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https://doi.org/10.1016/S1262-3636(09)71824-5

has been cited by the following article:

• TITLE: A Very Severe Obstructive Sleep Apnea Syndrome: In a Cause of Resistant Hypertension with One Sample Case

  AUTHORS: Baldé Elhadj Yaya, Bah Mamadou Bassirou, Barry Ibrahima Sory, Béavogui Mariama, Sylla Ibrahima Sory, Baldé Mamadou Aliou, Koné Alpha, Diallo Mamadou, Camara Abdoulaye, Baldé Siradiou, Baldé Mamadou Dadhi, Dièye Ousmane, Condé Mamady

  KEYWORDS: Obstructive Sleep Apnea Syndrome (OSAS), Resistant Hypertension, Continuous Positive Airway Pressure (CPAP)

  JOURNAL NAME: World Journal of Cardiovascular Diseases, Vol.11 No.3, March 30, 2021

  ABSTRACT: When blood pressure values remain above the target in a hypertensive patient treated concomitantly with three anti-hypertensive drugs including a diuretic, maximum well-tolerated doses, this is a resistant arterial hypertension. In this case, it is advisable to look for a secondary cause such as a drug intake that influencing the blood pressure or the presence of obstructive sleeping syndrome (OSAS).We report a clinical case of a patient with a high cardiovascular risk at the age of 50, hypertensive and diabetic, with dyslipidemia and obesity. He was on anti-hypertensive triple therapy at an optimal dose. Her diabetes wasbalanced with 6.4% glycated hemoglobin. Dyslipidemia has being treated.Despite healthy diet including a low sodium diet and weight loss, bloodpres-sure target was not reached.With self-measurement, the mean arterialpressurewas 180/110 mmHg and on ABPM it was 167/113 mmHg.The ventilatorypolygraphy finds a severe OSA with an IAH = 56.6. Treatment with PCP(Con-tinuous positive pressure) allowed this patient to control blood pressure.Thesearch for OSA should be systematic in face of resistant hypertension, inpar-ticular in overweight or obese patients.