Acute myocardial infarction (AMI) and cerebrovascular disease(CVA) associated with hypertension have been shown peak onset in the early morning . Eventually, nocturnal sleep was recently confirmed to be related to the morning surge in blood pressure, and sleep disorder breathing is an independent factor with inflammatory, obesity and diabetes mellitus. Then, the purpose of the study is to investigate if the elevated blood pressure in patient with sleep disorder breathing through one night sleep, will predict the patient sleep quality and the inflammatory status , and metabolic disorder.
The subjects were recruited from a district hospital of middle Taiwan who were admitted to OPD of sleep clinics, from September, 2003 to March, 2005. The study was a purposive sampling design and the total participants were 263 patients. Then according the 2004 years The Medical Bureau of Administrative Yuan make public “Metabolic syndrome” about blood pressure criteria is systolic blood pressure >= 130mmHg and Diastolic Blood Pressure) >= 85mmHg to was distributed into two groups. Group 1 is blood pressure < 130 / 85 mmHg, Group 2 is blood pressure >= 130 / 85 mmHg. Data collection was used by polysomnography (PSG) and laboratory data, the data analysis was used by SPSS 10.0 for the Window.
The findings showed the Group 2 participants were elder（p<0.001）,BMI>24 kg/m2（p<0.001）and coexisted with poor sleep quality（p<0.001）, inflammatory status（p<0.001） and metabolic syndrome（p<0.001）.
