The association between the effective apnea-hypopnea index and blood pressure reduction efficacy following CPAP/oxygen treatment

Ni, Yue-Nan; Lei, Fei; Tang, Xiangdong; Liang, Zongan; Thomas, Robert Joseph

doi:10.1016/j.sleep.2024.02.046

Sleep Medicine

2024

DOI: 10.1016/j.sleep.2024.02.046

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The association between the effective apnea-hypopnea index and blood pressure reduction efficacy following CPAP/oxygen treatment

Yue-Nan Ni,

Fei Lei,

Xiangdong Tang

et al.

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2024

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Cited by 2 publications

References 44 publications

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Cardiopulmonary coupling predictors of blood pressure response to positive airway pressure therapy

Ni,

Lei,

Tang

et al. 2024

Sleep Medicine

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Cardiopulmonary coupling predictors of blood pressure response to positive airway pressure therapy

Ni,

Lei,

Tang

et al. 2024

Sleep Medicine

View full text Add to dashboard Cite

Beyond continuous positive airway pressure for cardiovascular risk reduction in patients with obstructive sleep apnea

Healy,

Kundel,

Taub

et al. 2024

Sleep Advances

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An accumulating body of evidence suggests a bidirectional relationship between sleep and cardiovascular (CV) health. A high level of evidence has linked obstructive sleep apnea (OSA) with cardiovascular disease (CVD). Accordingly, clinical sleep medicine emphasizes the diagnosis and treatment of obstructive sleep apnea (OSA) in the context of promoting CV health. While continuous positive airway pressure (CPAP), the main stay treatment for OSA, is effective in improving several sleep-related quality-of-life outcomes and leads to modest reductions in blood pressure, there is currently insufficient evidence to justify using CPAP alone for improving CVD outcomes in OSA. Sleep physicians are uniquely positioned to expand their focus beyond the evaluation of OSA and administering CPAP, in efforts to enhance the CV health of sleep patients. Herein, we suggest the role of sleep physicians as CV preventionists. Key focus areas for managing CV risk beyond CPAP therapy in OSA include identifying comorbid disorders that are vital for optimizing CV health. This involves risk-stratifying patients and providing appropriate counseling, referrals, and treatment as appropriate for comorbid sleep conditions such as insomnia and insufficient sleep, comorbid CV risk factors including hypertension, dyslipidemia, metabolic dysfunction-associated steatohepatitis, as well as counseling for weight management programs, smoking and alcohol cessation. We urge sleep clinicians to play an active and integral role in optimizing CV health of patients with sleep disorders.

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The association between the effective apnea-hypopnea index and blood pressure reduction efficacy following CPAP/oxygen treatment

Cited by 2 publications

References 44 publications

Cardiopulmonary coupling predictors of blood pressure response to positive airway pressure therapy

Cardiopulmonary coupling predictors of blood pressure response to positive airway pressure therapy

Beyond continuous positive airway pressure for cardiovascular risk reduction in patients with obstructive sleep apnea

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