Clinical Significance of Nocturnal Hypertension and Nighttime Blood Pressure Dipping in Hypertension.

IF 3.9 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE
Current Hypertension Reports Pub Date : 2024-02-01 Epub Date: 2023-10-31 DOI:10.1007/s11906-023-01277-x
Panagiota Anyfanti, Anastasia Malliora, Agapi Chionidou, Konstantinos Mastrogiannis, Antonios Lazaridis, Eugenia Gkaliagkousi
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引用次数: 0

Abstract

Purpose of review: This narrative review article aims to discuss more recent evidence, current challenges, and future perspectives regarding the clinical importance of nocturnal hypertension and nighttime blood pressure dipping, with particular reference to diagnosis, prognostic value, and therapeutic approach.

Recent findings: The importance of nighttime blood pressure and nighttime blood pressure dipping has been demonstrated in decades. Increased nighttime blood pressure has been acknowledged as an unfavorable clinical trait. However, more recent evidence suggests that the abolishment of normal circadian blood pressure rhythm is not always a solid predictor of adverse cardiovascular events and needs to be interpreted in the light of each patients' individual characteristics. Physicians treating hypertensive patients with adverse nighttime blood pressure profiles often face the dilemma of chronotherapy. This has been a blurred field for years, yet very recent evidence from appropriately designed studies attempts to shed light on this puzzling question. As 24-h ambulatory blood pressure monitoring is being increasingly recommended and applied in real-world practice for the diagnosis and monitoring of hypertension, information on nighttime blood pressure and nocturnal dipping profile is collected but is not always easy to interpret.

Abstract Image

夜间高血压与夜间血压下降在高血压中的临床意义。
综述目的:这篇叙述性综述文章旨在讨论夜间高血压和夜间血压下降的临床重要性的最新证据、当前挑战和未来前景,特别是诊断、预后价值和治疗方法。最近的发现:几十年来,夜间血压和夜间血压下降的重要性已经得到了证明。夜间血压升高已被认为是一种不利的临床特征。然而,最近的证据表明,取消正常的昼夜血压节律并不总是不良心血管事件的可靠预测因素,需要根据每个患者的个体特征进行解释。治疗夜间血压不良的高血压患者的医生经常面临时间治疗的困境。多年来,这一直是一个模糊的领域,但最近来自设计得当的研究的证据试图揭示这个令人困惑的问题。随着24小时动态血压监测在现实生活中越来越多地被推荐和应用于高血压的诊断和监测,关于夜间血压和夜间血压下降的信息被收集起来,但并不总是容易解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Hypertension Reports
Current Hypertension Reports 医学-外周血管病
CiteScore
10.50
自引率
0.00%
发文量
65
审稿时长
6-12 weeks
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hypertension. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antihypertensive therapies, associated metabolic disorders, and therapeutic trials. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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