Diagnostic and Therapeutic Approach to Sleep Disorders, High Blood Pressure and Cardiovascular Diseases: A Consensus Document by the Italian Society of Hypertension (SIIA).
Antihypertensive Agents
/ therapeutic use
Blood Pressure
/ drug effects
Cardiovascular Diseases
/ diagnosis
Circadian Rhythm
Comorbidity
Consensus
Continuous Positive Airway Pressure
Healthy Lifestyle
Heart Disease Risk Factors
Humans
Hypertension
/ diagnosis
Prognosis
Risk Assessment
Risk Reduction Behavior
Sleep
Sleep Apnea, Obstructive
/ diagnosis
Sleep Initiation and Maintenance Disorders
/ diagnosis
Blood pressure
Cardiovascular risk
Hypertension
Sleep disorders
Journal
High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension
ISSN: 1179-1985
Titre abrégé: High Blood Press Cardiovasc Prev
Pays: New Zealand
ID NLM: 9421087
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
28
12
2020
accepted:
06
02
2021
pubmed:
26
2
2021
medline:
7
4
2021
entrez:
25
2
2021
Statut:
ppublish
Résumé
Hypertension is a major contributor to fatal/nonfatal cardiovascular diseases, and timely identification and appropriate management of factors affecting hypertension and its control are mandatory public health issues. By inducing neurohormonal alterations and metabolic impairment, sleep disorders have an impact on a variety of cardiovascular risk factors, including hypertension, and ultimately increase the risk of cardiovascular events. There is evidence that qualitative and quantitative sleep disorders are associated with resistant hypertension and with impaired circadian blood pressure variations. However, sleep disturbances are often unrecognized, or heterogeneity exists in their management by non-specialists in the field. This document by the Italian Society of Hypertension summarizes the updated evidence linking sleep disorders to hypertension and cardiovascular diseases, the major underlying mechanisms, and the possible management strategies. A simplified, evidence-based diagnostic and therapeutic algorithm for comorbid hypertension and common sleep disorders, namely obstructive sleep apnoea and insomnia, is proposed.
Identifiants
pubmed: 33630269
doi: 10.1007/s40292-021-00436-y
pii: 10.1007/s40292-021-00436-y
pmc: PMC7952372
doi:
Substances chimiques
Antihypertensive Agents
0
Types de publication
Journal Article
Practice Guideline
Langues
eng
Sous-ensembles de citation
IM
Pagination
85-102Investigateurs
Rita Del Pinto
(R)
Guido Grassi
(G)
Claudio Ferri
(C)
Guido Grassi
(G)
Claudio Ferri
(C)
Maria Lorenza Muiesan
(ML)
Massimo Salvetti
(M)
Leonardo Sechi
(L)
Arrigo F G Cicero
(AFG)
Guido Iaccarino
(G)
Pietro Minuz
(P)
Paolo Mulatero
(P)
Giuseppe Mulè
(G)
Giacomo Pucci
(G)
Carmine Savoia
(C)
Claudio Borghi
(C)
Massimo Volpe
(M)
Enrico Agabiti Rosei
(E)
Francesco Cipollone
(F)
Giovambattista Desideri
(G)
Agostino Virdis
(A)
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