Open AccessAssociation of Sleep Related Breathing-Disorder with Systemic Hypertension - A Cross Sectional Study from Akola, India
Author(s) -
Dhondiba Haribhau Bhise
Publication year - 2021
Publication title -
journal of evolution of medical and dental sciences
Language(s) - English
Resource type - Journals
eISSN - 2278-4802
pISSN - 2278-4748
DOI - 10.14260/jemds/2021/536
Subject(s) - medicine , blood pressure , polysomnography , hypopnea , breathing , obstructive sleep apnea , apnea–hypopnea index , sleep apnea , epworth sleepiness scale , sleep (system call) , cardiology , anesthesia , apnea , computer science , operating system
BACKGROUND Hypertension or elevated blood pressure is a serious medical condition, obstructive sleep apnoea (OSA) is an important identifiable cause of hypertension. Early identification and treatment of sleep disordered breathing contributes to prevention of hypertension, and treatment of OSA may improve blood pressure control as well. This observational study was done to demonstrate the association of sleepdisordered breathing with patients who have systemic hypertension. METHODS Total 94 patients were included in this study. Out of ninety-four patients, eleven patients had mild sleep apnoea, nine patients had moderate sleep apnoea, and twelve had severe sleep apnoea. RESULTS In mild OSA there were four patients with blood pressure 140 - 160 / 91 - 100 and > 160 / 100 mmHg respectively. In severe obstructive sleep apnoea there were 5, 7, 6 and 2 patients in the group of blood pressure 160 / 100 mmHg respectively. The severity of hypertension is strongly associated with apnoea-hypopnea index (AHI). CONCLUSIONS This study shows a statistically significant association of hypertension with obstructive sleep apnoea and increased severity of hypertension associated with the increased severity of obstructive sleep apnoea hypopnea syndrome (OSAHS). KEY WORDS Hypertension, polysomnography, apnoea / hypopnea index (AHI), Epworth sleepiness scale (ESS), Body Mass Index (BMI), obstructive sleep apnoea (OSA), obstructive sleep apnoea / hypopnea syndrome (OSAHS)