<p>Cher Confr&egrave;re</p>
<p>Je vous remercie de m'avoir adress&eacute; pour avis Mme RIVIERE L&eacute;a, n&eacute;e le 29/08/1956.</p>
<p>cette dame est mari&eacute; et a 4 enfants.elle est sans profession et fume 10 cigarettes/j et totalise environ 20PA.</p>
<p>dans ses ant&eacute;c&egrave;dents on note une c&eacute;sarienne et un curetage ut&eacute;rin.</p>
<p>elle est trait&eacute; pour HTA , DNID &nbsp;, insuffisance cardiaque avec OAP.</p>
<p>Elle pr&eacute;sente des ronflements avec des pauses respiratoires.Elle pr&eacute;senyte un l&eacute;ger retrognathisme.</p>
<p>Son perim&egrave;tre cervical est de 39cm avec un perim&egrave;tre abdominal de 106cm.son score d'Epworth est de 9 avec un&nbsp;score de Mallampati est de 2/4.elle avoue une hypersomnolence diurne.</p>
<p>Sa polygraphie ventilatoire en date du 23/06/2015 retrouve un IAH de 17/H passant &agrave; 32/h quand on y associe les &eacute;v&egrave;nements(diminutions).il existe 546 ronflements/H avec une energis moyenne de 92db.On retrouve 20 d&eacute;saturations/H avec une SaO2 minimale de 90%.</p>
<p>Nous programmons une polysomnographie et nous lui enseignons &agrave; remplir un agenda de sommeil.</p>
<p>Avec mes remerciements, veuillez agr&eacute;er, cher Confr&egrave;re, l'assurance de mes sentiments distingu&eacute;s,</p>
<p>Dr. B. TANGUY</p>
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