Effect of short term graded withdrawal of nasal continuous positive airway pressure on systemic blood pressure in patients with obstructive sleep apnoea

Blood Pressure

Volumn 5, Issue 4, 1996, Pages 234-240

  Stradling, J R ^a   Partlett, J ^a   Davies, R J O ^a   Siegwart, D ^b   Tarassenko, L ^b  

^a CHURCHILL HOSPITAL   (United Kingdom)

^b UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

hypertension; hypoxaemia; nasal continuous positive airway pressure; obstructive sleep apnoea

Indexed keywords

ADULT; AGED; ARTICLE; BLOOD PRESSURE MONITORING; CLINICAL ARTICLE; CLINICAL PROTOCOL; ELECTROENCEPHALOGRAPHY; HUMAN; HYPERTENSION; HYPOXEMIA; MALE; OBESITY; OXIMETRY; OXYGEN SATURATION; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; RISK FACTOR; SLEEP APNEA SYNDROME;

EID: 0030015923     PISSN: 08037051     EISSN: None     Source Type: Journal    
DOI: 10.3109/08037059609079677     Document Type: Article

References (52)

1. He J, Kryger MH, Zorick FJ, Conway W, Roth T. Mortality and apnea index in obstructive sleep apnea. Experience in 385 male patients. Chest 1988; 94: 9-14.
2. Partinen M, Jamieson A, Guilleminault C. Long-term outcome for obstructive sleep apnea syndrome patients. Mortality. Chest 1988; 94: 1200-4.
3. Stradling JR. Sleep apnoea and systemic hypertension. Thorax 1989; 44: 984-9.
4. Carlson J, Davies R, Ehlenz K, Grunstein R, Hedner J, Podszus T, et al. Obstructive sleep apnea and blood pressure elevation. What is the relationship? Blood Pressure 1993; 2: 166-82.
5. Carlson J, Hedner J, Elam M, Ejnell H, Sellgren J, Wallin G. Augmented resting sympathetic activity in awake patients with obstructive sleep apnea. Chest 1993; 103: 1763-8.
6. Marrone O, Riccobono L, Salvaggio A, Mirabella A, Bonanno A, Bonsignore MR. Catecholamines and blood pressure in obstructive sleep apnea syndrome. Chest 1993; 103: 722-7.
7. Freidman M, Rosenman R, Carroll V. Changes in the serum cholestrol and blood clotting time in men subjected to cyclic variations of occupational stress. Circulation 1958; 17: 852-61.
8. Tiihonen M, Partinen M, Narvanen S. The severity of obstructive sleep apnoea is associated with insulin resistance. J Sleep Res 1993; 2: 56-61.
9. Strohl K, Novak RD, Singer W, Cahan C, Boehm KD, Denko CW, et al. Insulin levels, blood pressure and sleep apnea. Sleep 1994; 17: 614-8.
10. Gupta S, Foran JPM, Corrigan J, Wray R, Dyson AJ. Increased thrombotic tendency in patients with obstructive sleep apnoea. Thorax 1994; 49: 1062P(Abstract).
11. Ehlenz K, Peter JH, Kaffarnik H, von Wichert P. Disturbance in volume-regulating hormone systems: a key to the pathogenesis of hypertension in obstructive sleep apnea? Pneumologie 1991; (Suppl 45): 239-45.
12. Hedner J, Ejnell H, Caidahl K. Left ventricular hypertrophy independent of hypertension in patients with obstructive sleep apnoea. J Hypertens 1990; 8: 941-6.
13. Davies RJO, Crosby J, Prothero A, Stradling JR. Ambulatory blood pressure and left ventricular hypertrophy in untreated obstructive sleep apnoea and snoring, compared to matched controls, and their response to treatment. Clin Sci 1994; 86: 417-24.
14. Hedner J, Carlson J, Ejnell H, Pettersson LE. Sleep apnea, age and obesity. Independent risk factors for development of hypertension. High prevalence of hypertension independently of obesity. Am Rev Respir Dis 1993; 147: A1018.
