People Often Die In Their Sleep.
People with doze apnea and hard-to-control drunk blood pressure may see their blood pressure drop if they treat the catnap disorder, Spanish researchers report. Continuous positive airway pressure (CPAP) is the orthodox treatment for sleep apnea, a condition characterized by disrupted breathing during sleep. The drop disorder has been linked to high blood pressure. Patients in this study were taking three or more drugs to tone down their blood pressure, in addition to having sleep apnea.
Participants who used the CPAP device for 12 weeks reduced their diastolic blood compel (the bottom number in a blood pressure reading) and improved their overall nighttime blood pressure, the researchers found. "The popularity of sleep apnea in patients with uncompliant high blood pressure is very high," said lead researcher Dr Miguel-Angel Martinez-Garcia, from the Polytechnic University Hospital in Valencia. "This forty winks apnea therapy increases the probability of recovering the normal nocturnal blood pressure pattern.
Patients with resistant great in extent blood pressure should undergo a sleep study to rule out obstructive sleep apnea, Martinez-Garcia said. "If the resolute has sleep apnea, he should be treated with CPAP and undergo blood compression monitoring". The report, published in the Dec 11, 2013 issue of the Journal of the American Medical Association, was partly funded by Philips-Respironics, maker of the CPAP combination used in the study.
The CPAP organized whole consists of a motor that pushes air through a tube connected to a mask that fits over the patient's announce and nose. The device keeps the airway from closing, and thus allows interminable sleep. Sleep apnea is a common disorder. The pauses in breathing that patients know-how can last from a few seconds to minutes and they can occur 30 times or more an hour.
As a result, sleep standing is poor, making sleep apnea a leading cause of excessive daytime sleepiness, according to the US National Heart, Lung, and Blood Institute. Dr Gregg Fonarow, a spokesman for the American Heart Association and professor of cardiology at the University of California, Los Angeles, agrees that most patients with hard-to-control anticyclone blood on also go down from sleep apnea. "Close to three out of four patients with uncooperative high blood pressure have been found to have obstructive sleep apnea, and this sleep apnea may supply to the difficulty to control the blood pressure in these patients.
Although this study showed a benefit from CPAP in controlling blood pressure, questions be there about the treatment's overall effectiveness. "Whether these improvements in blood pressure can be ceaseless in the long term and will translate to improved health outcomes will require additional studies. According to the paramount medical liaison for Philips Respironics, Dr Teofilo Lee-Chiong, the CPAP artifice allows the patient to sleep, and thus lets the blood pressure drop normally as it would at night.
And "Patients have to get occupied to it, and most patients do," said Lee-Chiong, who is also a professor of medicine at National Jewish Health at the University of Colorado Denver. The sturdy of the device is akin to a fan and can be lessened by placing the figure under the bed or using earplugs. The cost of CPAP machines vary but can spread from a few hundred dollars to $1000, Lee-Chiong said.
CPAP is covered by most insurance, including Medicare. For the study, Martinez-Garcia and colleagues randomly assigned 194 patients with zizz apnea and considerable blood pressure to CPAP or no CPAP. During the study the patients continued to take their blood intimidate medications. The researchers found that those receiving CPAP lowered their 24-hour average blood require 3,1 mm Hg more than those not receiving CPAP.
In addition, those treated with CPAP had a 3,2 mm Hg greater reduction in 24-hour customary diastolic blood pressure.The idiosyncrasy in systolic pressure wasn't statistically significant between the two treatment groups, the researchers noted.Over the 12 weeks of the study, about 36 percent of those receiving CPAP had at least a 10 percent pinch in nighttime blood pressure, compared with 22 percent of patients not receiving CPAP. The systolic pressure, the pre-eminent number, measures the coerce in the arteries when the heart beats as example. The diastolic pressure, the bottom number, measures the bring pressure to bear in the arteries between beats.
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