The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495 |
Resumo: | Introduction: Ambulatory blood pressure monitoring by automatic device is the best blood pressure evaluation method and sleep apnea syndrome is the leading cause of poor control. Oximetry allows screening these individuals but its usefulness has been poorly explored in Primary Health Care. The aim was to evaluate the blood pressure control at the office and with ambulatory blood pressure monitoring by automatic device and to relate it to sleep apnea syndrome.Material and Methods: We selected a sample of 50 participants, representative of 3036 hypertensive patients. The variables were: blood pressure value at the office and blood pressure with ambulatory blood pressure monitoring by automatic device; presence of criteria of sleep apnea syndrome in oximetry.Results: The prevalence of uncontrolled blood pressure was 56% on office evaluation and 68% on ambulatory blood pressure monitoring by automatic device. It was found: 36% of daytime hypertension, 52% nocturnal hypertension, 40% non-dipper profile, 16% of white coat hypertension and 28% masked hypertension. The prevalence of sleep apnea syndrome was 16%. Blood pressure in ambulatory blood pressure monitoring by automatic device and blood pressure in office showed no statistically significant association (p = 0.761). We found a statistically significant association between sleep apnea syndrome and daytime hypertension (p = 0.019) and non-dipper profile (p = 0.005).Discussion and Conclusion: Ambulatory blood pressure monitoring by automatic device detected more 12% of uncontrolled hypertension than office blood pressure. Sleep apnea syndrome is strongly associated with uncontrolled hypertension and oximetry may be a good screening method, but should be studied further. |
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The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse OximetryEstudo OXIMAPA: Controlo da Hipertensão por MAPA e Associação com Síndrome da Apneia do Sono por OximetriaBlood Pressure MonitoringAmbulatoryHypertensionOximetrySleep Apnea SyndromesHipertensãoMonitorização Ambulatória da Pressão ArterialOximetriaSíndromes da Apneia do SonoIntroduction: Ambulatory blood pressure monitoring by automatic device is the best blood pressure evaluation method and sleep apnea syndrome is the leading cause of poor control. Oximetry allows screening these individuals but its usefulness has been poorly explored in Primary Health Care. The aim was to evaluate the blood pressure control at the office and with ambulatory blood pressure monitoring by automatic device and to relate it to sleep apnea syndrome.Material and Methods: We selected a sample of 50 participants, representative of 3036 hypertensive patients. The variables were: blood pressure value at the office and blood pressure with ambulatory blood pressure monitoring by automatic device; presence of criteria of sleep apnea syndrome in oximetry.Results: The prevalence of uncontrolled blood pressure was 56% on office evaluation and 68% on ambulatory blood pressure monitoring by automatic device. It was found: 36% of daytime hypertension, 52% nocturnal hypertension, 40% non-dipper profile, 16% of white coat hypertension and 28% masked hypertension. The prevalence of sleep apnea syndrome was 16%. Blood pressure in ambulatory blood pressure monitoring by automatic device and blood pressure in office showed no statistically significant association (p = 0.761). We found a statistically significant association between sleep apnea syndrome and daytime hypertension (p = 0.019) and non-dipper profile (p = 0.005).Discussion and Conclusion: Ambulatory blood pressure monitoring by automatic device detected more 12% of uncontrolled hypertension than office blood pressure. Sleep apnea syndrome is strongly associated with uncontrolled hypertension and oximetry may be a good screening method, but should be studied further.Introdução: A monitorização ambulatorial da pressão arterial é o melhor método de avaliação da pressão arterial e a síndrome da apneia do sono é a principal causa de mau controlo. A oximetria permite rastrear estes indivíduos mas a sua utilidade tem sido pouco explorada em Cuidados de Saúde Primários. O objectivo foi avaliar o controlo da pressão arterial no consultório e na monitorização ambulatorial da pressão arterial, e relacioná-la com a síndrome da apneia do sono.Material e Métodos: Selecionou-se uma amostra de 50 participantes, representativa de 3036 doentes hipertensos. As variáveis avaliadas foram: valor de pressão arterial no consultório e na monitorização ambulatorial da pressão arterial; presença de critérios de síndrome da apneia do sono na oximetria.Resultados: A prevalência de pressão arterial não controlada foi de 56% no consultório e 68% na monitorização ambulatorial da pressão arterial. Encontrou-se: 36% de hipertensão diurna, 52% de hipertensão nocturna, 40% de perfil não-dipper, 16% de hipertensão da bata-branca e 28% de hipertensão mascarada. A prevalência de síndrome da apneia do sono foi 16%. A pressão arterial no consultório e na monitorização ambulatorial da pressão arterial não mostrou associação estatisticamente significativa (p = 0,761). Encontrou-se uma associação estatisticamente significativa entre síndrome de apneia do sono e hipertensão diurna (p = 0,019) e perfil não-dipper (p = 0,005).Discussão e Conclusão: A monitorização ambulatorial da pressão arterial detetou mais 12% de casos de hipertensão não controlada do que o consultório. A síndrome da apneia do sono está fortemente associada a hipertensão não controlada e a oximetria pode ser um bom método de rastreio, mas deve ser mais estudada.Ordem dos Médicos2017-02-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/mswordapplication/mswordapplication/mswordapplication/mswordapplication/mswordapplication/mswordapplication/mswordapplication/mswordapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495oai:ojs.www.actamedicaportuguesa.com:article/7495Acta Médica Portuguesa; Vol. 30 No. 2 (2017): February; 93-99Acta Médica Portuguesa; Vol. 30 N.