TY - JOUR
T1 - Treating sleep disorders to improve blood pressure control and cardiovascular prevention
T2 - A dream come true?—a narrative review
AU - Maiolino, Giuseppe
AU - Bisogni, Valeria
AU - Silvani, Alessandro
AU - Pengo, Martino Francesco
AU - Lombardi, Carolina
AU - Parati, Gianfranco
N1 - Publisher Copyright:
© Journal of Thoracic Disease. All rights reserved.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/10
Y1 - 2020/10
N2 - Hypertension is one of the primary risk factors for heart disease and stroke, the leading causes of death worldwide. Current evidence supports the treatment of high blood pressure (BP) values in order to obtain a substantial reduction of cardiovascular burden. Sleep plays an important role in maintaining nocturnal BP control and nocturnal hypertension which, in turn, can be affected by the presence of sleep disorders. Whilst respiratory disturbances have been extensively studied and their causal role in the development of nocturnal hypertension has been demonstrated in both cross sectional and prospective studies, less is known about the impact of other sleep disorders such as insomnia. In this review, we aim to describe the role of sleep disorders in the development of nocturnal and diurnal hypertension. Furthermore, we aim to discuss the potential impact of the treatment of such sleep disorders on BP values as an adjunct treatment for patients with hypertension.
AB - Hypertension is one of the primary risk factors for heart disease and stroke, the leading causes of death worldwide. Current evidence supports the treatment of high blood pressure (BP) values in order to obtain a substantial reduction of cardiovascular burden. Sleep plays an important role in maintaining nocturnal BP control and nocturnal hypertension which, in turn, can be affected by the presence of sleep disorders. Whilst respiratory disturbances have been extensively studied and their causal role in the development of nocturnal hypertension has been demonstrated in both cross sectional and prospective studies, less is known about the impact of other sleep disorders such as insomnia. In this review, we aim to describe the role of sleep disorders in the development of nocturnal and diurnal hypertension. Furthermore, we aim to discuss the potential impact of the treatment of such sleep disorders on BP values as an adjunct treatment for patients with hypertension.
KW - Hypertension
KW - Nocturnal blood pressure
KW - Sleep disorders
KW - Therapy
UR - http://www.scopus.com/inward/record.url?scp=85094627305&partnerID=8YFLogxK
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U2 - 10.21037/jtd-cus-2020-014
DO - 10.21037/jtd-cus-2020-014
M3 - Review article
AN - SCOPUS:85094627305
VL - 12
SP - S225-S234
JO - Journal of Thoracic Disease
JF - Journal of Thoracic Disease
SN - 2072-1439
ER -