Sleep apnea syndrome and essential hypertension

Williams, Adrian J.; Houston, Darryl; Finberg, Stephen N.; Lam, C. W.; Kinney, James L.; Santiago, Silverio

doi:10.1016/0002-9149(85)90738-6

Cited by 196 publications

(67 citation statements)

References 12 publications

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“…Awake and sleep SBP and DBP load (2) Awake BP: All 13 had a reduction in MBP, 12 fell significantly. in SBP and 12 in DBP.…”

Section: Number Of Patients With Changes In Bpmentioning

confidence: 99%

“…31 patients with OSA (50%) 4-7 than it is in the general Although weight reduction, when achieved, is effecpopulation (20%). 8 Conversely, the prevalence of tive in improving or even curing many overweight OSA is much higher in patients with essential OSA patients, 29 the long term compliance with this hypertension (30%) [9][10][11][12] than it is in the general form of therapy is often poor. 32 There is insufficient population (2-4%).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Avoiding the supine position during sleep lowers 24 h blood pressure in obstructive sleep apnea (OSA) patients

Berger

Oksenberg

Silverberg³

et al. 1997

J Hum Hypertens

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Obstructive sleep apnea (OSA), is a common clinical inexpensive method for avoiding the supine posture during sleep, namely the tennis ball technique. condition affecting at least 2-4% of the adult population. Hypertension is found in about half of all OSA Of the 13 patients, all had a reduction in 24-h mean BP (MBP). The mean 24-h systolic/diastolic (SBP/DBP) fell by patients, and about one-third of all patients with essential hypertension have OSA. There is growing 6.4/2.9 mm Hg, the mean awake SBP/DBP fell by 6.6/3.3 mm Hg and the mean sleeping SBP/DBP fell by 6.5/2.7 evidence that successful treatment of OSA can reduce systemic blood pressure (BP). Body position appears mm Hg, respectively. All these reductions were significant (at least P Ͻ 0.05) except for the sleeping DBP. The to have an important influence on the incidence and severity of these sleep-related breathing disturbmagnitude of the fall in SBP was significantly greater in the hypertensive than in the normotensive group for the ances.We have investigated the effect of avoiding the supine 24 h period and for the awake hours. In addition, a significant reduction in BP variability and load were found. position during sleep for a 1 month period on systemic BP in 13 OSA patients (six hypertensives and seven Since the majority of OSA patients have supine-related breathing abnormalities, and since about a third of all normotensives) who by polysomnography (PSG) were found to have their sleep-related breathing disturbances hypertensive patients have OSA, avoiding the supine position during sleep, if confirmed by future studies, could mainly in the supine position. BP monitoring was performed by 24-h ambulatory BP measurements before and become a new non-pharmacological form of treatment for many hypertensive patients. after a 1 month intervention period. We used a simple, Keywords: obstructive sleep apnea; ambulatory blood pressure monitoring; sleep position; body posture ous positive airway pressure (nCPAP). [1][2][3] However, Introductionthe long term compliance with nCPAP is often disObstructive sleep apnea (OSA) is a clinical entity appointing. 28 Other methods of treatment of OSA characterised by intermittent partial or complete include weight reduction, 29 use of oral devices that collapse of the upper airway during sleep. [1][2][3] Studies advance the mandible and/or the tongue 30 and difover the last few years have shown that the prevaferent surgical interventions of which the most lence of essential hypertension is much higher in popular is uvulopalatopharyngoplasty (UPPP). 31 patients with OSA (50%) 4-7 than it is in the general Although weight reduction, when achieved, is effecpopulation (20%). 8 Conversely, the prevalence of tive in improving or even curing many overweight OSA is much higher in patients with essential OSA patients, 29 the long term compliance with this hypertension (30%) 9-12 than it is in the general form of therapy is often poor. 32 There is insufficient population (2-4%). 13 As summarised by ourselves long term data avai...

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“…Awake and sleep SBP and DBP load (2) Awake BP: All 13 had a reduction in MBP, 12 fell significantly. in SBP and 12 in DBP.…”

Section: Number Of Patients With Changes In Bpmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Avoiding the supine position during sleep lowers 24 h blood pressure in obstructive sleep apnea (OSA) patients

Berger

Oksenberg

Silverberg³

et al. 1997

J Hum Hypertens

View full text Add to dashboard Cite

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“…13 Approximately 25% of patients with hypertension have obstructive sleep apnea. 14,15,16 Lindberg et al 17 in his study observed that habitual snoring was an independent predictor for the development of hypertension. The chronic usage of continuous positive airway pressure (CPAP) in patients with hypertension and obstructive sleep apnea results in reduction of hypertension both while awake and during sleep 18 .…”

Section: Sleep Apnea and Hypertensionmentioning

confidence: 97%

Sleep and Cardiovascular Disorders

2011

Contemporary Sleep Medicine for Patients

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“…However, in specific, hypertension may be caused by a number of other factors that includes obesity, age, high alcohol intake, smoking, low exercise and high caffeine intake [3][4][5][6][7][8][9][10][11][12][13]. Early findings indicated that sleep apnea is associated with hypertension and obesity [14][15][16][17]. Epidemiologic studies indicate a direct association between hypertension and obesity [18].…”

Section: Introductionmentioning

confidence: 99%

Obesity and Hypertension Induced Sleep Apnea in Men

Nt¹,

Khaliq²

2017

J Obes Weight Loss Ther

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Global obesity and hypertension epidemic continues to gain momentum as reported in several studies that association between obstructive sleep apnea, hypertension and weight gain has resulted in a corresponding increase in the frequency of this health issue. Therefore this analytical study was conducted with the help of a selfdeveloped validated questionnaire designed to find the prevalence of sleep apnea and its relationship with obesity and hypertension in 100 male participants. Obtained results revealed that out of 69 obese male individuals, 64 were suffering from sleep apnea along with apparent symptoms of hypertension indicating its high prevalence. If untreated, may affect quality of life, morbidity and mortality.

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Sleep apnea syndrome and essential hypertension

Cited by 196 publications

References 12 publications

Avoiding the supine position during sleep lowers 24 h blood pressure in obstructive sleep apnea (OSA) patients

Avoiding the supine position during sleep lowers 24 h blood pressure in obstructive sleep apnea (OSA) patients

Sleep and Cardiovascular Disorders

Obesity and Hypertension Induced Sleep Apnea in Men

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