Cor Vasa 2019, 61(3):e327-e332 | DOI: 10.33678/cor.2019.021

Obstructive sleep apnea syndrome as a cause of secondary arterial hypertension: a case report

Petr Štverkaa, Miroslav Homzaa, Vilém Novákb
a Cardiovascular Department, University Hospital Ostrava, Ostrava
b Center for Sleep and Wakefulness Disorders, Sleep Laboratory, Department of Pediatric Neurology, University Hospital Ostrava, Ostrava

Sleep medicine is a young discipline that has experienced unprecedented development in the last ten years. It is a multidisciplinary field that necessitates cooperation with other medical disciplines. Sleep apnea is a condition in which sleep medicine impacts cardiology. The pathophysiology of obstructive sleep apnea includes, inter alia hyperactivation of the sympathetic nervous system (SNS) with a number of implications for the cardiovascular system. This case report reveals the importance of considering obstructive sleep apnea syndrome in relation to resistant hypertension.

Keywords: Continuous positive airway pressure therapy, Metabolic syndrome, Obstructive sleep apnea syndrome, Resistant hypertension, Sympathetic nervous system

Received: January 9, 2019; Accepted: April 7, 2018; Published: June 21, 2019  Show citation

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Štverka P, Homza M, Novák V. Obstructive sleep apnea syndrome as a cause of secondary arterial hypertension: a case report. Cor Vasa. 2019;61(3):e327-332. doi: 10.33678/cor.2019.021.
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    References

    1. Šonka K, Slonková J. Spánková apnoe dospělého věku, Cesk Slov Neurol N 2008;71/146(6):643-656.
    2. Nieto FJ, Young TP, Link BK, et al. Association of sleep disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study. JAMA 2000;283:1829-1836. Go to original source... Go to PubMed...
    3. Hobzová M. Syndrom obstrukční spánkové apnoe. Interní Med pro Prax 2010;12:148-151.
    4. Weiss JW, Remsburg S, Garpestad E, et al. Hemodynamic consequences of obstructive sleep apnea. Sleep 1996;19:388-397. Go to original source... Go to PubMed...
    5. Ludka O, Kára T, Drozdová A, et al. Spánková apnoe a kardiovaskulární onemocnění. Kardiol Rev 2013;15:87-93.
    6. Szymanski FM, Karpinski G, Platek AE, Filipiak KJ, Acute myocardial infarction type 2 secondary to the obstructive sleep apnea. Cor Vasa 2013;55:e449-e452. Go to original source...
    7. Cutler MJ, Hamdan AL, Hamdan MH, et al. Sleep apnea: from the nose to the heart. J Am Board Fam Pract 2002;15:128-141. Go to PubMed...
    8. Widimský J, et al. Arteriální hypertenze - současné klinické trendy. Praha: Triton, 2014, pp. 57-65.
    9. Václavík J. Obtížně léčitelná hypertenze, Praha: Mladá fronta, 2015, pp. 50-57.
    10. Borges F, Lorenzi-Filho G, Drager L. Effectiveness of continuous positive airway pressure in lowering blood pressure in patients with obstructive sleep apnea. Integr Blood Press Control 2016;9:43-47. Go to original source... Go to PubMed...
    11. Novák V, Plačková M. Spánek a hypertenze. Med Praxi 2012;9:242-246.
    12. Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in men. Lancet 2005;365:1046-1053. Go to original source... Go to PubMed...
    13. Montesi SB, Edwards BA, Malhotra A, et al. The effect of continuous positive airway pressure treatment on blood pressure: a systematic review and meta-analysis of randomized controlled trials. J Clin Sleep Med 2012;8:587-596. Go to original source... Go to PubMed...
    14. Phillips CL, Grunstein RR, Ali Darendeliler M, et al. Health Outcomes of Continuous Positive Airway Pressure versus Oral Appliance Treatment for Obstructive Sleep Apnea, All AJRCCM Issues 2013;187:255-256. Go to original source... Go to PubMed...
    15. Barbe F, Duran-Cantolla J, Capote F, et al. Long term effect of continuous positive airway pressure in hypertensive patients with sleep apnea. Am J Crit Care Med 2010;181:718-726. Go to original source... Go to PubMed...
    16. Sánchez-de-la-Torre M, Khalyfa A, Sánchez-de-la-Torre A, et al. Precision Medicine in patients with resistant hypertension and obstructive sleep apnea: blood pressure response to continuous positive airway pressure treatment. J Am Coll Cardiol 2015;66:1023-1032. Go to original source... Go to PubMed...
    17. Lévy P, Tamisier R, Minville C, et al. Sleep apnoea syndrome in 2011: current concepts and future directions. Eur Respir Rev 2011;121:134-146. Go to original source... Go to PubMed...
    18. McEvoy D, Antic N, Heeley E, et al, CPAP for Prevention of Cardiovascular events in Obstructive Sleep Apnea. N Engl J Med 2016;375:919-931. Go to original source... Go to PubMed...
    19. Martínez-García MA, Capote F, Campos-Rodríguez F, et al. Spanish Sleep Network Effect of CPAP on blood pressure in patients with obstructive sleep apnea and resistant hypertension: the HIPARCO randomized clinical trial. JAMA 2013;310:2407-2415. Go to original source... Go to PubMed...
    20. Iftikhar IH, Valentine CW, Bittencourt LR, et al. Effects of continuous positive airway pressure on blood pressure in patients with resistant hypertension and obstructive sleep apnea: a meta-analysis. J Hypertens 2014;32:2341-2350. Go to original source... Go to PubMed...
    21. Ding N, Lin W, Zhang XL. Overnight fluid shifts in subjects with and without obstructive sleep apnea. J Thorac Dis 2014;6:1736-1741. Go to PubMed...

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