Acute effects of continuous positive airway pressure in patients with obstructive sleep apnea
DC Field | Value | Language |
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dc.contributor.author | Han, Su-Hyun | - |
dc.contributor.author | Lee, Sang-Ahm | - |
dc.date.accessioned | 2021-06-18T07:17:49Z | - |
dc.date.available | 2021-06-18T07:17:49Z | - |
dc.date.issued | 2020-01 | - |
dc.identifier.issn | 1401-7431 | - |
dc.identifier.issn | 1651-2006 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/44338 | - |
dc.description.abstract | Objectives. To enhance the initial compliance of continuous positive airway pressure (CPAP) in the patient with obstructive sleep apnea (OSA), we investigate the acute effects of one-night CPAP on morning blood pressure (BP) and, if any exist, to determine which factors predict BP-lowering effects of one-night CPAP in OSA subgroups stratified by the presence or absence of uncontrolled hypertension. Design. Newly diagnosed OSA patients (a respiratory distress index (RDI) >= 15) without a history of hypertension were stratified by the presence or absence of morning hypertension. Comparisons were made of morning BP, overnight change in mean BP (MBP), and circadian BP pattern (R-M/E, the ratio of morning to evening MBP) between two time points of diagnostic and CPAP titrations in each subgroup. In the subgroup with a significantly reduced morning BP, predictors of changes in morning MBP were determined by multiple linear regression analyses. Results. The prevalence of morning hypertension was 48.8%. One-night CPAP reduced BP immediately only in patients with morning hypertension. By contrast, patients without morning hypertension did not experience any BP-lowering effects. In the subgroup with morning hypertension, baseline morning MBP, female sex, and R-M/E were independently associated with reduced morning MBP, and R-M/E was the most important predictor. Conclusions. These results confirm the acute effects of one-night CPAP on lowering BP in OSA patients with morning hypertension. An unfavorable circadian BP pattern is the most important predictor. | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | TAYLOR & FRANCIS LTD | - |
dc.title | Acute effects of continuous positive airway pressure in patients with obstructive sleep apnea | - |
dc.type | Article | - |
dc.identifier.doi | 10.1080/14017431.2019.1659395 | - |
dc.identifier.bibliographicCitation | SCANDINAVIAN CARDIOVASCULAR JOURNAL, v.54, no.1, pp 26 - 31 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000483657300001 | - |
dc.identifier.scopusid | 2-s2.0-85071725450 | - |
dc.citation.endPage | 31 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 26 | - |
dc.citation.title | SCANDINAVIAN CARDIOVASCULAR JOURNAL | - |
dc.citation.volume | 54 | - |
dc.type.docType | Article | - |
dc.publisher.location | 영국 | - |
dc.subject.keywordAuthor | Obstructive sleep apnea | - |
dc.subject.keywordAuthor | sleep disordered breathing | - |
dc.subject.keywordAuthor | continuous positive airway pressure | - |
dc.subject.keywordAuthor | hypertension | - |
dc.subject.keywordAuthor | blood pressure | - |
dc.subject.keywordPlus | BLOOD-PRESSURE | - |
dc.subject.keywordPlus | RESISTANT HYPERTENSION | - |
dc.subject.keywordPlus | MORNING HYPERTENSION | - |
dc.subject.keywordPlus | CONTROLLED-TRIAL | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | PREVALENCE | - |
dc.subject.keywordPlus | CPAP | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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