Background-Patients with obstructive sleep apnea (OSA) have high levels of
muscle sympathetic nerve activity (MSNA). We tested the hypothesis that lon
g-term continuous positive airway pressure (CPAP) treatment will decrease M
SNA in OSA patients.
Methods and Results-We measured blood pressure, heart rate, and MSNA in II
normotensive, otherwise healthy patients with OSA who were treated with CPA
P, The measurements were obtained at baseline and after 1 month, 6 months,
and 1 year of CPAP treatment. These measurements were compared with these r
ecorded in 9 otherwise healthy OSA patients who were not treated with CPAP
for 1 year. Tn both untreated and treated patients, blood pressure and hear
t rate did not change over time. MSNA was similar during repeated measureme
nts in the untreated group. By contrast, MSNA decreased significantly over
time in patients treated with CPAP. This decrease was evident after both 6
months and 1 year of CPAP treatment (P = 0.02 for both).
Conclusions-CPAP treatment decreases muscle sympathetic traffic in patients
with OSA. This effect of CPAP is evident only after an extended duration o
f therapy.