Obstructive sleep apnea syndrome and sleep quality in hypertensive patients

Detalhes bibliográficos
Autor(a) principal: Bacci,Marcelo Rodrigues
Data de Publicação: 2017
Outros Autores: Emboz,Jonathan Naim Mora, Alves,Beatriz da Costa Aguiar, Veiga,Glaucia Luciano da, Murad,Neif, Meneghini,Adriano, Chagas,Antonio Carlos P., Fonseca,Fernando Luiz Affonso
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017001201055
Resumo: Summary Introduction: Obstructive sleep apnea and hypopnea syndrome (OSAHS) is one of the developmental factors of high blood pressure (HBP), a relevant global public health problem. OSAHS is characterized by the reduction or complete cessation of respiratory airflow due to intermittent airway collapse. Additionally, significant changes in sleep rhythm and pattern are observed in these patients. Objective: To evaluate the association between OSAHS and sleep quality in essential and resistant hypertensives. Method: A cross-sectional, observational study evaluated 43 hypertensive patients treated at the outpatient clinics of the Faculdade de Medicina do ABC (FMABC) who were medicated with two or more antihypertensive drugs and divided into nonresistant or resistant to treatment. Results: Group I (using up to two antihypertensive agents – 60.47% of the sample) presented mean systolic blood pressure (SBP) of 127.5±6.4 mmHg, mean diastolic blood pressure (DBP) of 79.6±5.2 mmHg, mean body mass index (BMI) of 27.2±5.3 kg/m2 and mean age of 51.2±15.1 years. Group II (using more than two antihypertensive drugs – 37.2% of the sample) presented mean SBP of 132.1±9.3 mmHg, mean DBP of 84.5±5.8 mmHg, mean BMI of 27.2±7.2 kg/m2 and mean age of 55.5±13.4 years. The patients presented low quality of sleep/sleep disorder evaluated by the Pittsburgh Sleep Quality Index (PSQI), which represents a preponderant factor for OSAHS. Conclusion: Patients at high risk for OSAHS had poor sleep quality and high levels of DBP, suggesting a causal relation between these parameters. However, they did not present a higher prevalence of resistant high blood pressure (RHBP).
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spelling Obstructive sleep apnea syndrome and sleep quality in hypertensive patientsapneasleep apnea syndromessleep apneaobstructivehypertensionsleepSummary Introduction: Obstructive sleep apnea and hypopnea syndrome (OSAHS) is one of the developmental factors of high blood pressure (HBP), a relevant global public health problem. OSAHS is characterized by the reduction or complete cessation of respiratory airflow due to intermittent airway collapse. Additionally, significant changes in sleep rhythm and pattern are observed in these patients. Objective: To evaluate the association between OSAHS and sleep quality in essential and resistant hypertensives. Method: A cross-sectional, observational study evaluated 43 hypertensive patients treated at the outpatient clinics of the Faculdade de Medicina do ABC (FMABC) who were medicated with two or more antihypertensive drugs and divided into nonresistant or resistant to treatment. Results: Group I (using up to two antihypertensive agents – 60.47% of the sample) presented mean systolic blood pressure (SBP) of 127.5±6.4 mmHg, mean diastolic blood pressure (DBP) of 79.6±5.2 mmHg, mean body mass index (BMI) of 27.2±5.3 kg/m2 and mean age of 51.2±15.1 years. Group II (using more than two antihypertensive drugs – 37.2% of the sample) presented mean SBP of 132.1±9.3 mmHg, mean DBP of 84.5±5.8 mmHg, mean BMI of 27.2±7.2 kg/m2 and mean age of 55.5±13.4 years. The patients presented low quality of sleep/sleep disorder evaluated by the Pittsburgh Sleep Quality Index (PSQI), which represents a preponderant factor for OSAHS. Conclusion: Patients at high risk for OSAHS had poor sleep quality and high levels of DBP, suggesting a causal relation between these parameters. However, they did not present a higher prevalence of resistant high blood pressure (RHBP).Associação Médica Brasileira2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017001201055Revista da Associação Médica Brasileira v.63 n.12 2017reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.63.12.1055info:eu-repo/semantics/openAccessBacci,Marcelo RodriguesEmboz,Jonathan Naim MoraAlves,Beatriz da Costa AguiarVeiga,Glaucia Luciano daMurad,NeifMeneghini,AdrianoChagas,Antonio Carlos P.Fonseca,Fernando Luiz Affonsoeng2018-02-21T00:00:00Zoai:scielo:S0104-42302017001201055Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2018-02-21T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
title Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
spellingShingle Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
Bacci,Marcelo Rodrigues
apnea
sleep apnea syndromes
sleep apnea
obstructive
hypertension
sleep
title_short Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
title_full Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
title_fullStr Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
title_full_unstemmed Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
title_sort Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
author Bacci,Marcelo Rodrigues
author_facet Bacci,Marcelo Rodrigues
Emboz,Jonathan Naim Mora
Alves,Beatriz da Costa Aguiar
Veiga,Glaucia Luciano da
Murad,Neif
Meneghini,Adriano
Chagas,Antonio Carlos P.
