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Hypertension, edema secondary to chronic obstructive sleep apnea

Posted May 15 2009 9:18am
 I have been a nurse (mental health) for over 30 years, attempting to access the most helpful, up-to-date information on methods to control my husband's hypertension, which does not respond very effectively to Lisinopril or HCTZ, which are the only meds that he has tolerated reasonably well. He has had a UPPP, wears a mouth splint, uses a Bi-Pap, and has had to sleep sitting up in a chair for over ten years. His lower back suffers, as a result, of course, but his blood pressure is nearly always elevated well over the borderline range, while his pulse is unusually low (55-60). He had a cardiac ablation at Brigham Women's in Boston about 5 yrs. ago to correct a ong term problem with intermittent atrial fibrillation. Currently, he has been experiencing more episodes of palpitations. It is amazing to me that there are so few resources to address the cardiac complications of lower levels of oxegenation during sleep, sleep disorders of various kinds(my husband sleeps on average only 4 1/2-5 hrs. each night, and his bp is jsut as high, if not higher the ights he sleeps longer or sleeps lying down). Any suggestions? His primary MD and cardiologist are surprisingly unhelpful--only offer more drugs,which do not seem to address the complications.
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