe cases, CVI increases the risk of infection and blood clots in the limbs, which is a potentially life-threatening condition. Early diagnosis and proper management are important to prevent the disease from progressing and to improve a patient’s quality of life.

Do you need to make lifestyle changes or take specific steps to manage the condition?

The primary goals of treatment for CVI focus on improving blood flow, relieving symptoms, and preventing complications. Initial treatments are less invasive, which includes wearing compression stockings to reduce swelling and support vein function, as well as elevating your legs regularly to help blood return to the heart. Lifestyle changes play a key role and may include maintaining a healthy weight, exercising regularly—especially walking—to boost circulation, and avoiding prolonged sitting or standing. In more advanced cases, minimally invasive procedures to treat the veins such as sclerotherapy, laser therapy, or ablations may be necessary. Consistent care and lifestyle adjustments can greatly improve symptoms and slow disease progression. For those who lead an active life that includes traveling and outdoor activities such as golf, compression stockings would be recommended as an initial step in treatment.

Does chronic venous insufficiency require ongoing monitoring?

Yes, CVI typically requires ongoing monitoring by physicians trained to manage and treat vascular disease. Consistent medical supervision ensures that the condition remains under control and that more serious complications, such as infections or deep vein thrombosis, are promptly addressed.

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Why Pickleball Is a Win for Your Heart

Updated on Jul 22, 2025 | Featured, Your Health

Anu Lala, MD, recently met with pickleball players at CityPickle Wollman Rink to talk about heart health and the benefits of playing pickleball.

Pickleball is quickly becoming one of New York City’s favorite ways to stay active—and it’s doing more than just bringing people together. It’s also a fun, heart-healthy way to support your overall well-being.

Why Pickleball Is Good for Your Heart

You don’t have to be a lifelong athlete to enjoy the heart-healthy benefits of pickleball. The game involves light jogging, pivoting, and stretching, which are movements that increase heart rate up and improve your circulation. Depending on the intensity of your play, 30 to 60 minutes can count as a full cardio workout.

“Exercise doesn’t always need to be intense and exhausting to benefit your heart,” says Anu Lala, MD, a cardiologist at the Mount Sinai Fuster Heart Hospital. “Activities like pickleball offer a joyful, sustainable way to keep moving, and that consistency combined with weight-based activity is what protects and strengthens your heart over time.”

Benefits Go Beyond the Court

Playing pickleball a few times a week can help lower your blood pressure, support healthy cholesterol levels, and improve your endurance. Over time, this type of activity can help reduce the risk of heart disease, heart attacks, and other cardiovascular issues.

If you are living with a heart condition already, remaining active is important across a patient’s lifespan. Light-to-moderate exercise like pickleball is often a safe and effective way to stay strong—just be sure to talk to your doctor first.

It’s Also Good for Social and Mental Health

Beyond the physical benefits, pickleball is very social. Whether you’re playing a casual match or joining a local league, you’re likely to meet new people and feel part of a community. That social connection can improve mood, lower stress, and even benefit your heart health.

One thing to keep in mind: post-game celebrations. It’s tempting to reward a good game with indulgent snacks or drinks. But making heart-smart choices—such as fresh fruit, a handful of unsalted nuts, hummus with veggies, or whole grain crackers with avocado—can help keep all that movement working in your favor.

Bringing Heart Health to the Court

Caring for your health is an everyday practice, well beyond the walls of a doctor’s office. That’s why Mount Sinai has partnered with CityPickle to bring wellness, movement, and heart health education directly into the community in ways that are engaging, active, and fun.

“Whether you’re just picking up a paddle or you’re a regular on the courts, this partnership is about supporting your well-being—by encouraging healthy habits, building connections, and making expert guidance more accessible,” says Dr. Lala.

To book an appointment with Dr. Lala or for more information on Mount Sinai Fuster Heart Hospital, please visit our website.

