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Escala de sonolência de Epworth em pacientes com diferentes valores na monitorizaçäo ambulatorial de pressäo arterial / Epworth's sleepiness scale in outpatients with different values of arterial blood pressure
Gus, Miguel; Silva, Daniel Nunes e; Fernandes, Juliana; Cunha, Caroline P; Sant'anna, Geraldo Druck.
  • Gus, Miguel; Fundaçäo Universitária de Cardiologia. Instituto de Cardiologia do Rio Grande do Sul. Unidade de Pesquisa. Porto Alegre. BR
  • Silva, Daniel Nunes e; Fundaçäo Universitária de Cardiologia. Instituto de Cardiologia do Rio Grande do Sul. Unidade de Pesquisa. Porto Alegre. BR
  • Fernandes, Juliana; Fundaçäo Universitária de Cardiologia. Instituto de Cardiologia do Rio Grande do Sul. Unidade de Pesquisa. Porto Alegre. BR
  • Cunha, Caroline P; Fundaçäo Universitária de Cardiologia. Instituto de Cardiologia do Rio Grande do Sul. Unidade de Pesquisa. Porto Alegre. BR
  • Sant'anna, Geraldo Druck; Fundaçäo Universitária de Cardiologia. Instituto de Cardiologia do Rio Grande do Sul. Unidade de Pesquisa. Porto Alegre. BR
Arq. bras. cardiol ; 78(1): 17-24, Jan. 2002. tab
Article in Portuguese, English | LILACS | ID: lil-301415
RESUMO

OBJECTIVE:

To compare sleepiness scores of the Epworth scale in patients with different levels of arterial pressure when undergoing outpatient monitoring within the context of clinical evaluation.

METHODS:

A total of 157 patients selected for outpatient monitoring of arterial pressure during hypertension evaluation were divided into 3 groups group 1 - normotensive; group 2 - hypertensive; group 3 - resistant hypertensive. For analysis, values > or = 11 were considered as associated with respiratory disturbances during sleep.

RESULTS:

Seventeen (10.8 percent) patients in group 1, 112 (71.3 percent) in group 2, and 28 (17.8 percent) in group 3, which was composed of aged, more severely hypertensive individuals, were analyzed. Groups were similar relative to sex and body mass index, but different in relation to systolic and diastolic pressure levels and age. Despite an absolute difference, no statistically significant difference occurred between Epworth scores and in the proportion of patients with values > or = 11 (5.9 percent vs. 18.8 percent vs. 212.4 percent; P=0.37). Despite the positive association between degree of sleepiness measured with the scale and the severity of the hypertension, no statistical significance occurred following control by age (p=0.18).

CONCLUSION:

A positive correlation exists between degree of sleepiness and hypertension severity. The absence of a statistical significance shown in the present study could be due to a beta type of error. Instruments that render this complaint into an objective finding could help in the pursuit of an investigation of respiratory disturbances during sleep in more severely hypertensive patients, and should therefore be studied better
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Sleep Stages / Blood Pressure Monitoring, Ambulatory / Hypertension Limits: Adult / Female / Humans / Male Language: English / Portuguese Journal: Arq. bras. cardiol Journal subject: Cardiology Year: 2002 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fundaçäo Universitária de Cardiologia/BR

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Full text: Available Index: LILACS (Americas) Main subject: Sleep Stages / Blood Pressure Monitoring, Ambulatory / Hypertension Limits: Adult / Female / Humans / Male Language: English / Portuguese Journal: Arq. bras. cardiol Journal subject: Cardiology Year: 2002 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fundaçäo Universitária de Cardiologia/BR