Obstructive Sleep Apnea and Resistant Hypertension

Gonçalves, Sandro Cadaval; Martinez, Dênis; Gus, Miguel; Abreu-Silva, Erlon Oliveira de; Bertoluci, Carolina; Dutra, Isabela; Branchi, Thaís Valenti; Moreira, Leila Beltrami; Fuchs, Sandra Costa; Oliveira, Ana Claudia Tonelli de; Fuchs, Flávio Danni

doi:10.1378/chest.07-1170

Cited by 221 publications

(146 citation statements)

References 24 publications

(2 reference statements)

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“…Persons with hypertension therefore should be worked up for OSA. Generally, 50% of hypertensive patients have OSA, and up to 70% of patients with resistant hypertension or hypertensive crises may have OSA [15,16]. In patients with hypertension who have at least one other symptom of OSA, such as snoring or daytime somnolence, the prevalence of OSA is increased to 85% [8].…”

Section: Discussionmentioning

confidence: 99%

Simplified Berlin Questionnaire for Screening of High Risk for Obstructive Sleep Apnea Among Thai Male Healthcare Workers

Arunsurat

Luengyosluechakul

Prateephoungrat

et al. 2016

J UOEH

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: Obstructive Sleep Apnea (OSA) is a common disease associated with major cardiovascular diseases. Male subjects are more at higher risk for OSA than female subjects. The Berlin questionnaire is a beneficial screening tool for OSA and has 14 items. The Berlin questionnaire may need some adjustment for Thai or Asian populations. We aimed to find items that should be asked in the Berlin questionnaire to identify high risk for obstructive sleep apnea among Thai male healthcare workers. This study was performed in Thai male healthcare workers over the age of 35 and currently working at the Faculty of Medicine, Khon Kaen University. The Thai version of the Berlin questionnaire was randomly distributed. A study population of 273 subjects was required to provide a confidence value of 95%. An item analysis of the Berlin questionnaire was evaluated as independent factors for being high risk of OSA by using a multivariate logistic regression analysis. Of the 273 distributed questionnaires, 135 subjects returned then (49.5% response rate). Of those, 41 (30.4%) were identified as being at high risk of OSA. Only three items of the Berlin questionnaire, including frequent snoring, high body mass index and hypertension, were independently associated with being at high risk for OSA. In conclusion, the Berlin questionnaire can be shortened to identify high risk for OSA by itself; not polysomnography.

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Section: Discussionmentioning

confidence: 99%

Simplified Berlin Questionnaire for Screening of High Risk for Obstructive Sleep Apnea Among Thai Male Healthcare Workers

Arunsurat

Luengyosluechakul

Prateephoungrat

et al. 2016

J UOEH

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show abstract

“…The routine procedures employed to search for secondary hypertension included high clinic suspicion, mostly resistance to treatment, abnormality in urinalysis, creatinine or potassium, followed by the determination of aldosterone/renin ratio and renal artery Doppler when indicated. Obstructive sleep apnea was investigated in some patients as a part of a protocol of a case-control study 14 , but they were not classified as having secondary hypertension, since this syndrome is still recognized as a risk factor for resistant hypertension and not a definite cause. Adherence to drug treatment was evaluated by the Morisky-Green test 15 .…”

Section: Methodsmentioning

confidence: 99%

Prevalência de hipertensão resistente em adultos não idosos: estudo prospectivo em contexto ambulatorial

Massierer

Oliveira

Steinhorst

et al. 2012

Arq. Bras. Cardiol.

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“…[3] The uncontrolled hypertension may be related to worsened quality of life. [4] The relationships between patient, disease, treatment variables and HRQoL have been reported. [5] Lower HRQoL in patients with hypertension compared with normotensive individuals has been reported recent systematic review and meta-analysis of observational studies of health-related quality of life (HRQoL) in hypertensive patients.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Health-Related Quality of Life among Hypertensive Patients of Loralai, Pakistan

Khan¹,

Haq²,

Riaz³

et al. 2018

JPPCM

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Obstructive Sleep Apnea and Resistant Hypertension

Cited by 221 publications

References 24 publications

Simplified Berlin Questionnaire for Screening of High Risk for Obstructive Sleep Apnea Among Thai Male Healthcare Workers

Simplified Berlin Questionnaire for Screening of High Risk for Obstructive Sleep Apnea Among Thai Male Healthcare Workers

Prevalência de hipertensão resistente em adultos não idosos: estudo prospectivo em contexto ambulatorial

Assessment of Health-Related Quality of Life among Hypertensive Patients of Loralai, Pakistan

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