Recommendations for the management of patients with obstructive sleep apnoea and hypertension

Parati, Gianfranco; Lombardi, Carolina; Hedner, Jan; Bonsignore, Maria R; Grote, Ludger; Tkacova, Ruzena; Lévy, Patrick; Riha, Renata; Bassetti, Claudio; Narkiewicz, Krzysztof; Mancia, Giuseppe; McNicholas, Walter T; EU COST Action B26, members (2013). Recommendations for the management of patients with obstructive sleep apnoea and hypertension. European respiratory journal, 41(3), pp. 523-38. Sheffield, UK: European Respiratory Society 10.1183/09031936.00226711

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This article is aimed at addressing the current state-of-the-art in epidemiology, pathophysiology, diagnostic procedures and treatment options for appropriate management of obstructive sleep apnoea (OSA) in cardiovascular (in particular hypertensive) patients, as well as for the management of cardiovascular diseases (in particular arterial hypertension) in OSA patients. The present document is the result of work performed by a panel of experts participating in the European Union COST (Cooperation in Scientific and Technological research) Action B26 on OSA, with the endorsement of the European Respiratory Society and the European Society of Hypertension. In particular, these recommendations are aimed at reminding cardiovascular experts to consider the occurrence of sleep-related breathing disorders in patients with high blood pressure. They are also aimed at reminding respiration experts to consider the occurrence of hypertension in patients with respiratory problems at night.

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