what is the relationship between INFERIOR ISCHEMIA and obstructive sleep apnea

[smilinfunguy]

What is the relationship between obstructive sleep apnea and inferior ischemia and unexplained tachycardia?  Can one be the sign, symptom, cause or risk factor of each other?.  Please forward your answer to my email address:  ***@****

[smilinfunguy]

Should the combination of below (numbered 1 thru 18) symptoms, causes and risk factors documented in my medical records alert a physician to have a patient do a sleep study? I'm 100% convinced that my sleep apnea developed around 1990.
1. Nasal Congestion/Obstructions: (Allergic Rhinitis- 8/17/84; Flu and Gastritis- 5/87, flu/Pneumonia- 9/87; Bronchitis- 390; flu- 10/90; reported symptoms of allergy- 2/97)
2. Gained 50 lbs in 6 years (Chronic/Unexplained Weight Gain (8/84, 150 lbs - 10/90, 200 lbs);
3. Gain 14 lbs in 2 mths (Excessive & Unexplained weigh gain (8/84, 150 lbs – 10//84, 164 lbs);
4. Gain 15 lbs in 2.7 yrs (Unexplained weigh gain between (5/21/85, 164 lbs) - 3/10/88, 179 lbs);
5. Gain 26 lbs in 7.5 mnths (Excessive/Unexplained weigh gain (3/90, 174 lbs – 10/90, 200 ½ );
6. Overweight 11 yrs prior to being diagnosed Severe Obstructive Sleep Apnea (10/90- 6ft, 200 ½ lbs - 9/01,  6.1ft, 235 lbs);
7. Infrequent Migraine Headaches– 1/29/92;
8. Fatigue 1.5 months (? etiology)– 4/5/93 - Unexplained and untreated Fatigue.  
9. EKG- Sinus Brady, ? L atrial enlargement, short QT interval, nonspecific inf T-wave abnormalities, and ST elevation, Asymptomatic–  7/26/93 to present;
10. Hyperlipedemia– 7/26/93 to present;
11. Nutrition Clinic Questionnaire (2/1/94): Age-28; h. 6 ½; w. 199 lbs; Calorie- 2655; IBW- 178 lbs; IBW- 112%; drank alcohol twice weekly; High Cholesterol; Diet; Exercise. NOTE:  IBW = Ideal Body Weigh;
12. Weight Management and Remedial Exercise Evaluation (2/1/94): OVERFAT; and medically cleared for Weight Mgmt & Remedial Exercise program
13. Weight Management Initial Instructions (2/10/94) – Placed on 1800 calorie diet;
14. EKG Biatrial Enlargement, T-Wave Abnormality, CONSIDER INFERIOR ISCHEMIA, Abnormal ECG– (4/15/94);  
15. High Cholesterol–  2/19/97 (several years on active duty);
16. Medical Exam (2/20/97)– Reported TB, pain or pressure in chest, Heartburn 3 x 4 times weekly, symptoms of allergies, questionable health, h. 6.1, w. 204lbs (Overweight)
17. Medical exam (5/27/97): PPD converter, Chronic allergic rhinitis, Sinus Brady, Unexplained Tachycardia, h. 6.1ft, w. 204 lbs (BMI is 26.9 – overweight).
18.  Sep 2001 -Diagnosed with Severe Obstructie Sleep Apnea (SOSA) after reporting to my Primary care that my girlfriend(s) in the past always complained about my very loud snoring.  Instructed me to do a sleep test - Results read 9/2001 - Diagnosed w/SOSA.

[smilinfunguy]

Should the combination of below (numbered 1 thru 18) symptoms, causes and risk factors documented in my medical records alert a physician to have a patient do a sleep study? I'm 100% convinced that my sleep apnea developed around 1990.
1. Nasal Congestion/Obstructions: (Allergic Rhinitis- 8/17/84; Flu and Gastritis- 5/87, flu/Pneumonia- 9/87; Bronchitis- 390; flu- 10/90; reported symptoms of allergy- 2/97)
2. Gained 50 lbs in 6 years (Chronic/Unexplained Weight Gain (8/84, 150 lbs - 10/90, 200 lbs);
3. Gain 14 lbs in 2 mths (Excessive & Unexplained weigh gain (8/84, 150 lbs – 10//84, 164 lbs);
4. Gain 15 lbs in 2.7 yrs (Unexplained weigh gain between (5/21/85, 164 lbs) - 3/10/88, 179 lbs);
5. Gain 26 lbs in 7.5 mnths (Excessive/Unexplained weigh gain (3/90, 174 lbs – 10/90, 200 ½ );
6. Overweight 11 yrs prior to being diagnosed Severe Obstructive Sleep Apnea (10/90- 6ft, 200 ½ lbs - 9/01,  6.1ft, 235 lbs);
7. Infrequent Migraine Headaches– 1/29/92;
8. Fatigue 1.5 months (? etiology)– 4/5/93 - Unexplained and untreated Fatigue.  
9. EKG- Sinus Brady, ? L atrial enlargement, short QT interval, nonspecific inf T-wave abnormalities, and ST elevation, Asymptomatic–  7/26/93 to present;
10. Hyperlipedemia– 7/26/93 to present;
11. Nutrition Clinic Questionnaire (2/1/94): Age-28; h. 6 ½; w. 199 lbs; Calorie- 2655; IBW- 178 lbs; IBW- 112%; drank alcohol twice weekly; High Cholesterol; Diet; Exercise. NOTE:  IBW = Ideal Body Weigh;
12. Weight Management and Remedial Exercise Evaluation (2/1/94): OVERFAT; and medically cleared for Weight Mgmt & Remedial Exercise program
13. Weight Management Initial Instructions (2/10/94) – Placed on 1800 calorie diet;
14. EKG Biatrial Enlargement, T-Wave Abnormality, CONSIDER INFERIOR ISCHEMIA, Abnormal ECG– 4/15/94;  
15. High Cholesterol–  2/19/97 (several years on active duty);
16. Medical Exam (2/20/97)– Reported TB, pain or pressure in chest, Frequent indigestion (Heartburn 3 x 4 times weekly), symptoms of allergies, questionable health, h. 6.1, w. 204lbs (Overweight)
17. Diagnoses:  PPD converter, Chronic allergic rhinitis, Sinus Brady, Unexplained Tachycardia, h. 6.1ft, w. 204 lbs (BMI is 26.9 – overweight)- 5/97.
18. Diagnosed with Severe Obstructie Sleep Apnea (SOSA) after reporting to my Primary care that my girlfriend always complain about my very loud snoring.  Instructed to do a sleep test - Results read - diagnosed w/SOSA.

[Darcy Green Conaway, MD]

Obstructive sleep apnea can put strain on the right ventricle which may look like ischemia on an electrocardiogram. I need more details to fully answer the question.