Recommendations for the management of patients with obstructive sleep apnoea and hypertension

被引:161
作者
Parati, Gianfranco [1 ,2 ]
Lombardi, Carolina [2 ]
Hedner, Jan [3 ]
Bonsignore, Maria R. [4 ]
Grote, Ludger [3 ]
Tkacova, Ruzena [5 ]
Levy, Patrick [6 ]
Riha, Renata [7 ]
Bassetti, Claudio [8 ]
Narkiewicz, Krzysztof [9 ]
Mancia, Giuseppe [1 ]
McNicholas, Walter T. [10 ]
机构
[1] Univ Milano Bicocca, Dept Clin Med & Prevent, Milan, Italy
[2] Ist Auxol Italiano IRCSS, S Luca Hosp, Dept Cardiol, I-20159 Milan, Italy
[3] Sahlgrens Univ Hosp, Sleep Disorders Ctr, Gothenburg, Sweden
[4] Univ Palermo, Dept Med Pneumol Physiol & Nutr DIMPEFINU, Palermo, Italy
[5] Safarik Univ, Fac Med, Dept Resp Med & TB, L Pasteur Teaching Hosp, Kosice, Slovakia
[6] CHU Michallon, Grenoble Univ Hosp, Grenoble, France
[7] Royal Infirm Edinburgh NHS Trust, Dept Sleep Med, Edinburgh, Midlothian, Scotland
[8] Univ Zurich Hosp, Dept Neurol, CH-8091 Zurich, Switzerland
[9] Med Univ Gdansk, Dept Hypertens & Diabetol, Gdansk, Poland
[10] Univ Coll Dublin, Conway Res Insitute, St Vincents Univ Hosp, Resp Sleep Disorders Unit, Dublin 2, Ireland
关键词
Arterial hypertension; continuous positive airway pressure treatment; guidelines; hypertension treatment; obstructive sleep apnoea; POSITIVE AIRWAY PRESSURE; INDEPENDENT RISK-FACTOR; RANDOMIZED CONTROLLED-TRIAL; ACUTE ISCHEMIC-STROKE; BLOOD-PRESSURE; CARDIOVASCULAR-DISEASE; HEART-FAILURE; BREATHING DISORDERS; ARTERIAL STIFFNESS; CARDIAC MODULATION;
D O I
10.1183/09031936.00226711
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
This article is aimed at addressing the current state-of-the-art in epidemiology, pathophysiology, diagnostic procedures and treatment options for appropriate management of obstructive sleep apnoea (OSA) in cardiovascular (in particular hypertensive) patients, as well as for the management of cardiovascular diseases (in particular arterial hypertension) in OSA patients. The present document is the result of work performed by a panel of experts participating in the European Union COST (Cooperation in Scientific and Technological research) Action B26 on OSA, with the endorsement of the European Respiratory Society and the European Society of Hypertension. In particular, these recommendations are aimed at reminding cardiovascular experts to consider the occurrence of sleep-related breathing disorders in patients with high blood pressure. They are also aimed at reminding respiration experts to consider the occurrence of hypertension in patients with respiratory problems at night.
引用
收藏
页码:523 / 538
页数:16
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