Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study

Acıcan, Turan; GÜLBAY, Banu ERİŞ; KAYA, Aslıhan GÜRÜN

Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study

Aslıhan GÜRÜN KAYA, (Ankara Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Ana Bilim Dalı, Ankara, Türkiye)

Banu ERİŞ GÜLBAY, (Ankara Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Ana Bilim Dalı, Ankara, Türkiye)

Turan ACICAN (Ankara Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Ana Bilim Dalı, Ankara, Türkiye)

The Anatolian Journal of Cardiology

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Yıl: 2020 Cilt: 23 Sayı: 6 Sayfa Aralığı: 334 - 341 Metin Dili: İngilizce İndeks Tarihi: 17-11-2020

Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study

Öz:

Objective: Obstructive sleep apnea (OSA) is associated with elevated blood pressure (BP) and increases the risk of developing cardiovasculardiseases. This study aimed to determine the clinical and polysomnographic features of OSA that are significantly associated with hypertension (HT).Methods: This is a prospective study that enrolled patients diagnosed with OSA in Ankara University Faculty of Medicine from January 2015 toJune 2016. The patients were categorized into normotensives (n=125) and hypertensives (n=141). BP was taken at the evening before and themorning after polysomnography (PSG). The polysomnographic findings of normotensive and hypertensive patients were compared, and independent risk factors that are associated with HT were analyzed.Results: Hypertensive patients exhibited older age and higher Epworth sleepiness scale (ESS), apnea–hypopnea index (AHI), mean apnea duration, arousal index, and oxygen desaturation index (ODI) than normotensive patients. Nocturnal oxygen desaturation (NOD) was more frequentand the percentage of the duration of NOD to total sleep time (TST) was higher in hypertensive than normotensive patients. Multivariate analysesrevealed that age (OR: 1.095, 95%CI 1.053 to 1.139, p<0.001), ESS (OR: 1.186, 95%CI 1.071 to 1.313, p=0.001), mean apnea duration (OR: 1.072, 95%CI1.032 to 1.113, p=0.002), ODI (OR: 1.062, 95%CI 1.025 to 1.101, p=0.001), and NOD (OR: 2.439, 95%CI 1.170 to 5.086, p=0.017) were independent riskfactors for HT in OSA.Conclusion: This study suggests that age, ESS, parameters of oxygenation, and apnea duration were associated with HT in patients with OSA.Hence, patients with OSA with these findings should be evaluated for HT. (Anatol J Cardiol 2020; 23: 334-41)

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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KAYA A, GÜLBAY B, Acıcan T (2020). Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. , 334 - 341.
Chicago	KAYA Aslıhan GÜRÜN,GÜLBAY Banu ERİŞ,Acıcan Turan Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. (2020): 334 - 341.
MLA	KAYA Aslıhan GÜRÜN,GÜLBAY Banu ERİŞ,Acıcan Turan Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. , 2020, ss.334 - 341.
AMA	KAYA A,GÜLBAY B,Acıcan T Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. . 2020; 334 - 341.
Vancouver	KAYA A,GÜLBAY B,Acıcan T Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. . 2020; 334 - 341.
IEEE	KAYA A,GÜLBAY B,Acıcan T "Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study." , ss.334 - 341, 2020.
ISNAD	KAYA, Aslıhan GÜRÜN vd. "Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study". (2020), 334-341.

APA	KAYA A, GÜLBAY B, Acıcan T (2020). Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. The Anatolian Journal of Cardiology, 23(6), 334 - 341.
Chicago	KAYA Aslıhan GÜRÜN,GÜLBAY Banu ERİŞ,Acıcan Turan Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. The Anatolian Journal of Cardiology 23, no.6 (2020): 334 - 341.
MLA	KAYA Aslıhan GÜRÜN,GÜLBAY Banu ERİŞ,Acıcan Turan Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. The Anatolian Journal of Cardiology, vol.23, no.6, 2020, ss.334 - 341.
AMA	KAYA A,GÜLBAY B,Acıcan T Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. The Anatolian Journal of Cardiology. 2020; 23(6): 334 - 341.
Vancouver	KAYA A,GÜLBAY B,Acıcan T Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study. The Anatolian Journal of Cardiology. 2020; 23(6): 334 - 341.
IEEE	KAYA A,GÜLBAY B,Acıcan T "Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study." The Anatolian Journal of Cardiology, 23, ss.334 - 341, 2020.
ISNAD	KAYA, Aslıhan GÜRÜN vd. "Clinical and polysomnographic features of hypertension in obstructive sleep apnea: A single-center cross-sectional study". The Anatolian Journal of Cardiology 23/6 (2020), 334-341.