A Case of Obstructive Sleep Apnea Syndrome Associated with Primary Hypothyroidism and Dilated Cardiomyopathy.
10.4046/trd.2001.51.6.590
- Author:
Sung Keun YU
;
Ji Young PARK
;
Jong Hae PACK
;
Hye Jung PARK
;
Kyeong Cheol SHIN
;
Jin Hong CHUNG
;
Kwan Ho LEE
- Publication Type:Case Report
- Keywords:
Obstructive sleep apnea;
Hypothyroidism;
CPAP;
Cardiomyopathy
- MeSH:
Cardiomyopathies;
Cardiomyopathy, Dilated*;
Disorders of Excessive Somnolence;
Humans;
Hypothyroidism*;
Obesity;
Physical Examination;
Polysomnography;
Sleep Apnea Syndromes;
Sleep Apnea, Obstructive*;
Snoring;
Thyroid Gland
- From:Tuberculosis and Respiratory Diseases
2001;51(6):590-596
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The hallmarks of sleep apnea syndrome include daytime hypersomnolence, snoring, obesity, disturbed nocturnal sleep, and apneic episodes. Thyroid deficiency states are now a well recognized cause of sleep apnea. Central, obstructive, and mixed patterns of sleep apnea may be observed in hypothyroidism. A 33-yr-old man was admitted complaining of daytime hypersomnolence, snoring, sleep apnea and obesity. A polysomnogram showed obstructive pattern of sleep apnea syndrome. Physical examination and hormonal study revealed a narrowing of the upper airway and primary hypothyroidism. Dilated cardiomyopathy was diagnosed by echocardiogram. The poctients was treated for obstructive sleep apnea syndrome with nasal continuous positive airway pressure(CPAP) for 2 months and the underlying hypothyroidism with thyroid hormone therapy. This successfully controlled the snoring, sleep apnea, and other apnea-related symptoms. Here, we describe our experience of nasal CPAP and thyroid hormone therapy in a patient with primary hypothyroidism associated with obstructive sleep apnea syndrome and dilated cardimyopathy with review of the relevant literature.
