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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제55권 제5호
발행연도
2014.1
수록면
1,310 - 1,317 (8page)

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Purpose: Obstructive sleep apnea (OSA) is considered an independent risk factor for hypertension. However, it is still not clear which clinical factors are related with the presence of hypertension in OSA patients. We aimed to find different physical features and compare the sleep study results which are associated with the occurrenceof hypertension in OSA patients. Materials and Methods: Medical records were retrospectively reviewed for patients diagnosed with OSA at Severance CardiovascularHospital between 2010 and 2013. Males with moderate to severe OSA patientswere enrolled in this study. Clinical and polysomnographic features were evaluatedto assess clinical variables that are significantly associated with hypertension by statistical analysis. Results: Among men with moderate to severe OSA, age was negatively correlated with hypertension (odds ratio=0.956), while neck circumferencewas positively correlated with the presence of hypertension (odds ratio=1.363). Among the polysomnographic results, the lowest O2 saturation during sleep was significantlyassociated with the presence of hypertension (odds ratio=0.900). Conclusion:Age and neck circumference should be considered as clinically significant features,and the lowest blood O2 saturation during sleep should be emphasized in predicting the coexistence or development of hypertension in OSA patients.

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