15. Rauscher H, Popp W, Zwick H. Systemic hypertension in snorers with and without sleep apnea. Chest 1992; 102: 367-71.
16. Millman RP, Redline S, Carlisle CC, Assaf AR, Levinson PD. Daytime hypertension in obstructive sleep apnea. Prevalence and contributing risk factors. Chest 1991; 99: 861-6.
17. Levinson PD, Millman RP. Causes and consequences of blood pressure alterations in obstructive sleep apnea. Arch Intern Med 1991; 151: 455-2.
18. Levinson PD, McGarvey ST, Carlisle CC, Eveloff SE, Herbert PN, Millman RP. Adiposity and cardiovascular risk factors in men with obstructive sleep apnea. Chest 1993; 103: 1336-42.
19. Ali NJ, Davies RJO, Fleetham JA, Stradling JR. The acute effects of continuous positive airway pressure and oxygen administration on blood pressure during obstructive sleep apnea. Chest 1992; 101: 1526-32.
20. Davies RJO, Crosby J, Vardi-Visy K, Clarke M, Strad-ling JR. Non-invasive beat to beat arterial blood pressure during non-REM sleep in obstructive sleep apnoea and snoring. Thorax 1994; 49: 335-9.
21. Davies RJO, Belt PJ, Robert SJ, Ali NJ, Stradling JR. Arterial blood pressure responses to graded transient arousal from sleep in normal humans. J Appl Physiol 1993; 74: 1123-30.
22. Shepard JW. Gas exchange and hemodynamics during sleep. Med Clin North Am 1985; 69: 1243-64.
23. Ringler J, Basner RC, Shannon R, Schwartzstein R, Manning H, Weinberger SE, et al. Hypoxemia alone does not explain blood pressure elevations after obstructive apneas. J Appl Physiol 1990; 69: 2143-8.
24. Mayer J, Becker H, Brandenburg U, Penzel T, Peter JH, von Wiehert P. Blood pressure and sleep apnoea: results of long-term nasal continuous positive airways pressure therapy. Cardiology 1991; 79: 84-92.
25. Jennum P, Wildschiodtz G, Christensen NJ, Schwartz T. Blood pressure, catecholamines, and pancreatic polypeptide in obstructive sleep apnea with and without nasal continuous positive airway pressure (nCPAP) treatment. Am J Hypertens 1989; 2: 847-52.
26. Hedner J, Darpo B, Ejnell H, Carlson J, Caidahl K. Reduction in sympathetic activity after long-term CPAP treatment in sleep apnoea: cardiovascular implications. Eur Respir J 1995; 8: 222-9.
27. Wilcox I, Grunstein RR, Hedner JA, Doyle J, Collins FL, Fletcher PJ, et al. Effect of nasal continuous positive airway pressure during sleep on 24-hour blood pressure in obstructive sleep apnea. Sleep 1993; 16: 539-44.
28. Rauscher H, Formanek D, Popp W, Zwick H. Nasal CPAP and weight loss in subjects with obstructive sleep apnoea. Thorax 1993; 48: 529-33.
29. Suzuki M, Otsuka K, Guilleminault C. Long-term nasal continuous positive airway pressure administration can normalize hypertension in obstructive sleep apnea patients. Sleep 1993; 16: 545-9.
30. Worsnop CJ, Pierce RJ, Naughton M. Systemic hypertension and obstructive sleep apnea. Sleep 1993; 16(Suppl 6): S148-9.
31. Warley AR, Mitchell JH, Stradling JR. Evaluation of the Ohmeda 3700 pulse oximeter. Thorax 1987; 42: 892-96.
32. Rechtschaffen A, Kales A. A manual of standardised terminology, techniques and scoring system for sleep stages of human subjects. Washington DC: National Institutes of Health, Publication No 204, 1968.
