Current approach to nocturnal hypertension

Hüsnü Değirmenci, Eftal Murat Bakırcı, Hikmet Hamur
2020 Journal of Integrative Cardiology  
Nocturnal hypertension is an important risk factor for cardiovascular and cerebrovascular diseases. Increased sympathetic activity, increased renin angiotensin aldesteron activity and increased circulation volume are the mechanisms that lead to nocturnal hypertension. Nocturnal hypertension is defined as systolic blood pressure > 110 mmHg and/or diastolic blood pressure > 65 mmHg according to the American guideline. In the European guideline, nocturnal hypertension is defined as systolic blood
more » ... ressure 120 mmHg and / or diastolic blood pressure 70 mmHg. Lifestyle changes are important in treatment. In addition, diuretics, angiotensin converting enzyme inhibitors, angiotensin receptor blockers, calcium channel blockers, sacubitril valsartan and combinations of these drugs have an important place in the treatment. Taking these drugs at night is more effective than taking them in the morning in lowering nocturnal blood pressure.
doi:10.15761/jic.1000301 fatcat:o6as4qkztrcfnewgamqfcsvrme