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March 21, 2026Annals of Internal Medicine Clinical Cases0 citationsOpen Access

Persistent Hypoxemia on Home Sleep Apnea Testing Prompting Further Evaluation for Pulmonary Embolism: A Case Report

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KAK.J. AdmireAGAndrew Githaiga

Key Points

  • To explore the link between persistent hypoxemia during home sleep apnea testing and the diagnosis of pulmonary embolism.
  • Provided case report of an otherwise healthy individual
  • Conducted home sleep apnea testing
  • Performed further investigations after hypoxemia was detected
  • Persistent hypoxemia was documented during home sleep apnea testing
  • Further evaluation revealed a saddle pulmonary embolism

Abstract

Obstructive sleep apnea is a condition characterized by recurrent upper airway collapse during sleep, which may be associated with sleep disruption and repetitive oxygen desaturations. It is diagnosed by nocturnal in-lab polysomnography or home sleep apnea testing. We present a case of an otherwise healthy individual who had home sleep apnea testing that revealed persistent, unexplained hypoxemia which, on further investigation, was found to be due to a saddle pulmonary embolism.

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Cite This Study

Admire et al. (2026) studied this question.

synapsesocial.com/papers/69be35166e48c4981c6733cdhttps://doi.org/10.7326/aimcc.2025.0973
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