Key result
Medication plus CPAP yields an ~10-fold reduction in calculated 10-year MI risk in case report.
Why the study?
The impact of combined medication and CPAP therapy on cardiovascular risk in patients with heart rhythm and conduction disorders and severe obstructive sleep apnea-hypopnea syndrome was not well described.
Does combined medication and CPAP therapy improve cardiovascular risk factors and arrhythmias in a patient with severe obstructive sleep apnea?
Case Report (n=1)
Does combined medication and CPAP therapy improve cardiovascular risk factors and arrhythmias in a patient with severe obstructive sleep apnea?
Answers are grounded in this paper and cite their sources.
Combined medication and CPAP therapy effectively managed hypertension, dyslipidemia, and arrhythmias, significantly reducing cardiovascular risk in a patient with severe obstructive sleep apnea.
A clinical case of a patient with heart rhythm and conduction disorder, and uncontrolled arterial hypertension is described. Severe obstructive sleep apnea-hypopnea syndrome was found by cardiopulmonary monitoring. Combined treatment (medication + CPAP-therapy) enabled the achievement of goal blood pressure and lipid levels. No heart rhythm and conduction disorders were found by the control Holter ECG monitoring. As a result, almost 10-fold reduction of the calculated ten-year risk of myocardial infarction in PROCAM was achieved.
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Щекотов et al. (2012) conducted a case report in Heart rhythm and conduction disorder, uncontrolled arterial hypertension, severe obstructive sleep apnea-hypopnea syndrome (n=1). Combined treatment (medication + CPAP-therapy) was evaluated on Calculated ten-year risk of myocardial infarction in PROCAM (almost 10-fold reduction). Combined treatment with medication and CPAP therapy eliminated heart rhythm disorders and achieved an almost 10-fold reduction in the calculated 10-year risk of myocardial infarction.
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