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Editorials |

Sleep Apnea : A Global Perspective

Daniel Loube, MD, FCCP
Author and Funding Information

Affiliations: Seattle, WA 
 ,  Dr. Loube is Director, Sleep Disorders Center, Virginia Mason Medical Center.

Correspondence to: Daniel Loube, MD, FCCP, Virginia Mason Medical Center, Sleep Disorders Center (H-10), 925 Seneca St, Seattle, WA 98111; e-mail: sdcdil@vmmc.org



Chest. 2001;119(1):4-5. doi:10.1378/chest.119.1.4
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Recently, two well-designed studies by researchers from the University of Wisconsin1 and the Sleep Heart Health Study Group2 documented that untreated obstructive sleep apnea (OSA) increases the risk for hypertension in American adults. In both studies, the risk for hypertension increased in a dose-response association with the frequency of obstructive respiratory events during the night, independently of confounding factors such as age, gender, and weight. It is expected that these and other studies evaluating large patient cohorts will determine whether this increased risk for hypertension results in added morbidity and mortality from ischemic heart disease and other cardiovascular diseases. It may well be that the increased risk of cardiovascular disease sequelae from OSA will warrant widespread efforts at early detection and treatment, much as is the current clinical practice for hyperlipidemia.

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