Nocturnal Hypertension: Neglected Issue in Comprehensive Hypertension Management

Authors

  • Andi Kristanto Faculty of Medicine, Atmajaya Catholic University of Indonesia, Jakarta, Indonesia
  • Randy Adiwinata Faculty of Medicine, Atmajaya Catholic University of Indonesia, Jakarta, Indonesia
  • Silvia Suminto Faculty of Medicine, Atmajaya Catholic University of Indonesia, Jakarta, Indonesia
  • Benny N Kurniawan Faculty of Medicine, Atmajaya Catholic University of Indonesia, Jakarta, Indonesia
  • Finna Christianty Faculty of Medicine, Atmajaya Catholic University of Indonesia, Jakarta, Indonesia
  • Robert Sinto Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Keywords:

nocturnal hypertension, ambulatory blood pressure measurement, non-dipping, chronotherapy

Abstract

The body circardian rhythm affects blood pressure variability at day and night, therefore blood pressure at day and night might be different. Nocturnal hypertension is defined as increase of blood pressure >120/70mmHg at night, which is caused by disturbed circadian rhythm, and associated with higher cardiovascular and cerebrovascular events also mortality in hypertensive patients. Nocturnal hypertension and declining blood pressure pattern, can only be detected by continuous examination for 24 hours, also known as ambulatory blood pressure measurement (ABPM). Chronotherapy, has become a strategy for managing the hypertensive nocturnal patients, by taking hypertensive medication at night to obtain normal blood pressure decrease in accordance with the normal circadian rhythm and, improving blood pressure control.

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Published

2016-09-19

How to Cite

Kristanto, A., Adiwinata, R., Suminto, S., Kurniawan, B. N., Christianty, F., & Sinto, R. (2016). Nocturnal Hypertension: Neglected Issue in Comprehensive Hypertension Management. Acta Medica Indonesiana, 48(1), 76. Retrieved from https://www.actamedindones.org/index.php/ijim/article/view/143

Issue

Vol. 48 No. 1 (2016): Acta Medica Indonesiana

Section

CLINICAL PRACTICE

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