Non drowsy obstructive sleep apnea as a potential cause of resistant hypertension: a case report

BMC Pulmonary Medicine, 05/03/2012

Mirrakhimov AE – Obstructive sleep apnea (OSA) and arterial hypertension (AH) are common and often underdiagnosed medical disorders independently imposing excessive cardiovascular risk on a diseased subject. When two conditions coexist the cardiovascular risk is likely much greater. This case highlights a possible clinical phenotype of OSA without excessive daytime sleepiness (EDS) and its association with resistant AH. Most importantly a good hypotensive response to medical treatment in tandem with continuous positive airway pressure therapy was achieved in this patient. Thus, it is reasonable to include OSA in the differential list of resistant AH, even if EDS is not clinically obvious.

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