I would like to thank Silverberg and colleagues for their comments on sleep disorder breathing (SDB) in JNC VI. I have shared your letter with Sheldon Sheps, MD, chair of JNC VI, and Sue Rogus, RN, MS, coordinator of the National Heart, Lung, and Blood Institute's National Sleep Education Program.
Space limitation prohibited us from saying more about SDB in the JNC VI sections on sleep apnea and history taking. We do recognize that SDB is underdiagnosed and there is no question about the health benefits of the treatment. The National Heart, Lung, and Blood Institute supports a National Center on Sleep Disorders Research and a national education program on sleep disorders. We too are interested in developing this science and promoting the results. In JNC VI a special point was made, for the first time, to recognize the correlation of SDB with hypertension. As more data become available both national education programs will say more on the topic.
Roccella EJ. The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and Obstructive Sleep Apnea: Let Their Silence Not Be Matched by the Silence of the Ordinary Physician. Arch Intern Med. 1998;158(11):1272-1273. doi: