Publication: Characteristics of hypertension in obstructive sleep apnea: An Asian experience
Issued Date
2021-03-01
Resource Type
ISSN
17517176
15246175
15246175
Other identifier(s)
2-s2.0-85102268392
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Clinical Hypertension. Vol.23, No.3 (2021), 489-495
Suggested Citation
Satoshi Hoshide, Kazuomi Kario, Yook Chin Chia, Saulat Siddique, Peera Buranakitjaroen, Kelvin Tsoi, Jam Chin Tay, Yuda Turana, Chen Huan Chen, Hao Min Cheng, Van Minh Huynh, Sungha Park, Arieska Ann Soenarta, Guru Prasad Sogunuru, Tzung Dau Wang, Ji Guang Wang Characteristics of hypertension in obstructive sleep apnea: An Asian experience. Journal of Clinical Hypertension. Vol.23, No.3 (2021), 489-495. doi:10.1111/jch.14184 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78387
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Title
Characteristics of hypertension in obstructive sleep apnea: An Asian experience
Other Contributor(s)
Siriraj Hospital
University Medicine and Pharmacy, Hue University
Sunway University
Jichi Medical University
Yonsei University Health System
Shanghai Jiao Tong University School of Medicine
Madras Institute of Orthopaedics and Traumatology Hospitals
National Taiwan University Hospital
Kathmandu University
National Yang-Ming University Taiwan
Universitas Katolik Indonesia Atma Jaya
Universitas Indonesia
Universiti Malaya
Veterans General Hospital-Taipei
Chinese University of Hong Kong
Tan Tock Seng Hospital
Punjab Medical Center
University Medicine and Pharmacy, Hue University
Sunway University
Jichi Medical University
Yonsei University Health System
Shanghai Jiao Tong University School of Medicine
Madras Institute of Orthopaedics and Traumatology Hospitals
National Taiwan University Hospital
Kathmandu University
National Yang-Ming University Taiwan
Universitas Katolik Indonesia Atma Jaya
Universitas Indonesia
Universiti Malaya
Veterans General Hospital-Taipei
Chinese University of Hong Kong
Tan Tock Seng Hospital
Punjab Medical Center
Abstract
Obstructive sleep apnea (OSA) is a risk of hypertension and is associated with cardiovascular disease (CVD) incidence. In Asian countries, the prevalence of OSA is high, as in Western countries. When blood pressure (BP) is evaluated in OSA individuals using ambulatory BP monitoring (ABPM), the BP phenotype often indicates abnormal BP variability, such as increased nighttime BP or abnormal diurnal BP variation, that is, non-dipper pattern, riser pattern, and morning BP surge, and all these conditions have been associated with increased CVD events. Asians have a higher prevalence of increased nighttime BP or morning BP surge than Westerners. Therefore, this review paper focused on OSA and hypertension from an Asian perspective to investigate the importance of the association between OSA and hypertension in the Asian population. Such abnormal BP variability has been shown to be associated with progression of arterial stiffness, and this association could provoke a vicious cycle between abnormal BP phenotypes and arterial stiffness, a phenomenon recognized as systemic hemodynamic atherothrombotic syndrome (SHATS). OSA may be one of the background factors that augment SHATS. An oxygen-triggered nocturnal oscillometric BP measurement device combined with a pulse oximeter for continuous SpO2 monitoring could detect BP variability caused by OSA. In addition to treating the OSA, accurate and reliable detection and treatment of any residual BP elevation and BP variability caused by OSA would be necessary to prevent CVD events. However, more detailed detection of BP variability, such as beat-by-beat BP monitoring, would further help to reduce CV events.