Horvath, Christian M; Zbinden, Stephan; Ott, Sebastian Robert; Brill, Anne-Kathrin (2016). A 43-Year-Old Man With Daytime Sleepiness and a Heart Murmur. Chest, 150(4), e117-e120. American College of Chest Physicians 10.1016/j.chest.2016.03.039
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A 43-year-old man was referred to our tertiary sleep center for the initiation of sleep apnea treatment. A prior diagnostic overnight polysomnography (Fig 1) had revealed an apnea-hypopnea index (AHI) of 22/h of sleep. The apneas were predominantly central (central AHI, 18.2/h; obstructive AHI, 3.8/h), more pronounced in the supine position (AHI supine, 36.6/h; AHI nonsupine, 11/h) and during non-rapid eye movement (non-REM) sleep (REM, 15.8/h; non-REM, 23.5/h). A continuous positive airway pressure (CPAP) trial in an outpatient setting had failed, as the fixed CPAP of 11 cm H2O was not tolerated by the patient because of a feeling of lightheadedness when wearing the mask. At referral, the patient complained about falling asleep in front of the computer in the afternoons despite regular bedtimes and 7 to 8 h of sleep per night. His Epworth Sleepiness Scale score was 11. He had no significant past history including cardiopulmonary disease. He was not taking any medication but had noticed a slow decline in general physical performance in the last year, with dyspnea (New York Heart Association class I) after running distances of 1 to 2 km. He had never experienced syncope. His family history was unremarkable.
Item Type: |
Journal Article (Further Contribution) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Pneumology |
UniBE Contributor: |
Ott, Sebastian Robert, Brill, Anne-Kathrin |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0012-3692 |
Publisher: |
American College of Chest Physicians |
Language: |
English |
Submitter: |
Rahel Holderegger |
Date Deposited: |
29 Mar 2017 11:56 |
Last Modified: |
05 Dec 2022 15:01 |
Publisher DOI: |
10.1016/j.chest.2016.03.039 |
PubMed ID: |
27719828 |
BORIS DOI: |
10.7892/boris.93286 |
URI: |
https://boris.unibe.ch/id/eprint/93286 |