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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Autor principal:	Francesco P Cappuccio
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2020
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/ddc13fcf07a3436ab13b617ff6896b7a
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spelling	oai:doaj.org-article:ddc13fcf07a3436ab13b617ff6896b7a2021-12-04T16:03:27ZThe Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management10.15420/ecr.2020.131758-37641758-3756https://doaj.org/article/ddc13fcf07a3436ab13b617ff6896b7a2020-08-01T00:00:00Zhttps://www.ecrjournal.com/articles/the-role-of-nocturnal-blood-pressurehttps://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764The 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.Francesco P CappuccioRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 15, Iss , Pp - (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Francesco P Cappuccio The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management
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
author	Francesco P Cappuccio
author_facet	Francesco P Cappuccio
author_sort	Francesco P Cappuccio
title	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_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_sort	role of nocturnal blood pressure and sleep quality in hypertension management
publisher	Radcliffe Medical Media
publishDate	2020
url	https://doaj.org/article/ddc13fcf07a3436ab13b617ff6896b7a
work_keys_str_mv	AT francescopcappuccio theroleofnocturnalbloodpressureandsleepqualityinhypertensionmanagement AT francescopcappuccio roleofnocturnalbloodpressureandsleepqualityinhypertensionmanagement
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The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management

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