Figure 1
Non exhausting list of medical conditions where attempting to lower the temperature is most likely beneficial than detrimental.
Heart failure
Artherosclerotic cardiovascular disease
Febrile convulsion
Epilepsy
Predisposition to falling blood pressure
Postural orthostatic tachycardia syndrome
Likely falls as a result of low blood pressure
Poor health
Regularly emerging problems when temperature has risen in the past.
In brief,
Obstructive sleep apnea:
Is an inflammatory condition
Facilitates aspiration pneumonias
Often Targets older individuals
Is often related to other chronical conditions; leaving the individuals at a greater risk of a severe infection.
We are unable to confirm whether obstructive sleep apnea alters the risk of severe infection, but it is unlikely beneficial.
Treatment of obstructive sleep apnea decreases inflammation, notwithstanding other benefits, while serious complications arising from COVID-19 are linked to out of control pulmonary inflammation.
We ignore whether treating obstructive sleep apnea as such, alters the risk of getting the infection; and whether the risk of a more severe infection targets individuals once infected by the disease. It is unlikely that putting a stop to the treatment would benefit the patient.
That being said, on March 26, 2020; the sub-departmental committee of the Quebec’s Health and Social services publicly announced its technical procedure guide with regards to hospitalized patients. President, Dr Diane Poirier declared: " Patients with pathologies in need of chronical use of a CPAP or of a non invasive ventilation should have access to these essential therapies in spite of the pandemic. These patients should ideally be taken care off in negative pressure facilities independently of their COVID-19 status. Use of the device and wearing a mask is highly recommended. "
In instances when you are already under treatments with CPAP, APAP, bi-level or house ventilator; be it for obstructive sleep apnea, central sleep apnea, obesity-hypoventilation syndrome, neuromuscular disease etc., you must follow up with your treatment even in a hospital environment in the event of an hospitalization, whether or not you are exhibiting signs of SARS-CoV-2.
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Katéri Champagne, internal and pneumological medical specialist, epidemiologist, Diplomate of the American Board of Sleep Medicine, Quebec, Canada, March 28, 2020, last update, april 6, 2020.