Effectiveness of Continuous Positive Airway Pressure in Treating Hypertension in Obstructive Sleep Apnea: A Traditional Review.

Autor:	Modi NS; Department of Internal Medicine, Civil Hospital Ahmedabad, Ahmedabad, IND., Bajoria PS; Department of Internal Medicine, GMERS (Gujarat Medical Education and Research Society) Medical College Gandhinagar, Gandhinagar, IND., Dave PA; Department of Internal Medicine, Medical College Baroda, Vadodara, IND., Rohit RK; Department of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, IND., Tibrewal C; Department of Internal Medicine, Civil Hospital Ahmedabad, Ahmedabad, IND., Patel P; Department of Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.; Department of Internal Medicine, Medical College Baroda, Vadodara, IND., Gandhi SK; Department of Internal Medicine, Shri M.P. Shah Government Medical College, Jamnagar, IND., Gutlapalli SD; Department of Internal Medicine, Richmond University Medical Center, New York City, USA.; Department of Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Diaz K; Department of Pulmonary and Critical Care Medicine, Richmond University Medical Center, New York City, USA., Nfonoyim J; Department of Pulmonary and Critical Care Medicine, Richmond University Medical Center, New York City, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Jul 19; Vol. 15 (7), pp. e42111. Date of Electronic Publication: 2023 Jul 19 (Print Publication: 2023).
DOI:	10.7759/cureus.42111
Abstrakt:	Almost one billion individuals worldwide suffer from obstructive sleep apnea (OSA). The most widely used treatment for OSA has been continuous positive airway pressure (CPAP), but its effect on blood pressure (BP) has been challenged. Our review aims to evaluate the effects of treating OSA with CPAP on BP and BP-related morbidities in adult hypertensive patients. Medical subject headings (MeSH) terminology was used to search the PubMed Central, MEDLINE, and PubMed databases for articles on the use of CPAP in OSA patients with hypertension. We selected various forms of academic writing, encompassing complete texts that were published in the English language. The study included a total of 21 papers. OSA is a serious health concern associated with a higher risk of cardiovascular disease, kidney disease, pulmonary hypertension, and aortic stiffness, which is brought on by the periodic hypoxia caused by nocturnal respiratory episodes. For individuals with moderate-to-severe OSA, CPAP therapy has been shown to have a considerable long-term benefit with a median drop of 11 mm Hg, and high adherence results in a decrease in diastolic BP. CPAP therapy directly lowers BP in OSA patients with a body mass index (BMI) of more than 30 kg/m2 and has also demonstrated improvement in early signs of atherosclerosis with lower nocturnal systolic BP levels. OSA patients with resistant hypertension also experienced lower BP after using CPAP for a year. Therefore, our findings suggest that obesity, hypersomnolence, high nocturnal BP, prolonged CPAP usage, and resistant hypertension may all have a major impact on the BP response to CPAP therapy in individuals with severe OSA. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Modi et al.)
Databáze:	MEDLINE
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