Recurrence of stroke caused by nocturnal hypoxia-induced blood pressure surge in a young adult male with severe obstructive sleep apnea syndrome

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• 作者：Tetsuro Yoshida ; MD^a ; Mitsuo Kuwabara ; MHS^b ; ^c ; Satoshi Hoshide ; MD ; PhD^b ; ^c ; Kazuomi Kario ; MD ; PhD^b ; ^c ; ^{kkario@jichi.ac.jp" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Nocturnal blood pressure surge ; obstructive sleep apnea syndrome
• 刊名：Journal of the American Society of Hypertension
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：10
• 期：3
• 页码：201-204
• 全文大小：791 K

文摘

Obstructive sleep apnea syndrome (OSAS) causes resistant hypertension and a hypopnea-related nocturnal blood pressure (BP) surge. This could lead to an increase of not only the nocturnal BP level but also nocturnal BP variability, both of which increase an individual's cardiovascular risk. We recently developed a trigger sleep BP monitoring method that initiates BP measurement when an individual's oxygen desaturation falls below a variable threshold, and we demonstrated that it can detect a BP surge during apnea episodes. We here report the case of a 36-year-old man with severe OSAS who experienced the recurrence of stroke due to nocturnal hypoxia and a nocturnal BP surge measured by this trigger sleep BP monitoring device. A nocturnal BP surge during sleep in OSAS patients could be a strong trigger of cardiovascular events.