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EN
Comment on Adenotonsillectomy Reduces Blood Pressure in Children With OSA, Hypertension by Anonymous
['Dillon Stickle']
Comments for Sleep Review
Children with obstructive sleep apnea (OSA) and hypertension experienced significant improvements in blood pressure after adenotonsillectomy, according the results of a retrospective case series study published in JAMA Otolaryngology—Head & Neck Surgery, reports Pulmonology Advisor.
All children with OSA underwent adenotonsillectomy.
Blood pressure (BP) was measured in a sleep center before (nocturnal BP) and after (morning BP) polysomnography.
All patients experienced a significant decrease in nocturnal diastolic BP (from 66.9 to 64.5 mm Hg; 95% CI of difference, ?4.1 to ?0.7 mm Hg) and morning diastolic BP (from 66.9 to 64.4 mm Hg; 95% CI of difference, ?4.2 to ?0.8 mm Hg).
The percentage of patients with diastolic BP in the >95th percentile decreased significantly from 20.0% to 13.8% (nocturnal BP; 95% CI of difference, ?12.1% to ?0.4%) and from 21.7% to 14.2% (morning BP; 95% CI of difference, ?13.6% to ?1.4%).
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