Krieger Ana C, Redeker Nancy S
New York University School of Medicine, VA New York Harbor Healthcare System, New York, USA.
J Cardiovasc Nurs. 2002 Oct;17(1):1-11. doi: 10.1097/00005082-200210000-00002.
Respiratory disturbance during sleep, in its most common form, obstructive sleep apnea, is a prevalent condition in the general population. During the past several years, researchers have investigated a possible link between obstructive sleep apnea and hypertension. This article discusses the available epidemiologic and clinical evidence supporting this link. The possible mechanisms leading to the development of hypertension in patients with obstructive sleep apnea will also be discussed, as well as the effects of therapeutic interventions on arterial blood pressure. Last, the clinical importance of such interaction, which may lead to excessive cardiovascular morbidity and mortality, will be addressed.
睡眠期间的呼吸紊乱,其最常见的形式即阻塞性睡眠呼吸暂停,在普通人群中是一种普遍存在的病症。在过去几年里,研究人员调查了阻塞性睡眠呼吸暂停与高血压之间可能存在的联系。本文讨论了支持这一联系的现有流行病学和临床证据。还将讨论阻塞性睡眠呼吸暂停患者发生高血压的可能机制,以及治疗干预对动脉血压的影响。最后,将阐述这种相互作用的临床重要性,它可能导致过高的心血管发病率和死亡率。