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Case Reports
. 2022 May 1;18(5):1463-1465.
doi: 10.5664/jcsm.9880.

Sudden deterioration of CPAP adherence after myocardial infarction in a Chinese patient: potential effect of ACEI-induced airway hyperresponsiveness

Yi-Hui Ou  1 , As Tar Thant  1 , Chi-Hang Lee  1   2
Affiliations
Case Reports

Sudden deterioration of CPAP adherence after myocardial infarction in a Chinese patient: potential effect of ACEI-induced airway hyperresponsiveness

Yi-Hui Ou et al. J Clin Sleep Med. .

Abstract

A patient with obstructive sleep apnea was admitted to the hospital with non-ST segment elevation myocardial infarction. An angiotensin-converting enzyme inhibitor was prescribed upon discharge. She later became intolerant to continuous positive airway pressure therapy, and her adherence to the related device decreased precipitously. The intolerance subsided gradually after a switch in medication to an angiotensin receptor blocker, and her adherence to continuous positive airway pressure device usage returned to baseline after 4 weeks.

Citation: Ou Y-H, Thant AT, Lee C-H. Sudden deterioration of CPAP adherence after myocardial infarction in a Chinese patient: potential effect of ACEI-induced airway hyperresponsiveness. J Clin Sleep Med. 2022;18(5):1463-1465.

Keywords: adherence; airway; myocardial infarction; obstructive sleep apnea.

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Conflict of interest statement

All the authors have seen and approved the manuscript. The authors report no conflicts of interest.

Figures

Figure 1
Figure 1. Weekly CPAP adherence before, during, and after hospitalization for NSTEMI.
CPAP = continuous positive airway pressure, NSTEMI = non–ST segment elevation myocardial infarction.
See this image and copyright information in PMC

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