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Division of Pulmonary, Allergy & Critical Care Medicine |
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Clinical Centers |
Cardiopulmonary Sleep and
Ventilatory
Program Director: Robert
C. Basner, M.D. Associate Professor of Clinical Medicine Director, Adult Pulmonary Diagnostic Unit Address: 154 Haven Avenue
(at 173rd Street), New York, New York 10032 Appointments: For consultation appointments and/or
polysomnographic evaluation, please call (212)
305-7166 or fax to (212) 305-7072. |
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Interventional
Bronchoscopy and Endobronchial Therapy Center |
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Jo-Ann F. LeBuhn Center for Chest Disease &
Respiratory Failure |
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Pulmonary Clinic |
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Stress Test |
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Tuberculosis
Clinic |
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The The
Columbia University Cardiopulmonary Sleep and Clinical Activities The
sleep center provides both in-patient and outpatient comprehensive
consultative and diagnostic services.
Specific clinical problems addressed in the sleep laboratory include
the wide array of breathing disorders associated with sleep such as:
The
center also studies patients with excessive daytime somnolence, including:
The
center's examination rooms and sleep facilities are located in the Patients
with a wide array of neurologic disorders, both adults and children, are
studied in the sleep center, including patients with movement disorders
related to sleep, parasomnias (including REM behavior disorder, linked to
neurologic disorders including cerebrovascular disease), Parkinson’s Disease
(whose patients are prone to an array of sleep problems), patients with
cerebrovascular disease who are prone to have sleep disordered breathing,
epilepsy patients suspected of nocturnal seizures, and patients with motor
neuron disease and sleep related apnea and hypoventilation. Pediatric
patients are seen routinely in the sleep center for parasomnias, movement
disorders, excessive sleepiness and behavioral disorders associated with
sleep disorders, and sleep disordered breathing associated with pulmonary
hypertension, obesity, craniofacial abnormalities, congenital heart
disorders, neuromuscular associated sleep apnea and hypoventilation, and
adenotonsilar hypertrophy associated with sleep apnea. The
sleep center maintains close clinical and research collaboration with a wide
base of expert clinicians and researchers within the CPMC community,
including the lung failure center, the heart failure center, the lung
transplant service, rehabilitation medicine, behavioral medicine, exercise
physiology, adult and pediatric otolaryngology, neurology, and pediatric
pulmonary medicine, as well as with the School of Public Health, the Harlem
Lung Center, the School of Dentistry, the School of Nursing, and Teacher's
College. Research Activities The
sleep center laboratory maintains a particular interest in investigating the
physiologic contributors to chronic hypertension and the metabolic syndrome
associated with sleep-disordered breathing in urban minority populations, and
the study of cardiovascular perturbations associated with sleep deprivation.
Autonomic analysis of heart rate and blood pressure, as well as vascular
reactivity analysis, are particular interests of the laboratory. Ongoing
research protocols include investigations in stress-related autonomic and
vasomotor regulation in normal subjects and patients with diverse breathing
disorders during sleep, sleep-related arousals, sleep deprivation, hypoxemia,
and exercise; effect of respiratory frequency and volume changes during
exercise on heart rate variability measurement; activity of upper airway
dilator and constrictor muscles awake and during sleep related to negative
pressure, hypoxemia, and hypercapnia; studies of sleep disordered breathing
in patients with COPD during acute respiratory decompensation; studies of
sleep disordered breathing in patients with acute cardiovascular
decompensation; and studies of self-management strategies for treating
obstructive sleep apnea.
A
major component of the sleep center program is its role in providing expert
education in sleep medicine and physiology to the Columbia Presbyterian
Medical Center (CPMC) community of patients and providers. CPMC fellows,
resident physicians, and medical students receive instruction in the
interpretation of polysomnography, the diagnosis and treatment of sleep
disorders, and the techniques of measurement and interpretation of the
physiology of sleep and breathing, in the sleep laboratory. The center
currently trains all pulmonary, allergy, and critical care fellows at |