º 2 (2017): Fevereiro; 93-991646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/4935https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8273https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8274https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8275https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8276https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8277https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8278https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8279https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8280https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8324https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8325https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8326https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8327https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8328https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8580https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8711Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessMaricoto, TiagoSilva, Eurico Alves RrodriguesDamião, PedroBastos, José Mesquita2022-12-20T11:05:13Zoai:ojs.www.actamedicaportuguesa.com:article/7495Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:27.760062Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry Estudo OXIMAPA: Controlo da Hipertensão por MAPA e Associação com Síndrome da Apneia do Sono por Oximetria |
title |
The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry |
spellingShingle |
The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry Maricoto, Tiago Blood Pressure Monitoring Ambulatory Hypertension Oximetry Sleep Apnea Syndromes Hipertensão Monitorização Ambulatória da Pressão Arterial Oximetria Síndromes da Apneia do Sono |
title_short |
The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry |
title_full |
The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry |
title_fullStr |
The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry |
title_full_unstemmed |
The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry |
title_sort |
The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry |
author |
Maricoto, Tiago |
author_facet |
Maricoto, Tiago Silva, Eurico Alves Rrodrigues Damião, Pedro Bastos, José Mesquita |
author_role |
author |
author2 |
Silva, Eurico Alves Rrodrigues Damião, Pedro Bastos, José Mesquita |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Maricoto, Tiago Silva, Eurico Alves Rrodrigues Damião, Pedro Bastos, José Mesquita |
dc.subject.por.fl_str_mv |
Blood Pressure Monitoring Ambulatory Hypertension Oximetry Sleep Apnea Syndromes Hipertensão Monitorização Ambulatória da Pressão Arterial Oximetria Síndromes da Apneia do Sono |
topic |
Blood Pressure Monitoring Ambulatory Hypertension Oximetry Sleep Apnea Syndromes Hipertensão Monitorização Ambulatória da Pressão Arterial Oximetria Síndromes da Apneia do Sono |
description |
Introduction: Ambulatory blood pressure monitoring by automatic device is the best blood pressure evaluation method and sleep apnea syndrome is the leading cause of poor control. Oximetry allows screening these individuals but its usefulness has been poorly explored in Primary Health Care. The aim was to evaluate the blood pressure control at the office and with ambulatory blood pressure monitoring by automatic device and to relate it to sleep apnea syndrome.Material and Methods: We selected a sample of 50 participants, representative of 3036 hypertensive patients. The variables were: blood pressure value at the office and blood pressure with ambulatory blood pressure monitoring by automatic device; presence of criteria of sleep apnea syndrome in oximetry.Results: The prevalence of uncontrolled blood pressure was 56% on office evaluation and 68% on ambulatory blood pressure monitoring by automatic device. It was found: 36% of daytime hypertension, 52% nocturnal hypertension, 40% non-dipper profile, 16% of white coat hypertension and 28% masked hypertension. The prevalence of sleep apnea syndrome was 16%. Blood pressure in ambulatory blood pressure monitoring by automatic device and blood pressure in office showed no statistically significant association (p = 0.761). We found a statistically significant association between sleep apnea syndrome and daytime hypertension (p = 0.019) and non-dipper profile (p = 0.005).Discussion and Conclusion: Ambulatory blood pressure monitoring by automatic device detected more 12% of uncontrolled hypertension than office blood pressure. Sleep apnea syndrome is strongly associated with uncontrolled hypertension and oximetry may be a good screening method, but should be studied further. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-02-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495 oai:ojs.www.actamedicaportuguesa.com:article/7495 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/7495 |
dc.language.iso.fl_str_mv |
eng |
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eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/4935 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8273 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8274 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8275 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8276 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8277 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8278 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8279 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8280 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8324 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8325 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8326 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8327 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8328 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8580 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7495/8711 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 30 No. 2 (2017): February; 93-99 Acta Médica Portuguesa; Vol. 30 N.º 2 (2017): Fevereiro; 93-99 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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