33. Roberts S, Tarassenko L. New method of automated sleep quantification. Med Biol Eng Comp 1992; 30: 509-17.
34. Davies RJO, Roberts SJ, Channon KJ, Stradling JR. Cyclical EEG and blood pressure changes during Cheyne-Stokes respiration. Eur Respir J 1993; 6(Suppl 17): 392(Abstract).
35. Siegwart D, Tarassenko L, Roberts SJ, Stradling JR, Partlett J. Sleep apnoea analysis from neural network processing. 4th IEE International Conference on artificial neural networks 1995; Cambridge, UK: (Abstract).
36. Hope SL, Alun-Jones E, Sleight P. Validation of the accuracy of the Medilog ABP non-invasive blood-pressure monitor. J Amb Mon 1988; 1: 39-51.
37. Cody RP, Smith JK. Applied statistics and the SAS programming language. 2nd ed. New York: Elsevier, 1987.
38. Bland JM, Altman DG. Calculating correlation coefficients with repeated observations: Part 1-correlation within subjects. BMJ. 1995; 310: 446.
39. Ryan CF, Lowe AA, Li D, Fleetham JA. Magnetic resonance imaging of the upper airway in obstructive sleep apnea before and after chronic nasal continuous positive airway pressure therapy. Am Rev Respir Dis 1991; 144: 939-44.
40. Bonnet M, Carley D, Carskadon M, Easton P, Guilleminault C, Harper R, et al. EEG arousals: scoring rules and examples. A preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorders Association. Sleep 1992; 15: 173-84.
41. Guilleminault C, Tilkian A, Dement WC. The sleep apnea syndromes. Ann Rev Med 1976; 27: 465-84.
42. Stradling JR, Crosby JH. Relation between systemic hypertension and sleep hypoxaemia or snoring: analysis in 748 men drawn from general practice. BMJ. 1990; 300: 75-8.
43. Escourrou P, Jirani A, Nedelcoux H, Duroux P, Gaultier C. Systemic hypertension in sleep apnea syndrome. Relationship with sleep architecture and breathing abnormalities. Chest 1990; 98: 1362-5.
44. Wilcox I, Grunstein RR, Collins FL, Doyle JM, Kelly DT, Sullivan CE. Circadian rhythm of blood pressure in patients with obstructive sleep apnea. Blood Pressure 1993; 1: 219-22.
45. Hoffstein V, Rubinstein I, Mateika S, Slutsky AS. Determinants of blood pressure in snorers. Lancet 1988; ii: 992-4.
46. Grunstein RR, Wilcox I, Yang TS, Gould Y, Hedner JA. Snoring and sleep apnoea in men: association with central obesity and hypertension. Int J Obesity 1993; 17: 533-40.
47. Hoffstein V, Mateika J. Evening-to-morning blood pressure variations in snoring patients with and without obstructive sleep apnea. Chest 1992; 101: 379-84.
48. Hedner J, Ejnell H, Sellgren J, Hedner T, Wallin G. Is high and fluctuating muscle nerve sympathetic activity in the sleep apnoea syndrome of pathogenetic importance for the development of hypertension? J Hypertens 1988; Suppl 6: S529-31.
49. Fletcher EC, Miller J, Schaaf JW, Fletcher JG. Urinary catecholamines before and after tracheostomy in patients with obstructive sleep apnea and hypertension. Sleep 1987; 10: 35-44.
50. Oparil S. The sympathetic nervous system in clinical and experimental hypertension. Kidney Int 1986; 30: 437-52.
51. Warley AR, Mitchell JH, Stradling JR. Prevalence of nocturnal hypoxaemia amongst men with mild to moderate hypertension. Q J Med 1988; 68: 637-44.
52. Davies RJO, Jenkins NE, Stradling JR. Effect of measuring ambulatory blood pressure on sleep and on blood pressure during sleep. BMJ. 1994; 308: 820-3.