Is Resistant Hypertension a Risk Factor for Sleep Apnea?

This article originally appeared here.
Sleep apnea with resistant HTN linked to increased risk of ischemic heart event, congestive heart failure.
Sleep apnea with resistant HTN linked to increased risk of ischemic heart event, congestive heart failure.

(HealthDay News) -- Among adults with hypertension, resistant hypertension (RH) is associated with increased risk of sleep apnea, according to a study published online in Respirology.

Simran K. Bhandari, MD, from the Kaiser Permanente Los Angeles Medical Center, and colleagues conducted a retrospective cohort study involving 470,386 adults with hypertension within an integrated health system. The authors determined the rates of sleep apnea in RH and non-RH patients.

Continue Reading Below

The researchers identified sleep apnea in 7.2% of adults with hypertension. Sleep apnea occurred in 9.6% of those with RH and in 6.8% of those with non-RH. The multivariable odds ratios were 1.16, 3.57, and 2.20 for sleep apnea in RH versus non-RH, body mass index ≥30 kg/m², and males, respectively. Sleep apnea in RH had a multivariable adjusted hazard ratio of 1.24 (95% confidence interval [CI], 1.13 to 1.36) for ischemic heart disease; 1.43 (95% CI, 1.28 to 1.61) for congestive heart failure; 0.98 (95% CI, 0.85 to 1.12) for stroke; and 1.04 (95% CI, 0.95 to 1.14) for mortality, compared to sleep apnea in non-RH individuals.

"We observed a modest increase in likelihood for sleep apnea among RH compared to non-RH patients," the authors write.

Source

1. Bhandari SK, Shi J, Molnar MZ, et al. Comparisons of sleep apnoea rate and outcomes among patients with resistant and non-resistant hypertension. Respirology. doi: 10.1111/resp.12840.

Loading links....
You must be a registered member of Renal and Urology News to post a comment.