Document Detail

Obstructive sleep apnea presenting with nocturnal angina, heart failure, and near-miss sudden death.
MedLine Citation:
PMID:  2009755     Owner:  NLM     Status:  MEDLINE    
An obese woman with a one-year history of episodic nocturnal chest pain was admitted because of shock and pulmonary edema. A clinical diagnosis of acute myocardial infarction and cardiogenic shock was made. She was ventilated and successfully resuscitated. Subsequent investigations showed no evidence of cardiac dysfunction or coronary disease, but sleep study confirmed the diagnosis of obstructive sleep apnea syndrome (OSAS). We suggest that the nocturnal angina and heart failure in this patient might have resulted from extreme hypoxemia produced by OSAS. This case raised the possibility that the high cardiovascular mortality rate reported in OSAS might not necessarily relate to underlying coronary artery disease. Further investigations are required to delineate the true incidence of coronary disease in patients with OSAS.
H S Chan; H F Chiu; L K Tse; K S Woo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  99     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-05-06     Completed Date:  1991-05-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1023-5     Citation Subset:  AIM; IM    
Department of Medicine, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.
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MeSH Terms
Angina Pectoris / complications,  diagnosis*
Anoxia / etiology
Death, Sudden / etiology*
Heart Failure / complications,  diagnosis*
Obesity / complications
Pulmonary Edema / etiology
Sleep Apnea Syndromes / complications,  diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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