The Japanese Journal of Clinical Dialysis Vol.18 No.2(9)

Theme Sleep Apnea Syndrome in Maintenance Hemodialysis Patients
Title Drug and sleep apnea syndrome (SAS)
Publish Date 2002/02
Author Tsutomu Inoue Department of Nephrology, Saitama Medical College
Author Hirokazu Okada Department of Nephrology, Saitama Medical College
Author Hiromichi Suzuki Department of Nephrology, Saitama Medical College
[ Summary ] We observed a male haemodialysis patient who complained of morning headache and had hypertension. We found sleep apnea provoked or aggravated by metabolic alkalosis resulting from sodium bicarbonate abuse. After cessation of sodium bicarbonate ingestion, apnea episodes, headache and hypertension disappeared. Metabolic alkalosis is an unusual event in the patients with renal failure, however, exogenous alkali ingestion can cause it. We must consider metabolic alkalosis in the haemodialysis patient with untreatable hypertension.
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