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Screening for Sleep-Disordered Breathing
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We read with interest the article titled "Association of Hypertension
and Sleep-Disordered Breathing [SDB]."1
The authors concluded that SDB should be considered an independent risk factor
for hypertension.1 The converse may also
be true, although screening for SDB on the basis of hypertension alone is
not recommended.2 A retrospective review
of our 27 patients with SDB who were treated with various levels of continuous
positive airway pressure while sleeping revealed that 21 had the triad of
hypertension, obesity (body mass index [BMI, weight in kilograms divided by
the height in meters squared] >30), and dyslipoproteinemia.
Hypertension was evidenced by blood pressure levels greater than 140/90
mm Hg on several occasions or by use of antihypertensive medication. Patients
with dyslipoproteinemia were those who were on a regimen of diet and exercise
or who were taking medication for lipid disorders. The active pool of adult
patients (age range, 18-98 years) who were . . . [Full Text of this Article]
RELATED ARTICLE
Association of Hypertension and Sleep-Disordered Breathing
Edward O. Bixler, Alexandros N. Vgontzas, Hung-Mo Lin, Thomas Ten Have, Benjamin E. Leiby, Antonio Vela-Bueno, and Anthony Kales
Arch Intern Med. 2000;160(15):2289-2295.
ABSTRACT
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