Progression of obstructive sleep apnoea after renal denervation is not associated with hypertension exaggeration.
Apnea-hypopnea index
Obstructive sleep apnea
Renal denervation
Resistant hypertension
Sympathetic nervous system
Journal
BMC pulmonary medicine
ISSN: 1471-2466
Titre abrégé: BMC Pulm Med
Pays: England
ID NLM: 100968563
Informations de publication
Date de publication:
23 Nov 2023
23 Nov 2023
Historique:
received:
10
09
2022
accepted:
20
03
2023
medline:
27
11
2023
pubmed:
24
11
2023
entrez:
23
11
2023
Statut:
epublish
Résumé
In a cohort, observational prospective trial, we assessed the long-term dynamics of sleep-disordered breathing in patients with resistant hypertension after renal denervation and their association with blood pressure change at remote follow-up. Twenty-eight patients with stable hypertension who were recruited for endovascular radiofrequency renal denervation in 2012-2019 and had valid both baseline and follow-up sleep study, were included in the analysis. All patients underwent physical examination, anthropometry, office and ambulatory blood pressure measurements, blood and urine tests, kidney visualization, and full polysomnography before and within 12-36 months after renal denervation. The average follow-up comprised 30.1 ± 8.4 months. At long-term follow-up, no significant changes in creatinine level, estimated glomerular filtration rate, body mass index were registered. There was a significant increase in sleep apnea severity indices: the mean change in apnea-hypopnea index comprised 9.0(-21.1;25.2) episodes/h, in oxygen desaturation index 6.5(-16.8;35.9) episodes/h, in the average SpO Although the severity of sleep apnea worsens at > 12 months follow-up after renal denervation, this is not associated with hypertension exaggeration.
Identifiants
pubmed: 37996833
doi: 10.1186/s12890-023-02757-1
pii: 10.1186/s12890-023-02757-1
pmc: PMC10668416
doi:
Substances chimiques
Oxygen
S88TT14065
Types de publication
Clinical Trial
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
467Subventions
Organisme : Russian Science Support Foundation
ID : 075-15-2020-800
Organisme : Russian Science Support Foundation
ID : 075-15-2020-800
Informations de copyright
© 2023. The Author(s).
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