This can occur simply from muscle weakness but may be complicated by central or obstructive sleep apnea. The recommendations for ordering sleep studies vary but the American Thoracic Society Consensus statement recommends yearly polysomnography [42]. However, overnight studies in a sleep laboratory can...
Conventionally, scuba diving has been discouraged for adult patients with congenital heart disease (ACHD). This restrictive sports advice is based on expert opinion in the absence of high-quality diving-specific studies. However, as survival and quality