Obstructive sleep apnea during pregnancy resulting in pulmonary hypertension.
South Med J
; 91(8): 761-2, 1998 Aug.
Article
em En
| MEDLINE
| ID: mdl-9715225
ABSTRACT
Obesity is known to increase maternal morbidity and mortality. We describe a case of obstructive sleep apnea due to obesity and discuss our treatment of the resulting pulmonary hypertension. A patient was transferred to our hospital at 29 weeks' gestation with severe anasarca and more than a 100-pound weight gain during pregnancy. Pulmonary hypertension due to obstructive sleep apnea was diagnosed. The patient was treated with nasal continuous positive airway pressure (CPAP) during sleep and remained in the hospital the remainder of her pregnancy. She had a massive spontaneous diuresis during her hospital stay and lost more than 100 pounds. She was delivered at term via cesarean section because of transverse lie. Preoperative hemodynamic monitoring confirmed the diagnosis of pulmonary hypertension. This represents the first case in the literature of obstructive sleep apnea leading to pulmonary hypertension in pregnancy. This patient responded well to nasal CPAP as evident by the massive diuresis and good maternal outcome.
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Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Complicações Cardiovasculares na Gravidez
/
Síndromes da Apneia do Sono
/
Hipertensão Pulmonar
Idioma:
En
Ano de publicação:
1998
Tipo de documento:
Article