{"id":8591,"date":"2026-10-06T11:59:55","date_gmt":"2026-10-06T08:59:55","guid":{"rendered":"https:\/\/frc.com.ua\/?p=8591"},"modified":"2026-10-06T11:59:55","modified_gmt":"2026-10-06T08:59:55","slug":"polisomnografiya-kardiodiagnostika-preventivnij-pidhid-apnoe-i-cpap-shho-novogo-nashi-naukovczi-ta-likari-diznalisya-na-ers-congress-2026-u-barseloni","status":"publish","type":"post","link":"https:\/\/frc.com.ua\/en\/polisomnografiya-kardiodiagnostika-preventivnij-pidhid-apnoe-i-cpap-shho-novogo-nashi-naukovczi-ta-likari-diznalisya-na-ers-congress-2026-u-barseloni\/","title":{"rendered":"Polysomnography, cardiodiagnostics, preventive approach, apnea and CPAP: what new things did our scientists and doctors learn at the ERS Congress 2026 in Barcelona"},"content":{"rendered":"

On September 5\u20139, the head of the scientific group, Serhiy Ponchko, and the scientific and medical advisor, PhD, Associate Professor, Lyubov Kotsiubaylo, visited the European Respiratory Society (ERS) congress. This is the world's largest meeting of specialists in respiratory medicine, this year the congress brought together about 22,000 participants. Pulmonologists, somnologists, cardiologists, scientists and equipment manufacturers gather here to show what has changed in a year. This year's theme was dedicated by the organizers to the partnership of patients, doctors and researchers, and it is especially close to us, because this is how we build the work at our center.<\/span><\/p>\n

We went with a specific question: what is new in the diagnosis, treatment, and prevention of respiratory diseases and sleep disorders in the world and what of this should be implemented in our daily practice. The answer turned out to be more interesting than we expected.<\/span><\/p>\n

Technology is getting smaller and more convenient<\/b><\/p>\n

One trend was most noticeable at the equipment show and poster sessions: developers are trying to make treatments easier to tolerate on a daily basis.<\/span><\/p>\n

China. A portable CPAP half the size of a smartphone, which is convenient to take on trips (it does not yet have a humidification function).<\/span><\/p>\n

Sweden. Soft silicone nasal masks that fit better on the face and don't blow into the eyes. It is because of the uncomfortable mask that many patients drop out of therapy in the first weeks, <\/span>and our experience of adapting patients to CPAP confirms this: the greatest difficulties in the first nights are associated with the mask.<\/b><\/p>\n

Iceland. A home polysomnograph that records eight readings per night. In the future, some of the tests could be performed in a familiar setting.<\/span><\/p>\n

Portugal. A hypoglossal nerve stimulator for patients who can't get used to CPAP: it prevents the tongue from falling down during sleep. Portuguese doctors have already performed 34 such operations and are monitoring patients, with the first findings planned to be published closer to 2027.<\/span><\/p>\n

There is still no replacement for CPAP<\/b><\/p>\n

The most important conclusion of the congress was made at the end of one of the reports: despite all the innovations, a complete replacement for CPAP therapy has not yet been found in the world. Neither portable devices nor surgeries can yet do what regular CPAP does for most patients with obstructive apnea.<\/span><\/p>\n

Therefore, scientific attention is shifting to another question: what exactly this therapy changes in the body. A separate session of eight reports was devoted to the connection of apnea with epigenetic markers, in particular DNA methylation, which affects how genes are turned on and off, as well as with the risk of cardiovascular complications. Researchers are also studying the effect of CPAP on metabolism and blood biochemistry. These data have not yet been transferred to clinical practice, and the work will continue next year, but the direction is already clear: apnea is considered a condition that affects the whole body.<\/span><\/p>\n

Hence the practical conclusion that doctors repeated in several sessions. CPAP therapy lasts a lifetime, but its regimen changes with the person's condition. When the indicators improve, the doctor can switch the device to a milder regimen, so the settings should be checked every six months or a year. Independent refusal of therapy, when it seems that everything is fine, according to research, returns episodes of apnea and increases the risk of acute cardiovascular conditions. <\/span>For us, this is another confirmation that a patient with CPAP needs to be monitored even after the device is selected, so we conduct repeated nightly monitoring to correct the settings.<\/b><\/p>\n

How sleep is studied in other countries<\/b><\/p>\n

We were struck by how carefully some countries approach sleep. In Australia, France, and Germany, the examination lasts at least three nights so that the result does not depend on one random night. Even minor changes in the cardiogram, in particular, ordinary extrasystole, are considered a reason for polysomnography in a sleep laboratory (PSG in Lab). One study showed that people who sleep on their sides have fewer complications than those who sleep on their backs. And doctors advise measuring blood pressure at least once a quarter, even when a person feels well.<\/span><\/p>\n

Our experience studying patients with hypertension and heart rhythm disorders is consistent with these data: in some of them, polysomnography reveals apnea, although they did not complain of snoring or daytime sleepiness.<\/b><\/p>\n