How Weight Loss Drugs Can Improve Your Heart Health

Updated on Jul 16, 2025 | Your Health

Just about everyone has heard about the new weight loss drugs, a category of medicines approved by the Food and Drug Administration (FDA), some for diabetes and others specifically or weight loss. Now yet another benefit is coming to light that may help save lives: Doctors can use these medications to help patients avoid the onset of cardiovascular disease.

These medications, which include Ozempic®, Wegovy®, and Zepbound®, are part of a class of drugs known as GLP-1 medications because they mimic the action of a hormone called GLP-1 that controls blood sugar levels while decreasing appetite and slowing the digestive process. Read more about the details of these medications here.

In this Q&A, Icilma V. Fergus, MD, Director of Cardiovascular Disparities at The Mount Sinai Hospital, explains how these drugs can help patients lose weight and prevent the onset of cardiovascular disease, and lead to significant improvement in their lives—something she has been searching for ever since she became a cardiologist. The results of studies over the last five years, including one involving more than 8,000 patients, are driving this treatment.

Icilma V. Fergus, MD

“It has been rewarding to me to see the emotional transformation—as well as the physical transformation—as people start to shed weight when they had so much difficulty before” says Dr. Fergus, who is also Professor of Medicine at the Icahn School of Medicine at Mount Sinai. “The sense of winning a battle that they were never able to win before is life-changing for many. So as a cardiologist, I’m extremely grateful to have this tool in my toolkit.”

When did weight loss drugs come to your attention as way to increase heart health?

I focus on general and preventive cardiology, including the risk factors that can be addressed to minimize heart disease. At the top of the list would be hypertension, weight, diet, and exercise. Ever since I became a cardiologist, I’ve been looking for ways to get people to lose weight effectively. It has always been one of the toughest things to get somebody’s weight well controlled. Many of my patients have type 2 diabetes as well. These weight loss drugs have been approved to treat diabetes since 2005. We’ve seen how their weight loss not only treats their diabetes, but several of the risk factors for heart disease. Recently, there have been several studies that look at how GLP-1s address cardiovascular conditions.

What percentage of your patients could benefit from the use of weight loss drugs?

About 40 percent of my patients are overweight. A normal body mass index (BMI) is 25, and you are considered obese when you’re at 30. About 40 percent of my patients have a BMI greater than 25, and about 30 percent have a BMI greater than 30. That said, these drugs are not for everyone. They can cause side effects, such as nausea, diarrhea, or other gastrointestinal issues. Most of these side effects can be managed, and we always start off with a small dose to start and gradually increase it.

What has been your experience with these drugs?

I’ve seen a lot of dramatic success stories. It’s the beginning of a positive feedback loop. Patients start losing weight, so they’re able to exercise more. There’s less pain in their joints and less inflammation. They start feeling better about themselves, so the risk factors of stress and anxiety are relieved. They feel better about how they look, so they’re doing more, such as going out in public and going to the gym. And at the end of the day, their blood pressure is down. So perhaps they only need one drug instead of three. People are going from having diabetes to being in the pre-diabetes range. In many cases, it’s driving them to make other lifestyle changes, like eating healthier and eating less. But it’s important to note that results may vary. I do believe everyone is an individual, so there’s no cookie cutter method.

How do you get started?

A first step is to talk with your doctor. The guidelines from the clinical trials will tell you that the first step is making some basic changes to your lifestyle. It’s eating better, exercising, that type of stuff. Then after that comes the treatment. When you start treatment, I always emphasize the lifestyle behind it. But these drugs tend to force people to have good lifestyles.

How do these weight loss drugs affect my risk factors for heart disease?

