Resistant Hypertension, Sleep Apnea, Obstructive
Conditions
Brief summary
This study evaluates the utility and reliability of Somnocheck micro Weinmann for obstructive sleep apnea syndrome (OSAS) screening in patients affected by resistant systemic arterial hypertension. Results are compared with a modified portable sleep apnea testing (type III portable monitoring: Somnocheck 2 Weinmann).
Detailed description
OSAS is a syndrome characterized by the partial or total collapse of the high airways which determines snore, airflow limitation, hypopnea and apnea.These events cause desaturations, daytime sleepiness and an increased risk of cardio and cerebral vascular diseases. OSAS's prevalence is estimated between 64-83% among patients affected by resistant arterial hypertension; therefore OSAS's screening is mandatory during the clinical work-up of these patients. This study is a randomized, interventional, spontaneous, exploratory, cross-over and monocentric trial, which assesses the utility and reliability of the reduced cardio-respiratory monitoring (type IV portable monitoring: Somnocheck micro Weinmann) to estimate the prevalence of OSAS among patients affected by resistant systemic arterial hypertension. The results are compared with a complete cardio-respiratory monitoring (type III portable monitoring: Somnocheck 2 Weinmann).
Interventions
Somnocheck micro Weinmann: a screening device for sleep disorders assessment. Somnocheck 2 Weinmann: a diagnostic device for obstructive sleep apnea.
Sponsors
Study design
Eligibility
Inclusion criteria
* Resistant Arterial Hypertension * Patients must sign the informed consent
Exclusion criteria
, * atrial fibrillation with haemodynamic instability * congestive hearth failure, * BMI\>45 kg/m2, * respiratory failure * renal or liver failure, * stroke, * implantable cardioverter-defibrillator (ICD), * pacemaker (PM), * previous diagnosis of OSAS, * pregnancy, * breastfeeding, * patients must not be already enrolled in other clinical trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Apnea hypopnea index (AHI) differences between screening device and the traditional diagnostic one. | These two procedures must be done in the same patient within 5 days | Apnea hypopnea index (AHI) differences between screening device and the traditional diagnostic one. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants with cardiovascular abnormalities 1 | Cardiovascular assessment must be done within 6 months before the sleep studies. | Number of Participants with cardiovascular abnormalities assessed by arterial blood pressure monitoring |
| Number of Participants with cardiovascular abnormalities 2 | Cardiovascular assessment must be done within 6 months before the sleep studies. | Number of Participants with cardiovascular abnormalities assessed by ecocardiography |
Countries
Italy