Screening of obstructive sleep apnea in patients with hypertension: review of the literature and results of an Italian survey

Obstructive sleep apnea (OSA) is a common disorder in the general population and individuals with hypertension. We reviewed the literature on the prevalence of OSA in hypertension and hypertension subgroups. The current literature shows a high prevalence of OSA in patients with nocturnal and resistant hypertension, up to more than 90% in patients with refractory hypertension. The prevalence of OSA in patients with primary aldosteronism is greater than 45%. We also conducted an Italian national survey to assess the diagnostic approach to OSA in centers associated with European and Italian Societies of Hypertension. The median rate of OSA diagnosis was 10 patients/year, with a higher rate in Excellence Centers. The most common criterion for OSA screening was the combination of hypertension, snoring, and daytime somnolence (90%), followed by hypertension and a nondipping profile (55%). Resistant hypertension was considered a criterion by only 23% of the specialists.

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Publication Details

Journal
Journal of Hypertension
Published
2025-11-11
DOI
https://doi.org/10.1097/hjh.0000000000004200
Primary Topic
Obstructive Sleep Apnea Research
Type
article
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article

Screening of obstructive sleep apnea in patients with hypertension: review of the literature and results of an Italian survey

Guido Iaccarino, E Moia, Guido Di Dalmazi, Paolo Mulatero et al.
Journal of Hypertension
Obstructive Sleep Apnea Research
article

Screening of obstructive sleep apnea in patients with hypertension: review of the literature and results of an Italian survey

Guido Iaccarino, E Moia, Guido Di Dalmazi, Paolo Mulatero, Jacopo Burrello, Claudio Ferri, Arrigo F.G. Cicero, Fabrizio Buffolo, Costantino Mancusi, Simona Votta, Maria Lorenza Muiesan, Claudio Borghi, Jessica Goi
article en

Abstract

Obstructive sleep apnea (OSA) is a common disorder in the general population and individuals with hypertension. We reviewed the literature on the prevalence of OSA in hypertension and hypertension subgroups. The current literature shows a high prevalence of OSA in patients with nocturnal and resistant hypertension, up to more than 90% in patients with refractory hypertension. The prevalence of OSA in patients with primary aldosteronism is greater than 45%. We also conducted an Italian national survey to assess the diagnostic approach to OSA in centers associated with European and Italian Societies of Hypertension. The median rate of OSA diagnosis was 10 patients/year, with a higher rate in Excellence Centers. The most common criterion for OSA screening was the combination of hypertension, snoring, and daytime somnolence (90%), followed by hypertension and a nondipping profile (55%). Resistant hypertension was considered a criterion by only 23% of the specialists.

Journal of HypertensionVol. 44(2)
University of L'Aquila (IT), Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT), CSI Piemonte (IT), Azienda Ospedaliero-Universitaria Careggi (IT), Federico II University Hospital (IT), Azienda USL di Bologna (IT), Department of Medical Sciences (BY), University of Turin (IT), University of Naples Federico II (IT), University of Brescia (IT), University of Bologna (IT)
Openalex Percentile: Top 57%
Obstructive Sleep Apnea Research
DOISourceOpenAlex
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