Obstructive sleep apnoea Nervous System Diseases Sleep disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Apnoea Hypopnoea Index (AHI) greater than or equal to 15/h 2. Aged greater than 18 years, either sex 3. Patient's signature on informed consent after receiving oral and written information about the study 4. Levels of hypertension 1 - 3 and isolated sytolic hypertension
Exclusion criteria
Exclusion criteria: 1. History with hypertentious crisis, known cardiac risks (coronary heart disease [CHD], heart failure, cardiac arrhythmia, congenital heart diseases) 2. Level 3 hypertension, unless patient refuses pharmacological treatment 3. Medication or drug abuse 4. Ongoing hypertension medication 5. Intake of any medication affecting sleep (e.g., medication affecting the central nervous system, tranquilisers) 6. Alcohol abuse with a daily consumption of greater than 30 g on a regularly basis 7. Participation in a pharmalogical clinical trial within 4 weeks prior to enrolment to this study 8. Normal blood pressure recordings in ambulatory blood pressure monitoring (ABPM) 9. Any psychiatric or neurological sickness which could influence sleep or therapy compliance 10. Dysfunction of thyroid gland 11. Chronic pain symptoms of any origin 12. Acute cardiac, pulmonary or other internal organ diseases 13. Chronic cardiac, pulmonary or other internal organ diseases that could influence sleep 14. Existing central sleep-related breathing disorder 15. Restless legs syndrome (RLS) and/or periodic leg movement sydrome (PLMS); (Periodic Limb Movement Index [PLMI] greater than 10/h) 16. Apoplex and/or myocardial infarction history 17. Diabetes mellitus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Arterial blood pressure with and without CPAP-therapy over the course of 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Cardiac output (left ventricular ejection fraction [LVEF]) 2. Nocturnal PAT 3. Quality of sleep 4. Quality of life (QoL) 5. Day sleepiness (Epworth Sleepiness Scale [ESS] score) Measured before randomisation, first therapy night (day one of the study), and after 12 weeks. | — |
Countries
Germany