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People with sleep-disordered breathing (SDB) have an increased risk of developing hypertension, independent of all relevant risk factors.1, 2, 3, 4 This risk is related to SDB severity; the more severe the SDB, the greater the risk of developing hypertension.2
During healthy sleep, blood pressure decreases, but SDB patients instead tend to experience:
SDB is present in more than 30% of patients with hypertension,6 and in around 80% of patients with drug resistant hypertension.7 For this group of patients in particular, treatment with positive airway pressure therapy may be especially important.8, 5
Nieto FJ, Young TB, et al. Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study.
Bixler EO, Vgontzas AN, at el. Association of hypertension and sleep-disordered breathing.
Sjostrom C, Lindberg E, et al. Prevalence of sleep apnoea and snoring in hypertensive men: a population based study.
Logan AG, Perlikowski SM,et al. High prevalence of unrecognized sleep apnoea in drug-resistant hypertension.
Montesi et al. The Effect of Continuous Positive Airway Pressure Treatment on Blood Pressure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials, Journal of Clinical Sleep Medicine. 2012
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