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Časopis Internal medicine – Článok Prevalence and severity of arterial hypertension in patients with obstructive sleep apnoea

Internal medicine

Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)
1335-8359
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Internal medicine
Internal medicine
Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)
Predplatné
Téma: Original Works

Prevalence and severity of arterial hypertension in patients with obstructive sleep apnoea

Zuzana Sopková, Miroslav Brúsik, Zuzana Dorková, Radovan Tiško, Ružena Tkáčová

Obstructive sleep apnoea (OSA) is characterized by repeated episodes of total or partial upper airway occlusion during sleep resulting in apnoeic or hypopnoeic episodes. Arterial hypertension is the most prevalent cardiovascular comorbidity in OSA patients. Repetitive cycles of hypoxaemia and reoxygenation are accompanied by increased sympathetic activity, oxidative stress, activation of the renin-angiotensin-aldosterone system and endothelial dysfunction that contribute to acute rise in blood pressure (BP) during sleep as well as to the persistence of elevated BP during wakefulness. Patients with resistant hypertension and non-dippers have increased prevalence of OSA. Unrecognized OSA in the presence of poorly controlled hypertension increases the cardiovascular risk substantially. Therefore, in the presence of symptoms suggestive of OSA such as history of snoring, apnoeic pauses and excessive daytime sleepiness, examination in the sleep laboratory is strongly recommended. In the cohort of 536 patients examined in the Laboratory for Sleep Disordered Breathing, Department of Respiratory Medicine and Tuberculosis, Medical Faculty, PJ Safarik University in Kosice we diagnosed severe OSA in 236 cases. OSA was associated with increased prevalence of cardiovascular diseases, dyslipidaemia and diabetes type 2. Among patients who reported the use of more than 2 antihypertensive drugs the prevalence of OSA was 87 % (58 % for severe OSA). Long-time non-invasive ventilation represents golden standard for treatment of moderate and severe OSA. However, non-invasive ventilation per se is frequently not sufficient to achieve BP control, and therefore adequate antihypertensive medication is required. Recent data suggest synergic effects of non-invasive ventilation and aldosterone antagonists on BP in patients with OSA and concurrent arterial hypertension.

obstructive sleep apnoea, arterial hypertension, cardiovascular risk
Interná med. 2011; 11 (6): 309-314

Ročník 2011  Témy časopisu Internal medicine 6 / 2011

Overview works

Peter Hyrdel, Ivan Režňák, Mária Hladká, Rudolf Hyrdel
Juraj Payer, Zuzana Teliarová
Eva Rozborilová
Ľubomír Legáth, Marek Varga
Andrej Džupina

Original Works

Zuzana Sopková, Miroslav Brúsik, Zuzana Dorková, Radovan Tiško, Ružena Tkáčová

Daniel Pella, Robert Hatala, Rastislav Šidlo
Nie sú dostupné žiadne voľne dostupné články
CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ivica Lazúrová, CSc. FRCP

REPRESENTATIVE OF CHAIRMAN
prof. MUDr. Juraj Payer, CSc., FRCP

MEMBERS OF THE EDITORIAL BOARD
doc. MUDr. Viera Fábryová, CSc.
MUDr. Viera Fedelešová, CSc.
prof. MUDr Martin Haluzík, CSc.
prof. MUDr. Štefan Hrušovský, CSc. Dr.SVS.
prof. MUDr. Rudolf Hyrdel, CSc.
doc. MUDr. Oľga Jurkovičová, CSc.
doc. MUDr. Zdenko Killinger, PhD.
doc. MUDr. Soňa Kiňová, PhD.
prof. MUDr. Peter Mitro, PhD.
doc. MUDr. Viliam Mojto, CSc., MHA
prof. MUDr. Karel Pacák, DrSc.
prof. MUDr. Juraj Payer, CSc., FRCP
doc. MUDr. Ján Podoba, CSc.
prof. MUDr. Igor Riečanský, DrSc.
doc. MUDr. Ján Staško, PhD.
doc. MUDr. Mária Szántová, PhD.
prof. MUDr. Ivan Tkáč, PhD.

EDITOR-IN-CHIEF
Eva Stachová
e-mail: stachova@amedi.sk 

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OVERVIEW PAPERS
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Write the paper on computer in any common text editor.
write full length of lines (do not use ENTER at the end of a line)
- do not arrange text into columns
- do not do page make-up, put tables at the end of the paper
- distinguish precisely numbers 1, 0 and letters l, O
- use always parentheses ( )
- explain abbreviations always when first used


MANUSCRIPT REQUIREMENTS

1. An accurate paper title, names and surnames of all authors including titles, authors` workplace. The first author address including the phone number, fax and e-mail address.

2. Summary - concise content summary in the extent maximum 10 lines (only at overview papers, case studies and Appendices - General Medicine). Write in 1st or 3rd person singular or plural (unify according the type of an article).

3. Key words - in the extent of 3-6 (only for overview papers and Appendices - General Medicine). 4. English translation: paper title, summary, key words (only at overview papers, and Appendices - General Medicine)

5. Text
If you insert pictures into a document, send also their original files in "jpg" format, create graphs in Excel and send also their original files. If you send photo documentation via post office, please, send just high-class originals. Mark each original by a number, under which it is mentioned in the text. Write in 1st or 3rd person singular or plural (unify according the type of an article).

6. Bibliography
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Examples of citations:
1. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett ́ esophagus? Gastroenterology 2000; 119: 333-338.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285(4): 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
5. Osborne BE. The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981: 15-27.

Do not use dots after first names in citations. Do not use colon but dot after names of authors. Use semi-colon after the year of publishing, colon is before pages. If an author is one, two or three - it is necessary to state all. If there are more than three authors it is necessary to write first three and "et all", in Slovak and Czech citations "a spol.".

Due to publishing of autodidactic tests it is necessary to add 4 questions to your article and 4 answers with marking of one correct answer, e.g.: Which of following factors is not related to rosacea?
a. genetic predisposition
b. Scandinavian origin
c. propionibacterium acnes
d. endothelial growth factor


The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are double reviewed.

All published papers are paid.

Due to practical focus of the journal we would like to ask you to write the paper comprehensively, with emphasis on practical use of provided information in out-
patient internists and general practitioners.


Send contributions in the e-mail to the address: stachova@amedi.sk
Period 11x per year (july - august double issue)
1335-8359
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Internal medicine
Internal medicine
Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)
Predplatné