By causing weight loss, these drugs alleviate a number of risk factors for heart disease. This includes:

  • Reducing the risk of type 2 diabetes: Having fat—especially something called “visceral fat” that is stored deep in your abdomen around the organs—causes insulin resistance, or issues with processing glucose in your body. This can lead to type 2 diabetes, which is a major risk factor for heart disease.
  • Reducing high blood pressure: In order to manage hypertension or high blood pressure, you need to be up and around and moving. If you have increased weight, it’s hard to do that. And with the visceral fat, you may not be absorbing your medications as well.
  • Controlling your cholesterol levels: Obesity is a risk factor for lipid disorder. When you’re overweight, your good cholesterol, or HDL, goes down. Exercise and movement enable your HDL to go up. If you’re overweight, it’s harder to exercise for a number of reasons. Then there’s your bad cholesterol, or LDL, which goes up when you’re overweight.
  • Reducing stress and anxiety: Many people become anxious, stressed, or depressed when they are overweight. Stress is a major contributor to heart disease. As you lose weight, your emotional state improves.

To sum up, I’m glad that these weight loss drugs are so much in the public eye. People hear about celebrities taking them and there’s automatically interest in the subject. But as a cardiologist, I can tell you that they have real benefits beyond losing weight—and one of them is heart health.

 

 

Learn more about the Mount Sinai Fuster Heart Hospital
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Five Tips to Stay Hydrated in the Summer Heat

Jul 7, 2025 | Diet and Nutrition, Health Tips, Your Health

Whether your summer plans include relaxing by the pool, dining alfresco, or exercising, it’s crucial to stay properly hydrated – especially when heat and humidity levels are at their highest.

Expert Advice on How to Keep Cool During the Summer

Find out who is most susceptible to overheating, what is heatstroke, how to know when you should seek medical care, and where you can get help.

Click here to read more.

Dehydration occurs when your body loses too much water. Symptoms include thirst, less frequent urination, dry mouth or cracked lips, fatigue, and dizziness. The Institute of Medicine recommends a fluid intake of 2.7 liters for women and 3.7 liters daily for men – though keep in mind, optimal fluid intake varies from person to person, depending on age, weight, physical activity level, as well as certain medical conditions.

Taylor Stein, MS, RD, CDN

Taylor Stein, MS, RD, CDN, Associate Researcher, Human Metabolism and Physiology Lab, offers these five simple tips to help you hydrate:

Out of sight, out of mind

If water isn’t easily accessible, we can forget to drink. Make hydrating convenient by keeping a water bottle nearby to encourage frequent intake.

Eat your water

About 20 percent of our fluid intake is derived from food. Fruits and vegetables are not only rich in vitamins, minerals, antioxidants, and fiber, but many have high water content as well. And—good news—the water in fruits and vegetables counts towards your fluid intake. Fill half of your plate with hydrating veggies such as cucumbers, tomatoes, radishes, cauliflower and spinach. Feel like having dessert or a snack? Choose thirst-quenching fruits such as watermelon, strawberries, grapefruit, and cantaloupe.

Listen to your body

Pay attention to your urine – the color and volume of your urine is a good indicator of your hydration status. Straw or pale colored urine (think real lemonade, not drink mix with artificial coloring) means you get an A+ in hydration. Darker urine (more like apple juice) is a sign you should pick up that water bottle.

Choose water

Water is the best beverage for hydration. Without the added calories of sugar-sweetened beverages, substituting water can reduce risk of weight gain and is generally better for your health. Tired of plain water? Switch it up with unsweetened sparkling water. You can also make your own flavored water or seltzer by adding cucumber, lemon, mint, or basil. For those who participate in high intensity exercise for more than an hour, sports drinks that contain carbohydrates and electrolytes may also be beneficial.

Hydrate as you dehydrate

Summer events often evolve around delicious food served with cold, refreshing cocktails. Alcohol has diuretic properties, causing more frequent urination. Try this trick: Alternate a tall glass of water before and after each alcoholic beverage to stay hydrated. Remember, if you choose to drink, women should stick to one alcoholic drink per day, and men should have no more than two drinks per day. One drink includes 12 fluid ounces of beer, 5 fluid ounces of wine, or 1.5 fluid ounces of distilled spirits.

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