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Can snoring intensity predict high blood pressure in the obstructive sleep apnea-hypopnea syndrome?

Esma Jameleddine, Souha Kallel, Khouloud Kchaou, Serra Guesmi, Firas Maalej, Ilhem Charfeddine
European Respiratory Journal 2021 58: PA2485; DOI: 10.1183/13993003.congress-2021.PA2485
Esma Jameleddine
1Habib Bourguiba Hospital, sfax, Tunisia
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  • For correspondence: esma.jameleddine@hotmail.fr
Souha Kallel
1Habib Bourguiba Hospital, sfax, Tunisia
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Khouloud Kchaou
1Habib Bourguiba Hospital, sfax, Tunisia
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Serra Guesmi
1Habib Bourguiba Hospital, sfax, Tunisia
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Firas Maalej
1Habib Bourguiba Hospital, sfax, Tunisia
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Ilhem Charfeddine
1Habib Bourguiba Hospital, sfax, Tunisia
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Abstract

Introduction: Snoring is one of the most common symptoms of the obstructive sleep apnea-hypopnea syndrome (OSAHS). Many studies have shown that some medical problems are related to snoring independently of the Apnea-Hypopnea Index (AHI). The aim of this study was to explore the relations between the objectively measured intensity of snoring and high blood pressure.

Methods: We retrospectively analyzed the medical records of 130 patients (2016-2018) referred for OSAHS suspicion and who underwent respiratory polygraphy with measurement of the intensity of snoring. The snorers with an AHI < 5 were excluded from the study. High blood pressure (HBP) was defined as a systolic blood pressure (SBP) ≥ 140 and / or a diastolic blood pressure (DBP) ≥ 90 mmHg or the use of an anti-hypertensive medication. Data analysis was performed using the SPSS software version 20.

Results: The mean age among our study population (53 males/77 females) was 53,89 ± 8,49 years. A significant correlation was found between the mean intensity of snoring and that of SBP (r = 0,3, p = 0,001) and DBP (r = 0,187, p = 0,033). The mean intensity of snoring (dB) in hypertensive patients (69,37 ± 3,34) was significantly higher (p = 0,01) than in non-hypertensive patients (65,32 ± 11,36). In multivariate analysis with forced entry of potential cofounding factors (Gender, Age, BMI, Smoking), the mean intensity of snoring was an independent predictive factor of HBP (OR = 1,31, p <0,0001, CI: 1,13-1,51).

Conclusion: Snoring is a risk factor for hypertension independently from the severity of OSAHS, obesity, gender, age, smoking.

  • Comorbidities
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Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA2485.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Can snoring intensity predict high blood pressure in the obstructive sleep apnea-hypopnea syndrome?
Esma Jameleddine, Souha Kallel, Khouloud Kchaou, Serra Guesmi, Firas Maalej, Ilhem Charfeddine
European Respiratory Journal Sep 2021, 58 (suppl 65) PA2485; DOI: 10.1183/13993003.congress-2021.PA2485

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Can snoring intensity predict high blood pressure in the obstructive sleep apnea-hypopnea syndrome?
Esma Jameleddine, Souha Kallel, Khouloud Kchaou, Serra Guesmi, Firas Maalej, Ilhem Charfeddine
European Respiratory Journal Sep 2021, 58 (suppl 65) PA2485; DOI: 10.1183/13993003.congress-2021.PA2485
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