Indian Journal of Sleep Medicine

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VOLUME 1 , ISSUE 2 ( April-June, 2006 ) > List of Articles

CASE REPORT

An Interesting Case of Central and Obstructive Sleep Apnea in A Patient of Congestive Heart Failure with Unmasking of CSA\'s Following CPAP Use

J. C. Suri, M. K. Sen, D. Bhattacharya, S. Chakrabarti, N. K. Gupta

Keywords : OSA: Obstructive sleep apnea, CSA: Central Sleep apnea, CPAP: continuous positive airway pressure, BiPAP: bilevel positive airway pressure, PSG: polysomnography.

Citation Information : Suri JC, Sen MK, Bhattacharya D, Chakrabarti S, Gupta NK. An Interesting Case of Central and Obstructive Sleep Apnea in A Patient of Congestive Heart Failure with Unmasking of CSA\'s Following CPAP Use. Indian Sleep Med 2006; 1 (2):109-117.

DOI: 10.5005/ijsm-1-2-109

License: CC BY-SA 4.0

Published Online: 01-04-2006

Copyright Statement:  Copyright © 2006; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

An elderly man with acute anterior wall myocardial infarction who underwent medical therapy followed by angioplasty and stenting was referred to our centre for evaluation of sleep-disordered breathing. The gentleman had moderate hypothyroidism for which he was on replacement therapy. At our centre PSG showed OSA for which a trial of CPAP was given. On correction of OSA by CPAP, presence of underlying CSA was unmasked. The patient improved over time on intensified medical therapy, continuous use of CPAP and regulated thyroid replacement therapy.


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