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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 26-Year-Old Pregnant Woman With Fatigue and Excessive Daytime Sleepiness

Farah Sagheer, MD; Chakradhar Venkata, MD; Saiprakash B. Venkateshiah, MD, FCCP
Author and Funding Information

*From the Divisions of Pulmonary, Critical Care, and Sleep Medicine (Drs. Sagheer and Venkateshiah), and Internal Medicine (Dr. Venkata), Creighton University Medical Center, Omaha, NE.

Correspondence to: Saiprakash B. Venkateshiah, MD, FCCP, Creighton University Medical Center, Division of Pulmonary, Critical Care, and Sleep Medicine, 601 N 30th St, Omaha, NE 68131; e-mail: saiprakahv@creighton.edu

†These two authors contributed equally to the manuscript.


The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2008;134(3):637-639. doi:10.1378/chest.07-3046
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A 26-year-old white woman, gravida 2, para 1, at 10 weeks of gestation, was seen in a pulmonary clinic with a chief complaint of fatigue. Her partner noticed loud snoring during this pregnancy and apneic episodes in sleep. She was sleeping 8 h every night and waking about four to five times to go to the bathroom. She complained of nonrefreshing sleep and excessive daytime sleepiness. Her medical problems included depression, migraine headaches, hypertension, and a history of preeclampsia. Her medications included prenatal vitamins and sertraline. She was a former smoker and was employed as a medical assistant.

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