Table 1

How OSAHS might present to non-sleep specialists

Presentation
Cardiologist89Hypertension
Left ventricular hypertrophy
Nocturnal angina
Myocardial infarction
Arrhythmias, particularly bradyarrhythmias
Heart failure
Cor pulmonale
Increased pulmonary artery pressure
Psychiatrist90Depression
Anxiety
Behavioural problems
Acute delirium
Neurologist91–93Refractory epilepsy
Stroke
Impaired rehabilitation post stroke
Headache on waking
Anaesthetist94,95Difficult intubation
Sensitivity to opioid analgesia and sedation
Witnessed apnoeas during recovery
Urologist15,96Nocturia
Impotence
Erectile dysfunction
Endocrinologist97Hypothyroidism
Acromegaly
Diabetes
ENT surgeon98Snoring
Sore throat
Hoarse voice
Gastroenterologist28Oesophageal reflux
Haematologist99Polycythaemia
Respiratory physician100–102Nocturnal shortness of breath
Respiratory failure