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Upper airways obstruction. Presentation with systemic hypertension

M Serratto, V J Harris, I Carr

    Archives of Disease in Childhood
    |February 1, 1981
    PubMed
    Summary
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    Severe hypertension can be a symptom of heart failure caused by upper airway obstruction. This study found that in some patients, high blood pressure was an effect, not the cause, of their condition.

    Area of Science:

    • Cardiology
    • Pulmonology
    • Critical Care Medicine

    Background:

    • Upper airway obstruction (UAO) can lead to significant cardiopulmonary distress.
    • Heart failure (HF) is a complex syndrome often exacerbated by respiratory issues.
    • Systemic hypertension is a common comorbidity in cardiovascular disease.

    Observation:

    • Three out of 14 patients diagnosed with UAO and HF presented with severe systemic hypertension (up to 200/100 mmHg).
    • In two of these cases, hypertension was initially mistaken for the primary cause of symptoms.
    • Detailed patient history revealed hypertension as a consequence of UAO-induced HF.

    Findings:

    • Systemic hypertension can be a presenting sign of underlying upper airway obstruction and heart failure.

    Related Experiment Videos

  • The severity of hypertension in these cases was directly linked to the cardiopulmonary compromise from UAO.
  • UAO should be considered in the differential diagnosis of patients presenting with unexplained severe hypertension and signs of heart failure.

    • Implications:

    • Recognizing hypertension as a secondary effect of UAO with HF can lead to earlier diagnosis and appropriate management.
    • This highlights the intricate relationship between respiratory and cardiovascular systems.
    • Further research is warranted to elucidate the precise mechanisms linking UAO, HF, and severe hypertension.