Difficult cases in heart failure: polycystic ovary syndrome and heart failure.
This is a case of a 21-year-old female with a history of polycystic ovary syndrome who was subsequently diagnosed with heart failure. The patient did not have a family history of heart failure, nor did the patient herself have evidence of ischemic or valvular heart disease or prior viral infection. The patient was found, upon further evaluation, to have significant obstructive sleep apnea, a condition that has been linked to the development and/or worsening of heart failure. Interestingly enough, recent evidence has revealed that patients with polycystic ovary syndrome have been found to have a predilection for developing obstructive sleep apnea, irrespective of body weight or habitus.
Iyengar
Srinivas
S
Division of Cardiology, Ohio State University, 2nd Floor, HLRI, 473 West 12th Avenue, Columbus, OH 43210, USA. iyengar-1@medctr.osu.edu
Schafer
Michael
M
Haas
Garrie
G
D000328:Adult; D005260:Female; D006333:Heart Failure / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011085:Polycystic Ovary Syndrome / Q000150:complications*; D020181:Sleep Apnea, Obstructive / Q000209:etiology* / Q000628:therapy