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Adenoid hypertrophy presenting with systemic hypertension
Authors:P. Subashini  Dr. A. Ravikumar M.S.    DNB   DLORCS  M. S. Ranjit  V. K. Sairam  R. P. Vatsanath  S. Jayasree
Affiliation:1. Department of Otolaryngology — Head and Neck Surgery, Sri Ramachandra Medical College and Research Institute (Deemed University), Porur, Chennai, 600 116, Tamilnadu, India
2. Department of Cardiology, Sri Ramachandra Medical College and Research Institute (Deemed University), Porur, Chennai, 600 116, Tamilnadu, India
3. Department of Nephrology, Sri Ramachandra Medical College and Research Institute (Deemed University), Porur, Chennai, 600 116, Tamilnadu, India
Abstract:A two and half year old male child was seen with systemic hypertension, left ventricular dysfunction, mitral regurgitation and congestive cardiac failure. Examination revealed adenoid hypertrophy. He was also suffering from obstructive sleep apnea. He was being treated with anti-hypertensive and anti-failure drugs. Adenoidectomy was performed following which obstructive sleep apnea symptoms disappeared and his cardiac status improved markedly. Subsequently he was weaned off anti-hypertensive and anti-failure therapy.
Keywords:Obstructive Sleep Apnea (OSA)   Hypertension   Adenoid hypertrophy   Left ventricular dysfunction
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