Does upper airway surgery reduce blood pressure in patients with obstructive sleep apnea (OSA)?
Bottom Line: Upper airway surgery achieves a clinically significant decrease in systolic blood pressure (SBP) and diastolic blood pressure (DBP) in patients with OSA.
Explore this issue:April 2018
Background: Multilevel upper airway surgery (similar to continuous positive airway pressure [CPAP] therapy) for OSA has been shown to be more efficacious in this recent decade. There is a demonstrated strong link between OSA and hypertension. The main goal of OSA therapy should not be to reduce apnea/hypopnea index (AHI) scores, but rather to improve target outcome measures and end-organ damage, most commonly considered to be hypertension (HTN).
Study design: Prospective series of 112 consecutive OSA patients with HTN.