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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shortness Of Breath While Sleeping?

Hi there. I recently have had a history of poor sleep, marked by frequent nighttime awakenings with shortness of breath, sometimes mild sometimes more marked. Also, I find that I urinate 2-3 times per night. The poor sleep has been ongoing for many years (frequent nighttime awakenings and early AM wakening), but the nighttime shortness of breath began this year. IO had tow at home sleep apnea tests which ruled out Obstructive Sleep Apnea, but noted some possible Central apneas. Then, yesterday, I had a CBC, Metabolic panel and Cardiac specific CRP test - I am very concerned, as my cholesterol levels came back as: Total: 193, HDL: 53, Triglycerides: 133, LDL 113, VLDL 27, but the CRP, Cardiac came back at 5.55, which I am told is quite above the 3.0 threshold we like to see. The doctor who called me with results was rushed, and wants to do either a stress test or a more accurate test to determine why this number is high. I asked what COULD cause this number to be 5.55 but got little answer from her. I am concerned and need more detailed answers as to this test, what it looks for, and what could cause a 5.55 in a 35 year old male.
Tue, 26 Jun 2018
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Pulmonologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.


Night time awakening, breathlessness, poor sleep etc are also seen with heart diseases like heart failure. Cardiac report which you are talking is Troponin I. It is direct marker of heart disease. This enzyme is actually secreted by cardiac muscles. So if cardiac muscles are at strain, Troponin I is raised.
So you should definitely get done stress test and coronary angiography (if needed).

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Shortness Of Breath While Sleeping?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Night time awakening, breathlessness, poor sleep etc are also seen with heart diseases like heart failure. Cardiac report which you are talking is Troponin I. It is direct marker of heart disease. This enzyme is actually secreted by cardiac muscles. So if cardiac muscles are at strain, Troponin I is raised. So you should definitely get done stress test and coronary angiography (if needed). Hope I have answered your query. Let me know if I can assist you further.