World Journal of Cardiovascular Diseases

Volume 11, Issue 3 (March 2021)

ISSN Print: 2164-5329   ISSN Online: 2164-5337

Google-based Impact Factor: 0.32  Citations  

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

HTML  XML Download Download as PDF (Size: 1679KB)  PP. 223-229  
DOI: 10.4236/wjcd.2021.113022    801 Downloads   2,021 Views  

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 was balanced with 6.4% glycated hemoglobin. Dyslipidemia has being treated. Despite healthy diet including a low sodium diet and weight loss, blood pressure target was not reached. With self-measurement, the mean arterial pressure was 180/110 mmHg and on ABPM it was 167/113 mmHg. The ventilatory polygraphy finds a severe OSA with an IAH = 56.6. Treatment with PCP (Continuous positive pressure) allowed this patient to control blood pressure. The search for OSA should be systematic in face of resistant hypertension, in particular in overweight or obese patients.

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Yaya, B. , Bassirou, B. , Sory, B. , Mariama, B. , Sory, S. , Aliou, B. , Alpha, K. , Mamadou, D. , Abdoulaye, C. , Siradiou, B. , Dadhi, B. , Ousmane, D. and Mamady, C. (2021) A Very Severe Obstructive Sleep Apnea Syndrome: In a Cause of Resistant Hypertension with One Sample Case. World Journal of Cardiovascular Diseases, 11, 223-229. doi: 10.4236/wjcd.2021.113022.

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