Sleep Quality and Mechanisms of Cardiovascular Risks in Adults With Hypertension

Exclusion Criteria

• •Uncontrolled hypertension (screening office BP \> 160/100 mm Hg)
• •Antihypertensive medication use
• •Cardiovascular medications
• •Previously diagnosed moderate or severe obstructive sleep apnea
• •Severe obesity defined by BMI\>40 kg/m2
• •Pacemakers
• •Atrial fibrillation
• •Acute coronary syndrome or coronary revascularization procedure within 6 months of enrollment
• •Congestive heart failure
• •Identifiable cause of hypertension (e.g., primary hyperaldosteronism, renal artery stenosis, untreated hyper- or hypothyroidism, chronic kidney disease, Cushing's disease, pheochromocytoma, coarctation of the aorta)
• •Severe uncorrected valvular heart disease
• •Current pregnancy
• •Active diagnosis of psychosis, bipolar disorder
• •Diabetes
• •Severely impaired hearing or speech
• •Participation in another interventional study to address insomnia
• •Rotating shift workers
• •Prominent suicidal or homicidal ideation (as assessed through a clinical interview)
• •Psychiatric Hospitalization within the past 12 months
• •Alcohol or drug abuse within 12 months
• •Exposure-based PTSD treatment
• •Dementia
• •Unstable comorbid sleep disorder requiring assessment and/or treatment outside of the study protocol
• •Medical or psychiatric conditions judged to be the primary cause of insomnia
• •Inability to comply with the assessment procedures or inability to provide informed consent.