Nighttime sleep, its disturbances, and subjective assessment in patients with essential arterial hypertension
Abstract
Aim. To investigate nighttime sleep disturbances in patients with essential arterial hypertension (EAH) and possible effects of these disturbances on EAH clinical course.
Material and methods. In total, 98 patients with Stage I-II EAH were examined. All participants underwent standard clinical examination, 24-hour blood pressure monitoring (BPM), questionnaire survey on nighttime sleep disturbances, and time deficit level measurement.
Results. EAH patients were characterized by frequent intrasomnic and presomnic disturbances, such as difficulty falling asleep, frequent night awakening, snoring, and superficial sleep. Fifty per cent of the patients regarded general quality of their sleep as "good", 35,71 % - as "fair", 10,20 % - as "bad", and only 4,08 % - as "very good". A group of EAH patients was identified, characterised by severe nighttime sleep disorders, elevated anxiety level, and disturbed circadian BP profile (non-dippers, night-peakers).
Conclusion. EAH patients often suffered from somnologic disturbances, which progressed with longer duration and more severe clinical course of the disease. For early EAH stages, intra- and presomnic disturbances were typical, with further development of general sleep structure disorders.
About the Author
N. S. N.S. Pegova
Nizhny Novgorod State Medical Academy. Nizhny Novgorod
Russian Federation
Russian Federation
References
1. 1993 Guidelines of the management of mild hypertension: memorandum from a World Health Organisation/International Society of Hypertension meeting. J Hypertens 1993; 11: 905-18.
2. Kannel W.B., Sorlie P. Hypertension: relationship with other risk factors. Drugs 1986; 3: 1-11.
3. Mac Mahon S.W., Cutler J.A., Furberg C.D., Payne G.H. The effects of drug treatment for hypertension on morbidity and mortality from cardiovascular disease: a review of randomised trail. Prog Cardiovasc Dis 1986; 29(Suppl 1): 99-118.
4. Beevers H.S. Hypertension in practice. Second Edition. Dunitz 1995; V3.
5. Ольбинская Л.И., Хапаев Б.А. Нарушения сна у больны с артериальной гипертензией -возможный фактор риска и предиктор сердечно-сосудистых и цереброваскулярных осложнений. Кардиология 1999; 6: 18-22.
6. Кобалава Ж.Д., Котовская Ю.В. Мониторирование артериального давления: методические аспекты и клиническое значение. Под ред. В.С. Моисеева. Москва 1999; 234 с.
7. Рогоза А.Н., Никольский В.П., Ощепкова Е.В. Суточное мониторирование артериального давления при гипертонии: методические вопросы. Под ред. Арабидзе Г.Г., Атькова О.Ю. Москва: Российский кардиологический научно-производственный комплекс МЗ РФ 1997; 45 с.
8. Staessen J., Fagart R., Thijs I.A. Cosensus view on the technique of ambulatory blood pressure monitoring. Hypertension 1995; 26:912-8.
9. Масевич Ц.Г. Функциональные методы исследования в клинике внутренних болезней. Москва 1977; 251 с.
10. Моисеева Н.И. Восприятие времени человеческим сознанием. Под ред. Ф.И. Комарова. Москва 1989.
11. Baumgart P., Walger P., Gemen S. et al. Blood pressure elevation during the night in chronic renal failure, hemodialisis and after renal transplantation. Nefron 1991; 57: 293-8.
12. Pickering T.G. The clinical significance of diurnal blood pressure variations. Dipper and nondippers. Circulation 1992; 81: 700-2.
13. Shimada K., Kawamoto A., Matsubayashi K. et al. Diurnal blood pressure variation and silent cerebrovascular damage in elderly patients with hypertension. J Hypertens 1992; 10: 875-8.
14. Palatini P., Penzo M., Racioppa A. et al. Clinical relevance of night-time blood pressure and of daytime blood pressure variability. Arch Intern Med 1992; 152: 1855-60.
15. Verdecchia P., Schillaci G., Guerrierri M. et al. Orcadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation 1994; 81: 528-36.
16. Verdecchia P., Schillaci G., Boldrini F., et al. Sex, cardiac hypertrophy and diurnal blood pressure variations in essential hypertensives. J Hypertens 1992; 10: 683-92.
17. Verdecchia P., Porcellati C., Shillaci G. et al. Ambulatory blood pressure: an independent predictor of prognosis in essential hypertension. J Hypertens 1994; 24: 793-801.
Review
For citations:
N.S. Pegova N.S. Nighttime sleep, its disturbances, and subjective assessment in patients with essential arterial hypertension. Cardiovascular Therapy and Prevention. 2008;7(3):31-34. (In Russ.)
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