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Childhood obstructive sleep apnoea: Hypertension was not mentioned

Published on Aug 13, 2005in BMJ27.604
· DOI :10.1136/bmj.331.7513.405-b
Daniel K. Ng15
Estimated H-index: 15
(Kwong Wah Hospital),
Chung-hong Chan18
Estimated H-index: 18
(Kwong Wah Hospital)
+ 2 AuthorsPok-yu Chow11
Estimated H-index: 11
Abstract
EDITOR—An important effect is missing in the editorial on childhood obstructive sleep apnoea by Kotagal.1 The neuropsychological sequelae of this condition were mentioned, but another effect was not—namely, high blood pressure. This omission is not uncommon as shown by a report on the global burden of hypertension.2 Currently, there is good evidence—for example, …
  • References (5)
  • Citations (4)
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References5
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#1Suresh Kotagal (Mayo Clinic)H-Index: 20
Serious neurobehavioural sequelae have prompted interest in diagnosis and management O bstructive sleep apnoea is characterised by oxygen desaturation and reduced oro-nasal air flow despite preserved thoracic and abdominal respiratory effort.1 It occurs in 1-2% of children and is more common in prematurely born infants and in black and Hispanic children.2 As our knowledge of this condition has grown, so has concern about it among parents and clinicians. How is it best diagnosed and managed? Habi...
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#1Patricia M. Kearney (Tulane University)H-Index: 32
#2Megan Whelton (Tulane University)H-Index: 5
Last. Jiang He (Tulane University)H-Index: 103
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Summary Background Reliable information about the prevalence of hypertension in different world regions is essential to the development of national and international health policies for prevention and control of this condition. We aimed to pool data from different regions of the world to estimate the overall prevalence and absolute burden of hypertension in 2000, and to estimate the global burden in 2025. Methods We searched the published literature from Jan 1, 1980, to Dec 31, 2002, using MEDLI...
4,845 CitationsSource
#1Scott E. Brietzke (Boston Children's Hospital)H-Index: 16
#2Eliot S. Katz (Boston Children's Hospital)H-Index: 29
Last. David W. Roberson (Boston Children's Hospital)H-Index: 15
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OBJECTIVE: Using an evidence-based technique, systematically review the literature to evaluate the accuracy of routine clinical history and physical examination in the diagnosis of obstructive sleep apnea/hypopnea syndrome (OSAHS) in the pediatric patient.STUDY DESIGN AND SETTING: The biomedical literature was systematically reviewed. Articles comparing the results of clinical evaluation to polysomnography (PSG) were selected. The level of evidence was assessed using established evidence-based m...
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#1Paul L. EnrightH-Index: 72
#2James L. Goodwin (UA: University of Arizona)H-Index: 31
Last. Stuart F. QuanH-Index: 61
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Background The Tucson Children's Assessment of Sleep Apnea study (TuCASA) was designed to investigate the prevalence and correlates of objectively measured sleep-related breathing disorder (SBD) in preadolescent Hispanic and white children. Objective To describe the associations of SBD and elevation in resting blood pressure in the first 239 children enrolled in TuCASA. Design Children between the ages of 6 and 11 years (45% girls and 51% Hispanic) from elementary schools of the Tucson Unified S...
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#1Ka Li Kwok (Kwong Wah Hospital)H-Index: 1
#2Daniel K.K. Ng (Kwong Wah Hospital)H-Index: 1
Last. Yiu-fai Cheung (HKU: University of Hong Kong)H-Index: 32
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Study objective: While previous studies have suggested an association between obstructive sleep apnea and cardiovascular complications, the effects of primary snoring in children on daytime systemic BP and arterial distensibility remain unknown. Design and patients: To determine the effects of primary snoring on BP and peripheral conduit artery distensibility, 30 children with primary snoring were studied at an age of 9.5 2.8 years (mean SD). Systemic BP was measured using an automated device, w...
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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 apnea (OSA) in cardiovascular (particularly hypertensive) patients, as well as for the management of cardiovascular diseases (particularly arterial hypertension) in OSA patients. The present document is the result of the work done by a panel of experts participating in the European Union COST (COoperation in...
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