The experience with the application of the non-medicamental methods for the treatment of essential arterial hypertension in the adolescents presenting with obstructive sleep apnea/hypopnea syndrome

Berdina O.N.; Madaeva I.M.; Dolgikh V.V.

doi:https://doi.org/

Berdina O.N.

FGBU "Nauchnyĭ tsentr problem zdorov'ia sem'i i reproduktsii cheloveka" Sibirskogo otdeleniia RAMN, Irkutsk

Madaeva I.M.

FGBU "Nauchnyĭ tsentr problem zdorov'ia sem'i i reproduktsii cheloveka" Sibirskogo otdeleniia RAMN, Irkutsk

Dolgikh V.V.

FGBU "Nauchnyĭ tsentr zdorov'ia sem'i i reproduktsii cheloveka" Sibirskogo otdeleniia Rossiĭskoĭ akademii meditsinskikh nauk, Irkutsk

The experience with the application of the non-medicamental methods for the treatment of essential arterial hypertension in the adolescents presenting with obstructive sleep apnea/hypopnea syndrome

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Berdina O.N., Madaeva I.M., Dolgikh V.V.

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Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2014;91(5): 21‑25

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Berdina ON, Madaeva IM, Dolgikh VV. The experience with the application of the non-medicamental methods for the treatment of essential arterial hypertension in the adolescents presenting with obstructive sleep apnea/hypopnea syndrome. Problems of Balneology, Physiotherapy and Exercise Therapy. 2014;91(5):21‑25. (In Russ.)

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)

Использование инфографики авторами научных работ

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Abstract:

The present study was designed to estimate the effectiveness of non-invasive auxiliary lung ventilation under continuous positive airway pressure (CPAP therapy) and phototherapy applied for the treatment of adolescents presenting with essential arterial hypertension and obstructive sleep apnea/hypopnea. It was shown that CPAP therapy decreased the level of arterial pressure (AP) either to normal or to high normal values in accordance with the patients' gender and age. It was confirmed that phototherapy produced beneficial effect on the system of circadian rhythms in the patients with essential hypertension. These findings give reason to recommend the combined application of the above methods for the treatment of adolescents with essential hypertension and obstructive sleep apnea/hypopnea. The proposed treatment makes it possible to decrease arterial pressure due to the correction of obstructive breathing disorders in sleep and to normalize the circadian rhythm system in the adolescents suffering from essential hypertension and obstructive sleep apnea/hypopnea. The clinical application of this method would permit to reduce morbidity, the incidence of disability, and mortality from complications developing in adulthood.

Keywords:

adolescents

hypertension

sleep apnea

CPAP therapy

phototherapy

Authors:

Berdina O.N.

FGBU "Nauchnyĭ tsentr problem zdorov'ia sem'i i reproduktsii cheloveka" Sibirskogo otdeleniia RAMN, Irkutsk

Madaeva I.M.

FGBU "Nauchnyĭ tsentr problem zdorov'ia sem'i i reproduktsii cheloveka" Sibirskogo otdeleniia RAMN, Irkutsk

Dolgikh V.V.

FGBU "Nauchnyĭ tsentr zdorov'ia sem'i i reproduktsii cheloveka" Sibirskogo otdeleniia Rossiĭskoĭ akademii meditsinskikh nauk, Irkutsk

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References:

