People Often Die In Their Sleep.
People with nap apnea and hard-to-control huge blood pressure may see their blood pressure drop if they treat the rest disorder, Spanish researchers report. Continuous positive airway pressure (CPAP) is the type treatment for sleep apnea, a condition characterized by disrupted breathing during sleep. The drowse disorder has been linked to high blood pressure. Patients in this study were taking three or more drugs to decrease their blood pressure, in addition to having sleep apnea.
Participants who used the CPAP device for 12 weeks reduced their diastolic blood on (the bottom number in a blood pressure reading) and improved their overall nighttime blood pressure, the researchers found. "The rule of sleep apnea in patients with wilful high blood pressure is very high," said lead researcher Dr Miguel-Angel Martinez-Garcia, from the Polytechnic University Hospital in Valencia. "This zizz apnea curing increases the probability of recovering the normal nocturnal blood pressure pattern.
Patients with resistant exalted blood pressure should undergo a sleep study to rule out obstructive sleep apnea, Martinez-Garcia said. "If the unyielding has sleep apnea, he should be treated with CPAP and undergo blood persuade 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 methodology consists of a motor that pushes air through a tube connected to a mask that fits over the patient's entrance and nose. The device keeps the airway from closing, and thus allows constant sleep. Sleep apnea is a common disorder. The pauses in breathing that patients acquaintance can last from a few seconds to minutes and they can occur 30 times or more an hour.
As a result, sleep nobility 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 high-class blood influence also decline from sleep apnea. "Close to three out of four patients with unsubmissive high blood pressure have been found to have obstructive sleep apnea, and this sleep apnea may provide to the difficulty to control the blood pressure in these patients.
Although this study showed a benefit from CPAP in controlling blood pressure, questions tarry about the treatment's overall effectiveness. "Whether these improvements in blood pressure can be uniform in the long term and will translate to improved health outcomes will require additional studies. According to the ringleader medical liaison for Philips Respironics, Dr Teofilo Lee-Chiong, the CPAP scheme allows the patient to sleep, and thus lets the blood pressure drop normally as it would at night.
And "Patients have to get worn 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 unimpaired of the device is akin to a fan and can be lessened by placing the legend under the bed or using earplugs. The cost of CPAP machines vary but can run 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 repose apnea and elevated blood pressure to CPAP or no CPAP. During the study the patients continued to take their blood twist medications. The researchers found that those receiving CPAP lowered their 24-hour average blood pressurize 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 ordinary diastolic blood pressure.The characteristic 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 down in nighttime blood pressure, compared with 22 percent of patients not receiving CPAP. The systolic pressure, the climb number, measures the insistence in the arteries when the heart beats cock head licking. The diastolic pressure, the bottom number, measures the coerce in the arteries between beats.
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