Fonseca,Fernando Luiz Affonso
author_role author
author2 Emboz,Jonathan Naim Mora
Alves,Beatriz da Costa Aguiar
Veiga,Glaucia Luciano da
Murad,Neif
Meneghini,Adriano
Chagas,Antonio Carlos P.
Fonseca,Fernando Luiz Affonso
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Bacci,Marcelo Rodrigues
Emboz,Jonathan Naim Mora
Alves,Beatriz da Costa Aguiar
Veiga,Glaucia Luciano da
Murad,Neif
Meneghini,Adriano
Chagas,Antonio Carlos P.
Fonseca,Fernando Luiz Affonso
dc.subject.por.fl_str_mv apnea
sleep apnea syndromes
sleep apnea
obstructive
hypertension
sleep
topic apnea
sleep apnea syndromes
sleep apnea
obstructive
hypertension
sleep
description Summary Introduction: Obstructive sleep apnea and hypopnea syndrome (OSAHS) is one of the developmental factors of high blood pressure (HBP), a relevant global public health problem. OSAHS is characterized by the reduction or complete cessation of respiratory airflow due to intermittent airway collapse. Additionally, significant changes in sleep rhythm and pattern are observed in these patients. Objective: To evaluate the association between OSAHS and sleep quality in essential and resistant hypertensives. Method: A cross-sectional, observational study evaluated 43 hypertensive patients treated at the outpatient clinics of the Faculdade de Medicina do ABC (FMABC) who were medicated with two or more antihypertensive drugs and divided into nonresistant or resistant to treatment. Results: Group I (using up to two antihypertensive agents – 60.47% of the sample) presented mean systolic blood pressure (SBP) of 127.5±6.4 mmHg, mean diastolic blood pressure (DBP) of 79.6±5.2 mmHg, mean body mass index (BMI) of 27.2±5.3 kg/m2 and mean age of 51.2±15.1 years. Group II (using more than two antihypertensive drugs – 37.2% of the sample) presented mean SBP of 132.1±9.3 mmHg, mean DBP of 84.5±5.8 mmHg, mean BMI of 27.2±7.2 kg/m2 and mean age of 55.5±13.4 years. The patients presented low quality of sleep/sleep disorder evaluated by the Pittsburgh Sleep Quality Index (PSQI), which represents a preponderant factor for OSAHS. Conclusion: Patients at high risk for OSAHS had poor sleep quality and high levels of DBP, suggesting a causal relation between these parameters. However, they did not present a higher prevalence of resistant high blood pressure (RHBP).
publishDate 2017
dc.date.none.fl_str_mv 2017-12-01
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dc.relation.none.fl_str_mv 10.1590/1806-9282.63.12.1055
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.63 n.12 2017
reponame:Revista da Associação Médica Brasileira (Online)
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reponame_str Revista da Associação Médica Brasileira (Online)
collection Revista da Associação Médica Brasileira (Online)
repository.name.fl_str_mv Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)
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