Sleep Medicine

Clinical Centers


Mission Statement:

The tripartite mission of the Sleep Disorders Center is to provide comprehensive, state-of-the-art diagnostic and treatment services for the full range of sleep disorders; to provide education in the practice of sleep medicine; and to conduct research in the area of sleep disorders.

Background:

The Sleep Disorders Center resides within the Pulmonary and Critical Care Section in the Department of Medicine of the VA Boston Healthcare System and serves as a tertiary referral center providing sleep medicine services for most of northern New England . Since 2001, the Center has been directed by Daniel Gottlieb, MD, MPH, a board-certified sleep specialist. Additional sleep specialists on staff are Hassan Chami, MD MSc. Ann Hibbert, RPSGT, has been the Chief Polysomnography Technician since 1997 and supervises the team of night technicians. Donna Poyant, RRT, administers the continuous positive airway pressure (CPAP) and home oxygen programs.

Clinical Activities:

The Sleep Disorders Center includes a 6-bed Sleep Laboratory located on the Brockton campus of the VA Boston Healthcare System, where approximately 1000 overnight polysomnograms are performed annually. The lab also performs multiple sleep latency and maintenance of wakefulness testing and home actigraphy recording.

The Sleep Clinic meets at the West Roxbury and Brockton VA campuses and provides consultative service and on-going care to veterans with a wide range of sleep disorders. In addition to a large volume of sleep apnea patients, the clinic treats many patients with insomnia, restless legs syndrome, narcolepsy, nocturnal movement disorders, and other parasomnias. The Sleep Clinic is the major site of sleep medicine training for pulmonary fellows, who have the option to rotate through the clinic for a 6-month block during the second or third year of fellowship.

Research Activities:

The staff of the Sleep Disorders Center is actively involved in numerous research activities, including a multi-center clinical trial of the neurocognitive benefits of CPAP treatment of obstructive sleep apnea/hypopnea, a large epidemiologic study of the cardiovascular consequences of sleep apnea, and a study of the use of an interactive voice response system for improving CPAP adherence. For more details please see the website for The Sleep Medicine Translational-Clinical Research Group.

Investigators/Personnel:

  • Daniel J. Gottlieb, MD, MPH, Director, Sleep Disorders Center
  • Hassan Chami, MD, MSc, Sleep Specialist
  • Ann Marie Hibbert, RPSGT, Chief Polysomnography Technician
  • Theresa Banks, RPSGT, Polysomnography Technician
  • Kelly Coletta, RPSGT, Polysomnography Technician
  • Jacqueline Redfern, RPSGT, Polysomnography Technician
  • Gayle Turner, RPSGT Eileen Mahan, RPSGT, Polysomnography Technician Polysomnography Technician
  • Donna Poyant, RRT Andrea Clay, CPAP and Home Oxygen Coordinator Administrative Assistant

Selected Publications:

  1. Kapur VK, Resnick HE, Gottlieb DJ. Sleep disordered breathing and hypertension: Does self-reported sleepiness modify the association? Sleep (in press).
  2. Wang W, Tretriluxana S, Redline S, Surovec S, Gottlieb DJ, Khoo MCK. Association of Cardiac Autonomic Function Measures with Severity of Sleep-Disordered Breathing in a Community-Based Sample. J Sleep Res 2008 June 6 [Epub ahead of print].
  3. Chami HA, Devereux RB, Gottdiener JS, Mehra R, Roman MJ, Benjamin EJ, Gottlieb DJ. Left ventricular morphology and systolic function in sleep-disordered breathing: the sleep heart health study. Circulation. 2008 May 20;117(20):2599-2607.
  4. Gottlieb DJ, Redline S, Nieto FJ , Baldwin CM , Newman AB, Resnick HE , Punjabi NM . Association of usual sleep duration with hypertension: The Sleep Heart Health Study. Sleep 2006; 29:1009-1014..
  5. Winkelman JW, Shahar E, Sharief I, Gottlieb DJ. Association of Restless Legs Syndrome and Cardiovascular Disease in the Sleep Heart Health Study. Neurology 2008;70:35-42.
  6. Thomas RJ, Mietus JE, Peng C-K, Gilmartin G, Daly RW, Goldberger AL, Gottlieb DJ. Differentiating obstructive from central and complex sleep apnea using an automated electrocardiogram-based method. Sleep 2007;30:1756-1769.
  7. Patel SR , Malhotra A, White DP, Gottlieb DJ, Hu FB. Association between reduced sleep and weight gain in women. Am J Epidemiol 2006; 164:947-954.
  8. Gottlieb DJ, O’Connor GT, Wilk JB: Genome-wide association of sleep and circadian phenotypes. BMC Med Genet 2007; 8(Suppl 1):S9. doi:10.1186/1471-2350-8-S1-S9.
  9. Kushida CA, Nichols DA, Quan SF, Goodwin JL, White DP, Gottlieb DJ, Walsh JK, Schweitzer PK, Guilleminault C, Simon RD, Leary EB, Hyde PR, Holmes TH, Bloch DA, Green S, McEvoy LK, Gevins A, Dement WC. The Apnea Positive Pressure Long-term Efficacy Study (APPLES): Rationale, Design, Methods, and Procedures. J Clin Sleep Med 2006; 2:288-300.
  10. Gottlieb DJ. Can sleep apnea be treated without modifying anatomy? [editorial]. N. Engl. J. Med . 2005.
  11. Gottlieb DJ, Punjabi NM , Newman AB, Resnick HE, Redline S, Baldwin CM, Nieto FJ. Association of Sleep Time with Diabetes Mellitus and Impaired Glucose Tolerance. Arch Intern Med ; 2005; 165:863-868.

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