A Narrative Review of the Association of Obstructive Sleep Apnea with Hypertension : How to Treat Both When They Coexist?
(2023) In Journal of Clinical Medicine 12(12).- Abstract
Hypertension (HT) is a worldwide public health issue and an essential risk factor for cardiovascular and cerebrovascular diseases. Obstructive sleep apnea (OSA) is a condition characterized by recurrent episodes of apnea and hypopnea as a consequence of partial or complete obstruction of the upper airways due to anatomic and/or functional disturbances. There is mounting evidence of a relationship between OSA and HT. In patients with OSA, HT is predominantly nocturnal and characterized by high diastolic blood pressure and usually by a nondipping pattern. Optimizing the blood pressure control is recommended in the current guidelines as the first treatment option in hypertensive patients with OSA. Continuous positive airway pressure (CPAP)... (More)
Hypertension (HT) is a worldwide public health issue and an essential risk factor for cardiovascular and cerebrovascular diseases. Obstructive sleep apnea (OSA) is a condition characterized by recurrent episodes of apnea and hypopnea as a consequence of partial or complete obstruction of the upper airways due to anatomic and/or functional disturbances. There is mounting evidence of a relationship between OSA and HT. In patients with OSA, HT is predominantly nocturnal and characterized by high diastolic blood pressure and usually by a nondipping pattern. Optimizing the blood pressure control is recommended in the current guidelines as the first treatment option in hypertensive patients with OSA. Continuous positive airway pressure (CPAP) therapy may reduce blood pressure, albeit only slightly as a stand-alone treatment. CPAP, as an add-on treatment to antihypertensive medication, appears to be an efficient treatment modality when both conditions coexist. This narrative review aims to summarize the current perspectives on the association of OSA with HT and the treatment options available for adults with OSA-related HT.
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- author
- Altay, Servet ; Fırat, Selma and Peker, Yüksel LU
- author collaboration
- organization
- publishing date
- 2023-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- hypertension, narrative review, obstructive sleep apnea
- in
- Journal of Clinical Medicine
- volume
- 12
- issue
- 12
- article number
- 4144
- publisher
- MDPI AG
- external identifiers
-
- pmid:37373837
- scopus:85163722153
- ISSN
- 2077-0383
- DOI
- 10.3390/jcm12124144
- language
- English
- LU publication?
- yes
- id
- 3aef0b41-b9ba-4089-b349-1b63d20b4107
- date added to LUP
- 2023-09-15 13:36:31
- date last changed
- 2024-04-19 00:55:25
@article{3aef0b41-b9ba-4089-b349-1b63d20b4107,
abstract = {{<p>Hypertension (HT) is a worldwide public health issue and an essential risk factor for cardiovascular and cerebrovascular diseases. Obstructive sleep apnea (OSA) is a condition characterized by recurrent episodes of apnea and hypopnea as a consequence of partial or complete obstruction of the upper airways due to anatomic and/or functional disturbances. There is mounting evidence of a relationship between OSA and HT. In patients with OSA, HT is predominantly nocturnal and characterized by high diastolic blood pressure and usually by a nondipping pattern. Optimizing the blood pressure control is recommended in the current guidelines as the first treatment option in hypertensive patients with OSA. Continuous positive airway pressure (CPAP) therapy may reduce blood pressure, albeit only slightly as a stand-alone treatment. CPAP, as an add-on treatment to antihypertensive medication, appears to be an efficient treatment modality when both conditions coexist. This narrative review aims to summarize the current perspectives on the association of OSA with HT and the treatment options available for adults with OSA-related HT.</p>}},
author = {{Altay, Servet and Fırat, Selma and Peker, Yüksel}},
issn = {{2077-0383}},
keywords = {{hypertension; narrative review; obstructive sleep apnea}},
language = {{eng}},
number = {{12}},
publisher = {{MDPI AG}},
series = {{Journal of Clinical Medicine}},
title = {{A Narrative Review of the Association of Obstructive Sleep Apnea with Hypertension : How to Treat Both When They Coexist?}},
url = {{http://dx.doi.org/10.3390/jcm12124144}},
doi = {{10.3390/jcm12124144}},
volume = {{12}},
year = {{2023}},
}