The speakers formulated this idea more broadly as follows: lung function should be assessed earlier, and pulmonology should become as proactive as cardiology, which has long taught people to control blood pressure and cholesterol before the first heart problems occur.<\/span><\/p>\n

Lungs, telomeres and artificial intelligence<\/b><\/p>\n

A professor from Mexico presented oscillometry, a method that allows you to assess lung function during calm breathing, without the forced exhalations that spirography requires. For the elderly, children, and those who have difficulty performing spirography correctly, this is a significant advantage. Next, FeNO, an analysis of exhaled air that helps detect inflammation in the airways, was discussed.<\/span><\/p>\n

Telomere length was mentioned at the congress as a predictor of risks before chemotherapy and bone marrow transplantation, as well as a risk factor for chronic diseases and apnea. <\/span>We study telomeres at our center, and our data shows that people who have lived in war zones and under fire have shorter telomeres. We also study sleep disorders during wartime. So the link between chronic stress, disrupted nighttime breathing, and cellular aging that was discussed in Barcelona is consistent with what we see in our own research.<\/b><\/p>\n

A separate block was devoted to artificial intelligence in diagnostics: how accurate an algorithm will be depends on the quality of the studies on which it was trained.<\/span><\/p>\n

New acquaintances<\/b><\/p>\n

We spoke separately with L\u00f6wenstein Medical, whose equipment our sleep laboratory uses, about their new developments in polysomnography. We also met with manufacturers of CPAP machines and held talks with the Chinese company Beyond Medical, so expect news in the near future. And with Ukrainian colleagues, pulmonologists, phthisiologists and pediatricians, we plan to continue cooperation at home. At the next congress, we want to present our own research and show European colleagues what Ukrainian sleep medicine is working with today.<\/span><\/p>\n

What does this mean for our guests?<\/b><\/p>\n

The main thing we learned from the congress: our approach is in line with where global and European research is heading. Sleep-disordered breathing is now considered a condition that affects the entire body. During apnea, blood oxygen levels repeatedly drop, sleep is interrupted by micro-arousals, and the sympathetic nervous system remains active even at night. Studies link this to insulin resistance, a higher risk of type 2 diabetes, hypertension, heart rhythm disorders, and deficiency states, and a separate direction is studying the impact of apnea on epigenetic markers. <\/span>Our practice confirms this, so we consider sleep in connection with the work of the heart, blood vessels, and metabolism.<\/b><\/p>\n

Because of this, polysomnography is recommended for more than just snoring or daytime sleepiness. Your doctor may recommend it for metabolic syndrome, type 2 diabetes, uncontrolled hypertension, atrial fibrillation and other rhythm disorders, heart failure, or frequent morning headaches. The study also shows what type of apnea a person has. With obstructive sleep apnea, the airways collapse during sleep and block the flow of air, while with central sleep apnea, the respiratory center of the brain temporarily stops sending signals to the respiratory muscles. The type of apnea determines which treatment is right for you.<\/span><\/p>\n

In our center, polysomnography is the beginning of work with a person. After the study, the doctor analyzes the results in detail with the guest, assesses blood pressure and heart function, and if necessary, adds Holter monitoring to see how nighttime breathing stops affect the heart rhythm. If CPAP therapy is required, we select the mode during nighttime monitoring, help get used to the device, and adjust the settings when the condition changes.<\/span><\/p>\n

Sleep-disordered breathing may not cause any obvious symptoms for years until it affects your blood pressure, heart, or metabolism. If you have morning headaches, snoring, fatigue after a full night's sleep, or are already being monitored for blood pressure, heart rhythm, or metabolic disorders, our doctors will help you understand whether and what kind of examination is necessary.<\/span><\/p>\n

 <\/p>","protected":false},"excerpt":{"rendered":"

On September 5\u20139, the head of the scientific group, Serhiy Ponchko, and the scientific and medical advisor, PhD, Associate Professor, Lyubov Kotsiubaylo, visited the European Respiratory Society (ERS) congress. This is the world's largest meeting of specialists in respiratory medicine, this year the congress brought together about 22,000 participants. Pulmonologists, somnologists, cardiologists, scientists and equipment manufacturers gather here to show what has changed in a year. This year's theme was dedicated by the organizers to the partnership of patients, doctors and researchers, and it is especially close to us, because this is how we build the work at our center.<\/p>\n

We went with a specific question: what is new in the diagnosis, treatment, and prevention of respiratory diseases and sleep disorders in the world and what of this should be implemented in our daily practice. The answer turned out to be more interesting than we expected.<\/p>","protected":false},"author":1,"featured_media":8592,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[26,25],"tags":[],"class_list":["post-8591","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-intervyu-zlikaryamy","category-novyny-czentru"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/posts\/8591","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/comments?post=8591"}],"version-history":[{"count":1,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/posts\/8591\/revisions"}],"predecessor-version":[{"id":8593,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/posts\/8591\/revisions\/8593"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/media\/8592"}],"wp:attachment":[{"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/media?parent=8591"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/categories?post=8591"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/frc.com.ua\/en\/wp-json\/wp\/v2\/tags?post=8591"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}