Evidence map›Paper›PMID 31463779›Full record

ArticleSleep & breathing = Schlaf & Atmung2020

Effects of continuous positive airway pressure therapy on daytime and nighttime arterial blood pressure in patients with severe obstructive sleep apnea and endothelial dysfunction.

Fabian Bischof, Jozsef Egresits, Richard Schulz, Winfried J Randerath, Wolfgang Galetke, Stephan Budweiser, Georg Nilius, Michael Arzt, Andrea Hetzenecker, GERSAN Investigators

Abstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Obstructive sleep apnea -related hypertension: a review of the literature and clinical management strategy.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  4. Observational
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Fabian BischofDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Jozsef EgresitsDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Richard SchulzDepartment of Pneumology, Hospital Helios Dr. Horst Schmidt Kliniken, Wiesbaden, Germany.
Winfried J RanderathDepartment of Pneumology and Allergology, Center of Sleep Medicine and Respiratory Care, Bethanien Hospital, Solingen, Germany.
Wolfgang GaletkeHELIOS-Klinik Hagen-Ambrock, University Hospital Witten/Herdecke, Solingen, Germany.
Stephan BudweiserDepartment of Internal Medicine III, Division of Pulmonary and Respiratory Medicine, RoMed Clinical Center Rosenheim, Rosenheim, Germany.
Georg NiliusDepartment of Pneumology and Allergology, Hospital Essen Mitte, Essen, Germany.
Michael ArztDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Andrea HetzeneckerDepartment of Pneumology, Donaustauf Hospital, Donaustauf, Germany. Andrea.Hetzenecker@klinik.uni-regensburg.de.
GERSAN Investigators
University Hospital Regensburg · DEHelios Dr. Horst Schmidt Kliniken Wiesbaden · DEHelios Klinik Hagen Ambrock · DEKlinik Donaustauf · DERoMed Kliniken · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA nocturnal non-dipping or rise in blood pressure (BP) is associated with poor cardiovascular outcome. This study aimed to test whether continuous positive airway pressure (CPAP) therapy can reduce nocturnal BP and normalize the 24-h BP profile in patients with severe obstructive sleep apnea (OSA) and erectile dysfunction as a surrogate for endothelial dysfunction (ED). PATIENTS AND

methodsEighteen consecutive patients with OSA and ED on stable antihypertensive medication (age 55.8 ± 9.5 years, body mass index 35.5 ± 3.8 kg/m

resultsCompared to baseline, nocturnal systolic and diastolic BP were significantly reduced after CPAP therapy (128.5 ± 14 to 122.9 ± 11 mmHg, p = 0.036; 76.2 ± 9 to 70.5 ± 5 mmHg, p = 0.007). The frequency of non-dipping and rising nocturnal systolic BP, as well as mean nocturnal heart rate, was reduced after CPAP treatment (73 to 27%, p = 0.039; 20 to 7%, p = 0.625; from 81.5 ± 10 to 74.8 ± 8 beats per minute p = 0.043). Serum levels of noradrenaline were significantly lower after CPAP therapy (398 ± 195 ng/l vs. 303 ± 135 ng/l, p = 0.032).

conclusionIn patients with severe OSA and clinically apparent ED, CPAP therapy was associated with a decrease in nocturnal BP and serum noradrenaline levels, as well as a normalization of the 24-h BP profile.

Indexed as

AdultArterial PressureContinuous Positive Airway PressureEndothelium, VascularFemaleHumansHypertensionMaleMiddle AgedSleep Apnea, ObstructiveBlood pressureCPAP therapyEndothelial dysfunctionErectile dysfunctionSleep apnea

Identifiers

PMID31463779
OpenAlexW2970857357

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.