Sleep disordered breathing (SDB) encompasses all forms of respiratory disorders specific to sleep (1). There is a spectrum of SDB ranging from mild to severe with the most severe form being obstructive sleep apnea (OSA) (2). In adults, OSA has been linked to cardiovascular disease, specifically hypertension (HTN) (3). The association between systemic HTN and OSA is well documented in both cross-sectional and prospective population studies (4–6). These studies not only demonstrate an association between the two conditions, but one study also documented OSA preceding the development of HTN (6). Additionally, OSA has been associated with drug-resistant HTN in adults (7.8) which may be partially mediated by aldosterone (9.10). The relationship between OSA and HTN is so well defined in adults that OSA is now recognized as an identifiable cause of HTN and should be considered during the evaluation for elevated blood pressure (BP) (11). The National High Blood Pressure Education Working Group for Children and Adolescents made a similar recommendation to evaluate for OSA as a comorbid condition in children with HTN (12). However, the relationship between SDB and HTN is not as clear in children. Regardless, there is evidence to suggest an association between these two conditions, but the causal relationship is still unknown.