Indian Journal of Sleep Medicine

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VOLUME 19 , ISSUE 3 ( July-September, 2024 ) > List of Articles

CASE REPORT

Overzealous Compliance with CPAP in Obstructive Sleep Apnea

Yash Kedia, Pranav Ish, Nitesh Gupta, Rohit Kumar, Vidushi Rathi, Manu Madan

Keywords : Case report, Continuous positive airway pressure, Compliance, Obstructive sleep apnea

Citation Information : Kedia Y, Ish P, Gupta N, Kumar R, Rathi V, Madan M. Overzealous Compliance with CPAP in Obstructive Sleep Apnea. Indian Sleep Med 2024; 19 (3):45-47.

DOI: 10.5005/jp-journals-10069-0139

License: CC BY-NC 4.0

Published Online: 13-09-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

A young male doctor presented with complaints of excessive daytime sleepiness and loud snoring, which had even led to a near-fatal driving accident. A level I polysomnography was done, which showed severe obstructive sleep apnea (OSA) hypopnea syndrome, and the patient was advised continuous positive airway pressure (CPAP) therapy. On follow-up, the patient's compliance with his positive airway pressure (PAP) therapy was nearly 12 hours per day, including during the daytime in the awake state. A detailed evaluation of the patient helped in gaining insight into the etiology of the same.


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  1. Goyal M, Johnson J. Obstructive sleep apnea diagnosis and management. Mo Med 2017;114(2):120–124. PMID: 30228558.
  2. Epstein LJ, Kristo D, Strollo PJ, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 2009;5(3):263–276. PMID: 19960649.
  3. Javaheri S, Barbe F, Campos-Rodriguez F, et al. Sleep apnea: Types, mechanisms, and clinical cardiovascular consequences. J Am Coll Cardiol 2017;69(7):841–858. DOI: 10.1016/j.jacc.2016.11.069.
  4. Bradley TD, Floras JS. Obstructive sleep apnoea and its cardiovascular consequences. Lancet 2009;373(9657):82–93. DOI: 10.1016/S0140-6736(08)61622-0.
  5. Lévy P, Naughton MT, Tamisier R, et al. Sleep apnoea and heart failure. Eur Respir J 2022;59(5):2101640. DOI: 10.1183/13993003.01640- 2021.
  6. Arzt M, Young T, Finn L, et al. Sleepiness and sleep in patients with both systolic heart failure and obstructive sleep apnea. Arch Intern Med 2006;166(16):1716–1722. DOI: 10.1001/archinte.166.16.1716.
  7. Cistulli PA, Malhotra A, Cole KV, et al. Positive airway pressure therapy adherence and health care resource use in patients with obstructive sleep apnea and heart failure with preserved ejection fraction. J Am Heart Assoc 2023;12(14):e028733. DOI: 10.1161/JAHA.122. 028733.
  8. Writing Committee Members, ACC/AHA Joint Committee Members. 2022 AHA/ACC/HFSA guideline for the management of heart failure. J Card Fail 2022;28(5):e1–e167. DOI: 10.1016/j.cardfail.2022.02.010.
  9. Kato T, Suda S, Kasai T. Positive airway pressure therapy for heart failure. World J Cardiol 2014;6(11):1175–1191. DOI: 10.4330/wjc.v6.i11.1175.
  10. Guarracino F, Ambrosino N. Non invasive ventilation in cardio-surgical patients. Minerva Anestesiol 2011;77(7):734–741. PMID: 21709660.
  11. Mansfield DR, Gollogly NC, Kaye DM, et al. Controlled trial of continuous positive airway pressure in obstructive sleep apnea and heart failure. Am J Respir Crit Care Med 2004;169(3):361–366. DOI: 10.1164/rccm.200306-752OC.
  12. Kasai T, Narui K, Dohi T, et al. Prognosis of patients with heart failure and obstructive sleep apnea treated with continuous positive airway pressure. Chest 2008;133(3):690–696. DOI: 10.1378/chest.07-1901.
  13. Michigan Medicine. Medicare and CPAP Compliance. University of Michigan Health. Available from: https://www.uofmhealth.org/conditions-treatments/brain-neurological-conditions/medicare-and-cpap-compliance.
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