A 52-year-old obese man with hypertension presents with loud snoring, witnessed apneic episodes during sleep, and excessive daytime somnolence. Vital signs show BP 158/92 mmHg, HR 88/min, RR 16/min, SpO2 88% during sleep. Recent polysomnography reveals an apnea-hypopnea index of 42 events/hour. He denies orthopnea. He takes lisinopril but is nonadherent with CPAP therapy. Which complication is most likely if this disorder remains untreated?
- A)Upper lobe cavitary lesions
- B)Spontaneous pneumothorax from apical blebs
- C)Diffuse alveolar hemorrhage
- D)Bronchiectasis from chronic infection
- E)Pulmonary hypertensionGABARITO
Explicação
Pulmonary hypertension is correct. Obstructive sleep apnea causes recurrent nocturnal hypoxemia and sympathetic surges, which can lead to systemic hypertension, pulmonary vasoconstriction, pulmonary hypertension, and eventually right heart strain. Obesity and ... Ver explicação completa e trilha adaptativa →