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Colegio de Medicos y Cirujanos República de Costa Rica

2008, Number 586

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Rev Med Cos Cen 2008; 65 (586)

Relación entre hipertensión arterial y apnea del sueño

Montero CLB

Language: Spanish
References: 21
Page: 355-359
PDF size: 223.28 Kb.


ABSTRACT

Sleep Apnea represents an agravating factor in cardiovascular disease. Several authors have propused Arterial Hypertension as the link between both conditions. However it is not frecuently mentioned that the treatment of the first disease is a valid and efective strategy for some hypertensive patients, especially those who suffer from obesity, sleepiness during the day and resistant hypertension. This review intends to establish the epidemiologic relationship between Sleep Apnea and Hypertension, as well as the physiopatological and clinical events that link them, and to show the positive effect of the treatment of Sleep Apnea on hypertension control in this group of patients.


REFERENCES

  1. American Academy of Sleep Medicine. International classification of sleep disorders, 2 edition: diagnostic and coding manual. 2005.

  2. Allahdadi JK, Walker BR, Kanagy NL. Augmented Endothelin Vasoconstriction in intermittent hipoxia-induced hypertension. Hypertension 2005; 45; 705-709

  3. Baldwin CM, Griffith KA, Nieto J. The association of Sleep-Disordered Breathing and Sleep symtoms with qualtity of life in the Sleep Heart Health Study. Sleep, Vol. 24, 2001

  4. 33. Becker FH, Jerrentrup A, Ploch T. Continuous Positive Airway Pressure Treatment on Blood Pressure in Patients With Obstructive Sleep Apnea Circulation.2003; 107:68.

  5. 32. Bernd MS, Tepel M, Markmann A. Effect of CPAP Therapy on 24-Hour Blood Pressure in Patients With Obstructive Sleep Apnea Syndrome. AJH 2002; 15:251–257

  6. Bixler EO, Vgontzas AN, Lin HM: Association of hypertension and sleep-disordered breathing. Arch Intern Med 2000, 60:2289–2295.

  7. Elmasry A, Lindberg E, Hedner J. Obstructive sleep apnoea and urine cathecholamines in hypertensive males: a population based study. Eur Respir J 2002; 19:511- 517.

  8. Flemons WW, Littner MR, Rowley JA, Gay P. Home diagnosis of sleep apnea; a systematic review of the literature: an evidence review. Chest 2003;124: 1535–1542.

  9. García-Río F, Racionero AM, Pino MJ. Sleep apnea and Hipertensión. Chest 2000;117;1417-1425

  10. Kato M, Roberts P, Phillips B. Impairment of endothelium-dependet vasodilation of resistance vessels in patients with obstructive sleep apnea. Ciruclation 2000; 2607-2610

  11. Logan AG. High prevalence of unrecognized sleep apnea in drug-resistant hypertension. J Hypertens 2001;19: 2271

  12. Logan A.G, Tkacova R, Perlikowski SM. Refractory hypertension and sleep apnea: effect of CPAP on blood pressure and baroreflex. Eur Respir J 2003; 21: 241–247.

  13. Muñoz F, Calvo E, Gómez H. Síndrome de apnea/hipopnea del sueño (SAHS). Revista el Médico Interactivo. Sociedad Española de Medicina de Familia. Mayo 2006.

  14. Nieto FJ, Young BT, Lind KB. Association of Sleep-Disordered Breathing, Sleep Apnea and Hypertension in a large community based study. The Sleep Heart Health Study JAMA. 2000;283:1829-1836.

  15. Ohayon MM, Guilleminault C, Priest RG: Is sleep disordered breathing an independent risk factor for hypertension in the general population (13,057 subjects) J Psychosom Res 2000, 48:593–601.

  16. Pankow W, Lies A, Nabe B. Continuous Positive Airway Pressure lower blood pressure in hipertensive patients wiht obstructive sleep apnea. Somnologie 7: 17-22, 2003

  17. Scottish Intercolegiate Guidelines Network. Management of obstructive sleep apnea/hypopnoea syndrome in adults. A national clinical guideline June 2003.

  18. Silverberg DS, Iaina A. Treating Obstructive Sleep Apnea improves essential hypertension and quality of life. American Family Physician 2002

  19. Stradling J, Davies R. Obstructive sleep apnea/hypopnoea syndrome: definitions, epidemiology, and natural history. Thorax 2004; 59:73-78.

  20. Schulz R, Schmidt D, Blum a, et al. Decreased plasma levels of nitric oxide derivates in obstructive sleep apnea: response to CPAP therapy. Thorax 2000; 55; 1046-1051.

  21. Tung HA, Ho WC, Tong WM. Nasal CPAP reduces systemic blood pressure in patients with Obstructive sleep apnea and mild sleepiness. Thorax 2006. 064063




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