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[Sleep disturbances in elderly hypertensive patients]

A Pereira1, T Paiva, J G Clara

  • 1Centro de Saúde da Alameda, Hospital de Santa Maria, Lisboa.

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|May 1, 1996
PubMed
Summary

Elderly hypertensive patients often experience poor sleep quality, including insomnia and daytime sleepiness. Objective findings reveal sleep disturbances like snoring and sleep apnea, which may explain their subjective complaints.

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Area of Science:

  • Gerontology
  • Cardiology
  • Sleep Medicine

Context:

  • Elderly individuals with hypertension represent a growing demographic with unique health challenges.
  • Hypertension management in older adults requires a holistic approach, considering comorbidities and quality of life.
  • Sleep disturbances are increasingly recognized as potential contributors to cardiovascular health issues.

Purpose:

  • To explore the subjective and objective sleep disturbances experienced by elderly patients with controlled hypertension.
  • To correlate patient-reported sleep issues with objective polysomnographic findings.
  • To identify potential sleep-related factors impacting the well-being of this patient group.

Summary:

  • A study of 32 elderly hypertensive outpatients (age ≥ 65) revealed significant sleep problems.

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  • Subjective complaints included fatigue, body pain, sleep interruptions, and daytime sleepiness.
  • Objective polysomnography identified insomnia, snoring, obstructive sleep apnea, and periodic limb movements during sleep.

    • Impact:

    • Findings suggest a high prevalence of undiagnosed sleep disorders in elderly hypertensive patients.
    • These sleep disturbances may contribute to common symptoms like fatigue and pain, impacting daily functioning.
    • Further research into sleep apnea in hypertensive elderly patients, especially those who snore, is warranted.