A 43-Year-Old Man With Daytime Sleepiness and a Heart Murmur.

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

[img] Text
1-s2.0-S0012369216475586-main.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (1MB) | Request a copy

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)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Pneumology

UniBE Contributor:

Ott, Sebastian Robert and 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:

30 Sep 2017 16:08

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

Actions (login required)

Edit item Edit item
Provide Feedback