Gesteigerte Tagesmudigkeit, nachtliche Hypertonie und Schlafapnoe: Untersuchungen in einer Landarztpraxis

Translated title of the contribution: Increased daytime tiredness, nocturnal hypertension and sleep apnoea

L. Grote, H. Schneider, T. Ploch, T. Penzel, J. H. Peter

Research output: Contribution to journalArticlepeer-review

Abstract

Studies in a Rural General Practice: Sleep-Related Breathing Disorders (SRBD) and altered circadian blood pressure profile are related to increased cardiovascular risk. We investigated the prevalence and coincidence of both diseases in male patients from a general practice in a small community of 2500 people. Out of 409 selected patients (using a questionnaire regarding symptoms and findings of SRBD), 185 were monitored in an outpatient setting with an apnoea-screening system Mesam IV. Ambulatory blood pressure monitoring (Spacelabs 90207®), Holter-ECG and actigraphy were also measured. Sixty patients had a Respiratory Disturbance Index (RDI) > 10. An indication for further sleep studies was seen in 40 patients; 36.5% of daytime hypertensives were 'Non-Dipper', and 47.6% of normo-tensives were also 'Non-Dipper'. Excessive daytime sleepiness (EDS) is an important symptom of SRBD, and in this investigation we noticed a large number of patients without this symptom suffering from relevant SRBD. Therefore, absence of EDS alone is not indicative for the use of ambulatory monitoring.

Translated title of the contributionIncreased daytime tiredness, nocturnal hypertension and sleep apnoea
Original languageGerman
Pages (from-to)750-753
Number of pages4
JournalPneumologie
Volume51
Issue numberSUPPL. 3
StatePublished - Sep 16 1997

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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