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Correspondence
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Volume 343:966-967 September 28, 2000 Number 13
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Sleep-Disordered Breathing and Hypertension

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 by Peppard, P. E.
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To the Editor: The article by Peppard et al. (May 11 issue)1 provides interesting epidemiologic data that suggest a causal role of sleep-disordered breathing in hypertension. If the breathing disorder is symptomatic (e.g., obstructive sleep apnea), the standard treatment is nasal continuous positive airway pressure. If a causal relation exists, then treatment with continuous positive airway pressure should reduce blood pressure in patients with hypertension and obstructive sleep apnea.

We studied the effect of nasal continuous positive airway pressure on blood pressure in 17 hypertensive patients (15 men and 2 women; mean [±SD] age, 53±6 years; body-mass index [the weight . . . [Full Text of this Article]

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