Kolesnikova L.I., Dolgikh V.V., Leont'eva I.V., Bugun O.V. Essentsial'naya arterial'naya gipertenziya u detey I podrostkov: kliniko-functional'nye varianty [Essential hypertension in the children and adolescents: the clinical and functional variants]. Irkutsk RIEL; 2008. [In Russ.].
Summary of 2007 European Society of Hypertension (ESH) and European Society of Cardiology (ESC) guidelines for the management of arterial hypertension. Vasc. Health Risk Manag. 2007; 3 (6): 783-95.
Dolgikh V.V., Bimbaev A.B.Zh., Bairova T.A., Duibanova N.V. Impul'snoe nizko-intensivnoe elektromagnitnoe pole v lechenii podrostkov s essentsial'noy arterial'noy gipertenziey [The application of the pulsed low-intensity electromagnetic for the treatment of the adolescents presenting with essential arterial hypertension]. Voprosy kurortologii, fizioterapii I lechebnoy fizicheskoy kul'tury. 2005; 6: 13-5. [In Russ.].
Dolgikh V.V., Rychkova L.V., Vlasenko A.V. Effektivnost' normobaricheskoy gipoksiterapii v kompleksnoy reabilitatsii detey I podrostkov s arterial'noy gipertenziey [The effectiveness of normobaric hypoxic therapy applied for the combined rehabilitation of the children and adolescents presenting with arterial hypertension]. Voprosy kurortologii, fizioterapii I lechebnoy fizicheskoy kul'tury. 2009; 6: 11-4. [In Russ.].
Phillips B., Mannino D.M. Do insomnia complaints cause hypertension or cardiovascular disease? J. Clin. Sleep Med. 2007; 3 (5): 489-94.
Vgontzas A.N., Liao D., Bixler E.O., Chrousos G.P., Vela-Bueno A. Insomnia with objective short sleep duration is associated with a high risk for hypertension. Sleep. 2009; 32 (4): 491-7. [In Russ.].
Kapur V.K., Resnick H.E., Gottlieb D.J. Sleep disordered breathing and hypertension: does self-reported sleepiness modify the association? Sleep. 2008; 31 (8): 1127-32.
Mamontov O.V., Sviryaev Yu.V., Kitalaeva K.T., Zvartau N.E., Rotar' O.P., Konradi A.O., Kalinkin A.L., Shlyakhto E.V. Osobennosti avtonomnoy regulyatsii krovoobrashcheniya u bol'nykh arterial'noy gipertoniey s sindromom obstruktivnogo apnoe/gipnoe vo sne [The specific features of autonomous regulation of blood circulation in the patients presenting with arterial hypertension and concomitant obstructive sleep apnea/hypnea syndrome]. Arterial'naya gipertenziya. 2012; 18 (6): 1-9. [In Russ.].
Kalinkin A.L. Sindrom obstruktivnogo apnoe sna -- faktor riska arterial'noy gipertonii [Obstructive sleep apnea syndrome as a risk factor of arterial hypertension]. Arterial'naya gipertenziya. 2003; 9 (2): 37-41. [In Russ.].
White J., Cates C., Wright J. Continuous positive airways pressure for obstructive sleep apnoea. Cochrane Database Syst. Rev. 2002; 2: CD001106.
Antic N.A., Catcheside P., Buchan C., Hensley M., Naughton M.T., Rowland S., Williamson B., Windler S., McEvoy R.D. The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe obstructive sleep apnea. Sleep. 2011; 34 (1): 111-9.
Gooley J. Treatment of circadian rhythm sleep disorders with light. Ann. Acad. Med. Singapore. 2008; 37 (8): 669-76.
Young L.R., Taxin Z.H., Norman R.G., Walsleben J.A., Rapoport D.M., Ayappa I. Response to CPAP withdrawal in patients with mild versus severe obstructive sleep apnea/hypopnea syndrome. Sleep. 2013; 36 (3): 405-12.
Sviryaev Yu.V., Zvartau N.E., Rotar' O.P., Korostovtseva L.S., Konradi A.O., Kalinkin A.L. Ispol'zovanie CPAP-terapii na fone medikamentoznogo lecheniya arterial'noy gipertenzii u bol'nykh s sindromom apnoe vo sne [The application of SRAR-therapy in combination with the medicamental treatment of arterial hypertension in the patients presenting with sleep apnea syndrome]. Arterial'naya gipertenziya. 2008; 14 (3): 264-9. [In Russ.].
Berdina O.N., Madaeva I.M., Dolgikh V.V., Kolesnikova L.I. Primenenie polisomnograficheskogo issledovaniya dlya diagnostiki narusheniy sna u podrostkov s arterial'noy gipertenziey [The application of the polysomnographic study for diagnostics of sleep disturbances in the adolescents presenting with arterial hypertension]. Byulleten' Vostochno-Sibirskogo nauchnogo tsentra SO RAMN. 2011; 3 (1): 13-5. [In Russ.].
Shevyrtalova O.N., Protopopova O.N., Madaeva I.M., Dolgikh V.V., Kolesnikova L.I., Polyakov V.M., Prokhorova Zh.V. Narusheniya sna v geneze emotsional'no-lichnostnykh I kognitivnykh rasstroistv u podrostkov s essentsial'noy arterial'noy gipertenziey [The role of sleep disturbances in the development of the emotional-personality and cognitive disorders in the adolescents presenting with essential arterial hypertension]. Rossiyskiy pediatricheskiy zhurnal. 2011; 2: 12-6. [In Russ.].
Patent 2472535 RF. MPK A61M 16/06. 2011117729/14. Madaeva I.M., Berdina O.N., Dolgikh V.V., Kolesnikova L.I., Mandzyak T.V. Sposob lecheniya essentsial'noy gipertenzii u podrostkov s sindromom obstruktivnogo apnoe/gipnoe sna. Zayavleno 03.05.2011; opublikovano 20.01.2013. Bulleten' 2: 1. [Patent 2472535 RF. MPK A61M 16/06. 2011117729/14. Madaeva I.M., Berdina O.N., Dolgikh V.V., Kolesnikova L.I., Mandzyak T.V. The method for the treatment of essential hypertension in the adolescents presenting with obstructive sleep apnea/hypnea syndrome. Application date: 03.05.2011; publication date: 20.01.2013. Bulletin 2: 1.]. [In Russ.].
Rogoza A.N., Oshchepkova E.V., Tsagareishvili E.V., Gorieva Sh.B. Sovremennye neinvazivnye metody izmedreniya arterial'nogo davleniya dlya diagnostiki arterial'noy gipertonii I otsenki effektivnosti antigipertenzivnoy terapii. Posobie dlya vrachey [The modern non-invasive methods for the measurement of arterial pressure with the objective of diagnostics of arterial hypertension and the evaluation of the effectiveness of antihypertensive therapy. The guidelines for practitioners]. M.: MEDIKA; 2007. 72 str. [In Russ.].
Rechtschaffen A., Kales A. A manual of standardized, techniques and scoring system for sleep stages in human subjects. Washington DC: US Government Printing Office; 1968. (NIH Publication No. 204).
Marcus C.L., Omlin K.J., Basinki D.J., Bailey S.L., Rachal A.B., Von Pechmann W.S., Keens T.G., Ward S.L. Normal polysomnographic values for children and adolescents. Am. Rev. Respir. Dis. 2002; 146 (5, Pt 1): 1235-9.