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61 Possible Causes for Cor Pulmonale, Morning Headache, Somnolence

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  • Obstructive Sleep Apnea

    Neither patient exhibited daytime somnolence, although both were subsequently found to have severe obstructive sleep apnea.[ncbi.nlm.nih.gov] During last year, the patient was accusing excessive daytime somnolence, breath arrests during sleep, intense snoring, morning headaches, morning oral dryness, pin point chest[ncbi.nlm.nih.gov] References: [14] [15] Complications Hypertension Hypoxia -induced cardiac arrhythmia Pulmonary hypertension and cor pulmonale Global respiratory insufficiency Cardiac infarction[amboss.com]

  • Sleep Apnea

    In epilepsy patients with risk factors (eg, obesity) or markers (eg, habitual snoring, daytime somnolence) for sleep apnea, a careful sleep history should be elicited and[ncbi.nlm.nih.gov] Both patients presented with a long-standing history of snoring, gasping for air while sleeping, excessive daytime sleepiness, and morning headaches.[ncbi.nlm.nih.gov] Vol 8, No 3 (Autumn 2009) Introduction Cor pulmonale has a well-described association with chronic respiratory diseases such as chronic obstructive pulmonary disease (COPD[phaonlineuniv.org]

  • Central Sleep Apnea

    Patients with hypercapnic forms may experience daytime somnolence (sometimes called wake-time sleepiness), lethargy, and morning headache.[merckmanuals.com] When identifying central sleep apnea, symptoms to look out for include constant tiredness, morning headaches, interruptions in breathing throughout the night, poor memory,[morningsignout.com] This can lead to cor pulmonale (right-sided heart failure). Call your provider if you have symptoms of this disorder.[nlm.nih.gov]

  • Morbid Obesity

    This can be spectacularly effective in relieving right heart failure, day-time somnolence, and pulmonary hypertension.[academic.oup.com] Arterial oxygen tension is lower and chronic hypoxemia may lead to pulmonary hypertension and cor pulmonale.[openanesthesia.org] headaches; pathophysiological changes: hypoxaemia (leading to secondary polycythaemia); hypercapnia; systemic vasoconstriction, or pulmonary vasoconstriction (leading to[academic.oup.com]

  • Obesity Hypoventilation Syndrome

    […] that is diagnosed when all of the following criteria are satisfied: body-mass index 30 kg/m(2); apnea hypopnea index 30; PaCO2 45 mm Hg (in the daytime); and marked daytime somnolence[ncbi.nlm.nih.gov] Sleep disturbances, including loud snoring and morning headaches, are frequently described, and sleep apnea is present in the majority of cases.[symptoma.com] A physical exam may reveal: Bluish color in the lips, fingers, toes, or skin ( cyanosis ) Reddish skin Signs of right-sided heart failure ( cor pulmonale ), such as swollen[nlm.nih.gov]

  • Hypercapnia

    A 38-year-old patient with effort dyspnea, somnolence, cianosis and cor pulmonale is presented.[ncbi.nlm.nih.gov] Treatment with nocturnal O2 during a 2-yr period was associated with stable cardiovascular function but severe morning headaches and lethargy, presumably related to nightly[ncbi.nlm.nih.gov] These include Altered mental status (agitation, somnolence) Peripheral or central cyanosis or decreased oxygen saturation on pulse oximetry Manifestations of a "stress response[mcgill.ca]

  • Hypoventilation

    Increasing PaCO 2 can cause somnolence and hypoventilation which in turn can delay clearance of inhalational anesthetics causing increasing somnolence; it’s a vicious cycle[openanesthesia.org] Signs and Symptoms People with obesity hypoventilation syndrome -- OHS -- typically complain of daytime sleepiness, morning headaches, problems with concentration or memory[livehealthy.chron.com] A physical exam may reveal: Bluish color in the lips, fingers, toes, or skin ( cyanosis ) Reddish skin Signs of right-sided heart failure ( cor pulmonale ), such as swollen[medlineplus.gov]

  • Secondary Polycythemia

    Cough or dyspnea point to a respiratory or cardiac cause; insomnia, snoring and daytime somnolence suggest sleep apnea.[oncologynurseadvisor.com] History suggestive of sleep apnoea like snoring loudly in sleep, day time sleepiness, poor sleep, morning headache and reduced performance.[explainmedicine.com] SP may be associated with any of the following diseases: Hypoventilation Sleep apnea Chronic bronchitis Chronic obstructive pulmonary disease Pulmonary hypertension and cor[symptoma.com]

  • Infantile Apnea

    Patients may awaken in the morning with a headache.[epilepsy.com] B., 1968, Large tonsils and adenoids in small children with cor pulmonale, Br. Heart J. 30 :356. PubMed Google Scholar 17. Bland, J. W., Edwards, F.[link.springer.com] pulmonale, and loss of intellectual quotient points.[emedicine.medscape.com]

  • Chronic Obstructive Pulmonary Disease

    Patients with exacerbations accompanied by retention of carbon dioxide may be lethargic or somnolent, a very different appearance.[merckmanuals.com] The patient may develop a morning headache that indicates too much carbon dioxide in their blood. There may also be a loss of weight.[cedars-sinai.edu] Edema in cor pulmonale. Lancet 1975 ; ii: 1289 – 1290. Google Scholar 27 Richens JM Howard P. Oedema in cor pulmonale. Clin Sci 1982 ; 62: 255 – 259.[doi.org]

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