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Comment & Response
July 2018

Blood Pressure Changes After Adenotonsillectomy in Children With Obstructive Sleep Apnea—Reply

Author Affiliations
  • 1Department of Otolaryngology, National Taiwan University, College of Medicine and National Taiwan University Hospital and Children’s Hospital, Taipei, Taiwan
  • 2Department of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan
  • 3Sleep Center, National Taiwan University Hospital, Taipei, Taiwan
JAMA Otolaryngol Head Neck Surg. 2018;144(7):647-648. doi:10.1001/jamaoto.2018.0454

In Reply We appreciate Dr Ghadami for his well advised comments. We are obliged for the keen interest taken in our study1 that compared the association of adenotonsillectomy with blood pressure (BP) in nonhypertensive vs hypertensive children with obstructive sleep apnea (OSA). We demonstrated that after adenotonsillectomy children with OSA showed improvement in diastolic BP, and our subgroup analysis revealed that hypertensive children with OSA had significant improvement in all BP measurements.1 Increasing evidence suggests that childhood OSA correlates with hypertension and sequential cardiovascular morbidities.2 Our results highlight the importance of screening children with OSA and appropriately treating these children to ease their OSA symptoms and potentially prevent future adverse cardiovascular outcomes.

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