High incidence of masked hypertension in patients with obstructive sleep apnoea despite normal automated office blood pressure measurement results

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F20%3A73606348" target="_blank" >RIV/61989592:15110/20:73606348 - isvavai.cz</a>

Výsledek na webu

<a href="https://europepmc.org/article/med/33393649" target="_blank" >https://europepmc.org/article/med/33393649</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5603/ARM.a2020.0198" target="_blank" >10.5603/ARM.a2020.0198</a>

Jazyk výsledku

angličtina

Název v původním jazyce

High incidence of masked hypertension in patients with obstructive sleep apnoea despite normal automated office blood pressure measurement results

Popis výsledku v původním jazyce

Introduction: Obstructive sleep apnoea (OSA) is a well-known risk factor for masked hypertension (MH) and masked uncontrolled hypertension (MUCH). Automated ambulatory office blood pressure measurement (AOBP) might better correlate with the results of ambulatory blood pressure measurements (ABPM) compared to routine office blood pressure measurement (OBPM). The aim of this study was to compare the diagnostic rate of MH/MUCH when using OBPM and AOBP in combination with ABPM. Material and methods: 65 OSA patients, of which 58 were males, (AHI &gt; 5, mean 44.4; range 5-103) of average age 48.8 +/- 10.7 years were involved in this study. Following MH/MUCH criteria were used; Criteria I: OBPM &lt; 140/90 mm Hg and daytime ABPM &gt; 135/85 mm Hg; Criteria II: AOBP &lt; 140/90 mm Hg and daytime ABPM &gt; 135/85 mm Hg; Criteria III: AOBP &lt; 135/85 mm Hg and daytime ABPM &gt; 135/85 mm Hg. Results: MH/MUCH criteria I was met in 16 patients (24.6%) with criteria II being met in 37 patients (56.9%), and criteria III in 33 (51.0%), p &lt; 0.0001. Both systolic and diastolic OBPM were significantly higher than AOBP; Systolic (mm Hg): 135.3 +/- 12.3 vs 122.1 +/- 10.1 (p &lt; 0.0001); Diastolic (mm Hg): 87.4 +/- 8.9 vs 77.1 +/- 9.3 (p &lt; 0.0001). AOBP was significantly lower than daytime ABPM; Systolic (mm Hg): 122.1 +/- 10.1 vs 138.9 +/- 10.5 (p &lt; 0.0001); Diastolic (mm Hg): 77.1 +/- 9.3 vs 81.6 +/- 8.1 (p &lt; 0.0001). Non-dipping phenomenon was present in 38 patients (58.4%). Nocturnal hypertension was present in 55 patients (84.6%). Conclusions: In patients with OSA there is a much higher prevalence of MH/MUCH despite normal AOBP, therefore it is necessary to perform a 24-hour ABPM even if OBPM and AOBP are normal.

Název v anglickém jazyce

High incidence of masked hypertension in patients with obstructive sleep apnoea despite normal automated office blood pressure measurement results

Popis výsledku anglicky

Introduction: Obstructive sleep apnoea (OSA) is a well-known risk factor for masked hypertension (MH) and masked uncontrolled hypertension (MUCH). Automated ambulatory office blood pressure measurement (AOBP) might better correlate with the results of ambulatory blood pressure measurements (ABPM) compared to routine office blood pressure measurement (OBPM). The aim of this study was to compare the diagnostic rate of MH/MUCH when using OBPM and AOBP in combination with ABPM. Material and methods: 65 OSA patients, of which 58 were males, (AHI &gt; 5, mean 44.4; range 5-103) of average age 48.8 +/- 10.7 years were involved in this study. Following MH/MUCH criteria were used; Criteria I: OBPM &lt; 140/90 mm Hg and daytime ABPM &gt; 135/85 mm Hg; Criteria II: AOBP &lt; 140/90 mm Hg and daytime ABPM &gt; 135/85 mm Hg; Criteria III: AOBP &lt; 135/85 mm Hg and daytime ABPM &gt; 135/85 mm Hg. Results: MH/MUCH criteria I was met in 16 patients (24.6%) with criteria II being met in 37 patients (56.9%), and criteria III in 33 (51.0%), p &lt; 0.0001. Both systolic and diastolic OBPM were significantly higher than AOBP; Systolic (mm Hg): 135.3 +/- 12.3 vs 122.1 +/- 10.1 (p &lt; 0.0001); Diastolic (mm Hg): 87.4 +/- 8.9 vs 77.1 +/- 9.3 (p &lt; 0.0001). AOBP was significantly lower than daytime ABPM; Systolic (mm Hg): 122.1 +/- 10.1 vs 138.9 +/- 10.5 (p &lt; 0.0001); Diastolic (mm Hg): 77.1 +/- 9.3 vs 81.6 +/- 8.1 (p &lt; 0.0001). Non-dipping phenomenon was present in 38 patients (58.4%). Nocturnal hypertension was present in 55 patients (84.6%). Conclusions: In patients with OSA there is a much higher prevalence of MH/MUCH despite normal AOBP, therefore it is necessary to perform a 24-hour ABPM even if OBPM and AOBP are normal.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30203 - Respiratory systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Advances in Respiratory Medicine

ISSN

2451-4934

e-ISSN

—

Svazek periodika

88

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

PL - Polská republika

Počet stran výsledku

7

Strana od-do

567-573

Kód UT WoS článku

000606716200011

EID výsledku v databázi Scopus

2-s2.0-85099267829