Twenty-Four–Hour Ambulatory BP in Snoring Children With Obstructive Sleep Apnea Syndrome

Leung, Lettie Chuk-Kwan; Ng, Daniel; Lau, Michael W.; Chan, Chung-hong; Kwok, Ka‐li; Chow, Pok-yu; Cheung, Josephine M.

doi:10.1016/s0012-3692(15)51134-3

Cited by 127 publications

(92 citation statements)

References 38 publications

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“…Finally, 24-hour ambulatory BP recordings of 96 snoring children demonstrated an independent association between sleep diastolic BP and frequency of nocturnal oxygen desaturation. 383 A common observation among the cross-sectional studies published in the last 10 years is that BP elevation seen in association with childhood OSA syndrome rarely surpasses the 95th percentile. On the basis of the current literature, there is no definitive evidence that established hypertension is a common cardiovascular complication of OSA syndrome in children and adolescents.…”

Section: Hypertensionmentioning

confidence: 99%

Sleep Apnea and Cardiovascular Disease

et al. 2008

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Section: Hypertensionmentioning

confidence: 99%

Sleep Apnea and Cardiovascular Disease

et al. 2008

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“…In 75 adolescents and young adults with type 1 diabetes studied prospectively by Lurbe et al, the development of microalbuminuria was preceded by an increase in nocturnal systolic BP, whereas subjects with a normal nocturnal fall (≥10%) of systolic BP had a 70% reduced risk for developing microalbuminuria (p=0.01) [43]. Abnormal dipping patterns may be seen in patients with sleep-disordered breathing, as well [44][45][46]. Leung et al evaluated 96 children with symptoms of sleep disordered breathing and found the prevalence of HTN to be 16.7% [46].…”

Section: Masked Hypertensionmentioning

confidence: 99%

Ambulatory blood pressure monitoring: a versatile tool for evaluating and managing hypertension in children

Acosta¹,

McNiece

2008

Pediatr Nephrol

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In recent years, pediatric practitioners have increasingly used ambulatory blood pressure (ABP) monitoring for evaluating blood pressure (BP) abnormalities in children. ABP monitoring in adults is superior to casual BP measurements for predicting cardiovascular morbidity and mortality, and whereas the association with target-organ damage in children is not as definitive, early evidence does seem to parallel the adult data. In addition to confirming hypertension at diagnosis, ABP monitoring may be useful for identifying isolated nocturnal hypertension, characterizing BP patterns, and assessing response to therapeutic interventions. This article reviews current evidence supporting the use of ABP monitoring in children and discusses limitations in our understanding of this technology, specifically focusing on indications for its use and interpretation of the large quantity of data obtained by ABP monitoring.

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“…Эпизоды избыточного повышения уровня АД у взрослых наблюдаются как в фазу REM, так и в фазу медленного сна, при этом в фазе REM-сна подъ-емы АД регистрируют значимо чаще. Установлена связь между степенью повышения уровня АД и продолжительно-стью периодов снижения насыщения гемоглобина кисло-родом [49][50][51].…”

Section: обзор литературыunclassified

“…Суточное мониторирование АД показало повышение вариабельности АД у детей с СОАГС в отличие от детей с обычным храпом, а также недостаточное снижение уровня АД ночью [51,52,74]. Общим наблюдением среди всех перекрестных исследований, которые были опубликованы за последние 10 лет, является тот факт, что уровень АД при СОАГС у детей повышается, но при этом редко превосходит 95-й перцентиль.…”

Section: обзор литературыunclassified