Agree - #1: B"sd sleep apnea a prime consideration. If not that, then peri-menopausal hormonal disturbance would be my second thought. Additional hormonal considerations would be catecholamine (adrenaline) factors. Cardiac conditions should also be considered (paroxysmal nocturnal dyspnea). Variant asthma a more remote possiblity.
Answered 3/16/2019
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