RIGHT VENTRICULAR FAILURE IN HYPOVENTILATION OBESITY SYNDROME WITH BMI 68.87. ACUTE MANAGEMENT - CASE REPORT

Introduction: Obesity represents a serious problem of civilization. Its complications include hypoventilation obesity syndrome. It can result in severe right-sided heart failure. The case report describes a case of such a patient admitted in critical condition.
Case report: A 58-year-old female patient was admitted to the internal medicine ward in critical condition due to dyspnea of 3 days duration, she also reported chest pain on admission. She reported a history of arterial hypertension, type 2 diabetes mellitus, and arthrosis of the weight-bearing joints. On admission morbidly obese, immobile with gravitational induction of subcutaneous tissue which is also infected in the abdominal region. Severe hyposaturation compensated by oxygen therapy. Severe right-sided heart failure in the foreground. Acutely intensively treated. Appropriate consultative examinations were performed. Pulmonary consult diagnosed obesity hypoventilation syndrome. As she was a foreigner, language barrier was a complicating factor from the beginning. Gradual completion of the history revealed that she had dealt with her stressful situation by excessive food intake. The patient was of Ukrainian nationality. After 9 days of hospitalization in the acute ward, she was transferred to the rehabilitation ward, able to self-care. Weight loss was 8.5kg, O2 saturation with oxygen therapy 2l/min was 96% and without oxygen therapy 92%.
Conclusion: Obesity in its malignant form is a disease with the potential to become critical. If the acute condition can be managed, long-term treatment of complicating diseases follows. Causal treatment then primarily requires long-term cooperation on lifestyle modification.