| Literature DB >> 30532832 |
Masayoshi Yoshida1, Shin-Ichi Ando1, Toshiaki Kadokami1, Sumito Narita1, Hidetoshi Momii1, Yumi Sato1, Tomoko Kiyokawa1, Chikako Nakao1.
Abstract
We report a 30-year-old man with severe obesity hypoventilation syndrome (OHVS) complicated by right-sided heart failure. Polysomnography revealed severe obstructive sleep apnea with apnea-hypopnea index (AHI) 70.4/h and gradual decrease in minimum oxygen saturation (SpO2) from 86% before sleep to 36% during sleep. Cardiac output (CO) was suppressed from 3.9 L/min before sleep to 2.5 L/min during sleep. Noninvasive positive pressure ventilation (NPPV) treatment drastically restored CO to the level before sleep, and improved AHI to 9.4/h and minimum SpO2 to 87%. NPPV may provide rapid and powerful symptom relief in patients with OHVS complicated with right sided heart failure.Entities:
Keywords: Cardiac output; Heart failure; Obesity hypoventilation syndrome; Sleep apnea syndrome
Year: 2010 PMID: 30532832 PMCID: PMC6265144 DOI: 10.1016/j.jccase.2010.10.001
Source DB: PubMed Journal: J Cardiol Cases ISSN: 1878-5409