The association of hypertension and secondary cardiovascular disease with sleep-disordered breathing.
We present a review of the English-language literature from 1972 through 2000 pertaining to systemic high BP in patients with sleep-disordered breathing (SDB). We reviewed studies assessing the relationship between obstructive sleep apnea, central sleep apnea or periodic breathing, and systemic high BP, and present an approach to the management of these patients. Complications of obesity and the role of the sympathetic nervous system are reviewed as well. It is the aim of these reviews to draw qualified conclusions, based on the current literature, with regard to SDB as a causative or contributory factor in systemic hypertension.
Dart
Richard A
RA
Department of Nephrology and Hypertension, Marshfield Clinic Marshfield, WI 54449, USA. dart.richard@marshfieldclinic.org
Gregoire
James R
JR
Gutterman
David D
DD
Woolf
Steven H
SH
D002318:Cardiovascular Diseases / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000503:physiopathology; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000503:physiopathology