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Sleep apnea and pulmonary hypertension
by carolsel, Jun 20, 2008 07:02AM
My 19 year old daughter is diagnosed with dysthymia, anxiety, and ADHD and also has features of Fibromyalgia. She suffers from fatigue that is chronic which has persisted since a bout of mononucleosis six years ago. She has hypermobile joints, but her skin is not hyperelastic.
A sleep EEG done years ago does not show a seizure disorder. A sleep study done a couple of years ago showed "a few episodes of hypopnea, mild apnea with mild desaturations; however, she was able to sleep with a 95% sleep efficiency....her lowest oxygen desaturation was 93%."
Because of ongoing fatigue and increasing anxiety, her doctor ordered a cardiac ECHO which showed "normal left ventricular systolic function and size. Mild tricuspid regurgitation. Mild pulmonary areterial hypertension." The sleep specialist did not recommend anything and felt that she had a delayed sleep phase shift common in teenagers.
While we will pursue a cardiac consultation, do you think sleep apnea might be contributing to the tricuspid regurgitation and pulmonary hypertension. What do you suggest.
FYI, I have been diagnosed with Fibromyalgia and Chronic Fatigue Syndrome and sleep apnea. Use of a CPAP has NOT had an affect on my "idiopathic daytime somnolemnce."
I would appreciate advice. Thank you.
Carol S.
Florida
A sleep EEG done years ago does not show a seizure disorder. A sleep study done a couple of years ago showed "a few episodes of hypopnea, mild apnea with mild desaturations; however, she was able to sleep with a 95% sleep efficiency....her lowest oxygen desaturation was 93%."
Because of ongoing fatigue and increasing anxiety, her doctor ordered a cardiac ECHO which showed "normal left ventricular systolic function and size. Mild tricuspid regurgitation. Mild pulmonary areterial hypertension." The sleep specialist did not recommend anything and felt that she had a delayed sleep phase shift common in teenagers.
While we will pursue a cardiac consultation, do you think sleep apnea might be contributing to the tricuspid regurgitation and pulmonary hypertension. What do you suggest.
FYI, I have been diagnosed with Fibromyalgia and Chronic Fatigue Syndrome and sleep apnea. Use of a CPAP has NOT had an affect on my "idiopathic daytime somnolemnce."
I would appreciate advice. Thank you.
Carol S.
Florida
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