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- Publisher Website: 10.1136/bcr-2019-230163
- Scopus: eid_2-s2.0-85070899250
- PMID: 31413055
- WOS: WOS:000661405000132
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Article: Respiratory arrest requiring resuscitation as a rare presentation of obstructive sleep apnoea and hypothyroidism
Title | Respiratory arrest requiring resuscitation as a rare presentation of obstructive sleep apnoea and hypothyroidism |
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Authors | |
Keywords | CPAP Sleep disorders (respiratory medicine) Thyroid disease |
Issue Date | 2019 |
Publisher | BMJ Group. The Journal's web site is located at http://casereports.bmj.com |
Citation | BMJ Case Reports, 2019, v. 12 n. 8, article no. e230163 How to Cite? |
Abstract | A 79-year-old man, who had significant cardiovascular morbidities, presented with out-of-hospital respiratory arrest. He regained breathing after brief cardiopulmonary resuscitation by his paramedic son. After meticulous investigations, acute cardiovascular events and metabolic causes were ruled out while features of obstructive sleep apnoea were elicited. The findings on in-laboratory polysomnography were compatible with severe obstructive sleep apnoea, with unusually prolonged apnoea duration of up to 2.7 min which most likely accounts for the presentation as ‘respiratory arrest’. Thyroid function test for investigation of his weight gain confirmed hypothyroidism. His symptoms improved gradually after positive airway pressure therapy with bi-level support and thyroxine replacement. On further evaluation, his hypothyroidism is believed to be a complication of long-term amiodarone exposure. The case highlights that the combination of obstructive sleep apnoea and hypothyroidism can lead to catastrophic manifestation and the unusually long apnoea could be a feature prompting further workup for possible hypothyroidism. |
Persistent Identifier | http://hdl.handle.net/10722/287107 |
ISSN | 2023 Impact Factor: 0.6 2023 SCImago Journal Rankings: 0.235 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chiang, KY | - |
dc.contributor.author | Ma, TSK | - |
dc.contributor.author | Ip, MSM | - |
dc.contributor.author | Lui, MMS | - |
dc.date.accessioned | 2020-09-22T02:55:50Z | - |
dc.date.available | 2020-09-22T02:55:50Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | BMJ Case Reports, 2019, v. 12 n. 8, article no. e230163 | - |
dc.identifier.issn | 1757-790X | - |
dc.identifier.uri | http://hdl.handle.net/10722/287107 | - |
dc.description.abstract | A 79-year-old man, who had significant cardiovascular morbidities, presented with out-of-hospital respiratory arrest. He regained breathing after brief cardiopulmonary resuscitation by his paramedic son. After meticulous investigations, acute cardiovascular events and metabolic causes were ruled out while features of obstructive sleep apnoea were elicited. The findings on in-laboratory polysomnography were compatible with severe obstructive sleep apnoea, with unusually prolonged apnoea duration of up to 2.7 min which most likely accounts for the presentation as ‘respiratory arrest’. Thyroid function test for investigation of his weight gain confirmed hypothyroidism. His symptoms improved gradually after positive airway pressure therapy with bi-level support and thyroxine replacement. On further evaluation, his hypothyroidism is believed to be a complication of long-term amiodarone exposure. The case highlights that the combination of obstructive sleep apnoea and hypothyroidism can lead to catastrophic manifestation and the unusually long apnoea could be a feature prompting further workup for possible hypothyroidism. | - |
dc.language | eng | - |
dc.publisher | BMJ Group. The Journal's web site is located at http://casereports.bmj.com | - |
dc.relation.ispartof | BMJ Case Reports | - |
dc.subject | CPAP | - |
dc.subject | Sleep disorders (respiratory medicine) | - |
dc.subject | Thyroid disease | - |
dc.title | Respiratory arrest requiring resuscitation as a rare presentation of obstructive sleep apnoea and hypothyroidism | - |
dc.type | Article | - |
dc.identifier.email | Ip, MSM: msmip@hku.hk | - |
dc.identifier.email | Lui, MMS: drmslui@hku.hk | - |
dc.identifier.authority | Ip, MSM=rp00347 | - |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1136/bcr-2019-230163 | - |
dc.identifier.pmid | 31413055 | - |
dc.identifier.pmcid | PMC6700563 | - |
dc.identifier.scopus | eid_2-s2.0-85070899250 | - |
dc.identifier.hkuros | 314289 | - |
dc.identifier.volume | 12 | - |
dc.identifier.issue | 8 | - |
dc.identifier.spage | article no. e230163 | - |
dc.identifier.epage | article no. e230163 | - |
dc.identifier.isi | WOS:000661405000132 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1757-790X | - |