Osa And Nocturnal Hypertension
According to the circadian patterns of BP, high BP could be broadly classified into two categories: dipping and non-dipping. Briefly, a dipping pattern is when there is more than a 10% decrease in nighttime BP compared with daytime BP. By contrast, nocturnal hypertension is present when there is less than a 10% of reduction in BP at night or when the nighttime BP is higher than during the day. A number of previous studies have revealed that nocturnal hypertension imposed greater adverse effects on the cardiovascular system than daytime hypertension., It has been reported that the prevalence of nocturnal hypertension is substantially higher in subjects with OSA. For example, Loredo et al. reported that ~84% of patients with OSA in their study experienced nocturnal hypertension. Data from the Wisconsin Sleep Cohort Study indicated that there was a doseeffect relationship between the severity of OSA and the risk of nighttime BP elevation. The main mechanism contributing to nighttime BP elevation is the sympathetic overactivation caused by hypoxemia, frequent arousals and sleep deprivation. Treatment of OSA with CPAP therapy reversed the nighttime BP elevation. It is clinically important to screening for OSA in patients with non-dipping or difficult-to-treat hypertension.
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Severe Sleep Apnea Increases Risk Of Uncontrolled High Blood Pressure
FOR IMMEDIATE RELEASE
CONTACT: Lynn Celmer, 630-737-9700, ext. 9364,
DARIEN, IL A new study shows that severe obstructive sleep apnea contributes to poor blood pressure control despite aggressive use of anti-hypertensive medications.
Among study participants who were taking three or more anti-hypertensive medications, the risk of resistant blood pressure was three times higher in those with severe OSA compared with moderate OSA after adjusting for age, body mass index and diabetes mellitus .
Our findings suggest that severe OSA contributes to poor blood pressure control despite aggressive medication use, said Harneet Walia, MD, assistant professor of family medicine at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. This is important as poor blood pressure control in patients taking multiple anti-hypertensive medications makes them particularly vulnerable to increased cardiovascular risk.
The research abstract was published recently in an online supplement of the journal SLEEP, and Walia will present the findings Tuesday, June 4, in Baltimore, Md., at SLEEP 2013, the 27th annual meeting of the Associated Professional Sleep Societies LLC.
Even under the close care of a cardiologist following national guidelines for treatment of cardiovascular risk and comprehensive medication regimens, severe levels of OSA versus a moderate level of OSA appear to be contributing to suboptimal blood pressure control, said Walia.
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What Is The Relationship Between Sleep Apnea And High Blood Pressure
In healthy individuals, blood pressure naturally lowers by between 10 and 20% at night, a phenomenon that is sometimes referred to as blood pressure dipping. People with severe OSA experience blood pressure dips less than 10%, which indicates a non-dipping blood pressure pattern.
People who have non-dipping blood pressure at night face an increased risk for cardiovascular issues. Additionally, many patients with OSA experience a sudden and pronounced elevation of their blood pressure when they wake up in the morning. This morning surge is another factor that may increase risk for cardiovascular disease. OSA doesnt only affect blood pressure at night. Studies show that daytime blood pressure levels also increase with sleep apnea severity.
Sleep apnea is one of the most common sleep disorders in the United States. Of people diagnosed with OSA, it is estimated that around half also have high blood pressure. The good news is that treatment for sleep apnea may aid in lowering blood pressure levels.
If you are suffering from high blood pressure it may benefit you to get checked for sleep apnea. Call one of our sleep medicine professionals today and get on the road to a healthier and happier you!
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Why Sleep Apnea Affects Your Blood Pressure
Sleep apnea can increase your blood pressure in several ways.
When you stop breathing, even for a moment, the oxygen level in your blood can drop while the carbon dioxide levels increase. This can impact how well your heart can contract and pump blood to the tissues in your body.
Another way OSA increases blood pressure is lack of sleep. have linked sleeping fewer than 5 hours a night or having frequent sleep interruptions common in people with OSA to an increase in blood pressure.
OSA has other effects that may contribute to high blood pressure, including:
- whole-body inflammation
Studies have shown that CPAP use doesnt just help treat sleep apnea it may also slightly lower your daytime blood pressure levels.
If youve received a diagnosis of sleep apnea, a healthcare professional may write you a prescription for a CPAP machine. The machine is supplied by specialty service suppliers who work with insurance providers.
Most insurance providers cover CPAP machines as long as you have a prescription from a healthcare professional for these services. Medicare also covers CPAP machines.
After you receive your prescription and your machine, a healthcare professional will teach you how to use the machine. Follow the manufacturers directions for cleaning and caring for your device to prevent issues such as pneumonia or other respiratory infections.
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