The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management
The accurate measurement, prediction and treatment of high blood pressure (BP) are essential to the management of hypertension and the prevention of its associated cardiovascular (CV) risks. However, even if BP is optimally controlled during the day, nocturnal high blood pressure may still increase...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2020-08-01
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| Series: | European Cardiology Review |
| Online Access: | https://www.ecrjournal.com/articles/the-role-of-nocturnal-blood-pressure |
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| author | Francesco P Cappuccio |
| author_facet | Francesco P Cappuccio |
| author_sort | Francesco P Cappuccio |
| collection | DOAJ |
| description | The accurate measurement, prediction and treatment of high blood pressure (BP) are essential to the management of hypertension and the prevention of its associated cardiovascular (CV) risks. However, even if BP is optimally controlled during the day, nocturnal high blood pressure may still increase the risk of CV events. The pattern of circadian rhythm of BP can be evaluated by ambulatory BP monitoring (ABPM). Night-time ABPM is more closely associated with fatal and nonfatal CV events than daytime ambulatory BP. However, the use of ABPM is limited by low availability and the fact that it can cause sleep disturbance, therefore may not provide realistic nocturnal measurements. Home blood pressure monitoring (HBPM) offers an inexpensive alternative to ABPM, is preferred by patients and provides a more realistic assessment of BP during an individual’s daily life. However, until recently, HBPM did not offer the possibility to measure nocturnal (sleep time) BP. The development and validation of new BP devices, such as the NightView (OMRON Healthcare, HEM9601T-E3) HBPM device, could overcome these limitations, offering the possibility of daytime and night-time BP measurements with minimal sleep disturbance. |
| format | Article |
| id | doaj-art-ddc13fcf07a3436ab13b617ff6896b7a |
| institution | Kabale University |
| issn | 1758-3756 1758-3764 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | European Cardiology Review |
| spelling | doaj-art-ddc13fcf07a3436ab13b617ff6896b7a2024-12-14T16:02:18ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642020-08-011510.15420/ecr.2020.13The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension ManagementFrancesco P Cappuccio0ESH Centre of Excellence in Hypertension and Cardio-metabolic Research, University of Warwick Medical School, Coventry, UK; University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UKThe accurate measurement, prediction and treatment of high blood pressure (BP) are essential to the management of hypertension and the prevention of its associated cardiovascular (CV) risks. However, even if BP is optimally controlled during the day, nocturnal high blood pressure may still increase the risk of CV events. The pattern of circadian rhythm of BP can be evaluated by ambulatory BP monitoring (ABPM). Night-time ABPM is more closely associated with fatal and nonfatal CV events than daytime ambulatory BP. However, the use of ABPM is limited by low availability and the fact that it can cause sleep disturbance, therefore may not provide realistic nocturnal measurements. Home blood pressure monitoring (HBPM) offers an inexpensive alternative to ABPM, is preferred by patients and provides a more realistic assessment of BP during an individual’s daily life. However, until recently, HBPM did not offer the possibility to measure nocturnal (sleep time) BP. The development and validation of new BP devices, such as the NightView (OMRON Healthcare, HEM9601T-E3) HBPM device, could overcome these limitations, offering the possibility of daytime and night-time BP measurements with minimal sleep disturbance.https://www.ecrjournal.com/articles/the-role-of-nocturnal-blood-pressure |
| spellingShingle | Francesco P Cappuccio The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management European Cardiology Review |
| title | The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management |
| title_full | The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management |
| title_fullStr | The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management |
| title_full_unstemmed | The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management |
| title_short | The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management |
| title_sort | role of nocturnal blood pressure and sleep quality in hypertension management |
| url | https://www.ecrjournal.com/articles/the-role-of-nocturnal-blood-pressure |
| work_keys_str_mv | AT francescopcappuccio theroleofnocturnalbloodpressureandsleepqualityinhypertensionmanagement AT francescopcappuccio roleofnocturnalbloodpressureandsleepqualityinhypertensionmanagement |