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Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League.
Liu, Jing; Li, Yan; Zhang, Xinjun; Bu, Peili; Du, Xueping; Fang, Lizheng; Feng, Yingqing; Guo, Yifang; Han, Fei; Jiang, Yinong; Li, Yuming; Lin, Jinxiu; Liu, Min; Liu, Wei; Long, Mingzhi; Mu, Jianjun; Sun, Ningling; Wu, Hao; Xie, Jianhong; Xie, Jingyuan; Xie, Liangdi; Yu, Jing; Yuan, Hong; Zha, Yan; Zhang, Yuqing; Zhu, Shanzhu; Wang, Jiguang.
Afiliação
  • Liu J; Peking University People's Hospital, Beijing, China.
  • Li Y; Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Zhang X; West China Hospital of Sichuan University, Chengdu, Sichuan, China.
  • Bu P; Qilu Hospital of Shandong University, Jinan, Shandong, China.
  • Du X; Yuetan Community Health Service Center, Fuxing Hospital, Capital Medical University, Beijing, China.
  • Fang L; Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
  • Feng Y; Guangdong Provincial People's Hospital, Guangzhou, Guangdong, China.
  • Guo Y; Hebei General Hospital, Shijiazhuang, Hebei, China.
  • Han F; The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
  • Jiang Y; The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Li Y; T International Cardiovascular Hospital, Tianjin, China.
  • Lin J; The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
  • Liu M; Henan Province People's Hospital, Zhengzhou, Henan, China.
  • Liu W; Beijing Hospital, Beijing, China.
  • Long M; The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
  • Mu J; The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
  • Sun N; Peking University People's Hospital, Beijing, China.
  • Wu H; School of General Practice and Continuing Education, Capital Medical University, Beijing, China.
  • Xie J; Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.
  • Xie J; Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
  • Xie L; The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
  • Yu J; Lanzhou University Second Hospital, Lanzhou, Gansu, China.
  • Yuan H; The Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
  • Zha Y; Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
  • Zhang Y; Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
  • Zhu S; Zhongshan Hospital, Fudan University, Shanghai, China.
  • Wang J; Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
J Clin Hypertens (Greenwich) ; 26(1): 71-83, 2024 01.
Article em En | MEDLINE | ID: mdl-38126623
ABSTRACT
Nocturnal hypertension is highly prevalent among Chinese and Asian populations, which is mainly attributed to high salt intake and high salt sensitivity. Nocturnal hypertension increases the risk of cardiovascular and all-cause mortality, independent of daytime blood pressure (BP). However, it can usually be detected by 24-h ambulatory BP monitoring, rather than routine office or home BP measurement, thus is often underdiagnosed in clinical practice. Currently, no specific guidance is available for the management of nocturnal hypertension in China or worldwide. Experts from the Chinese Hypertension League summarized the epidemiologic and pathophysiologic characteristics and clinical phenotype of nocturnal hypertension and provided consensus recommendations on optimal management of nocturnal hypertension, with the goal of maximally reducing the cardiovascular disease risks. In this consensus document, 24-h ABPM is recommended for screening and diagnosis of nocturnal hypertension, especially in the elderly, patients with diabetes, chronic kidney diseases, obstructive sleep apnea and other conditions prone to high nocturnal BP. Lifestyle modifications including salt intake restriction, exercise, weight loss, sleep improvement, and mental stress relief are recommended. Long-acting antihypertensive medications are preferred for nocturnal and 24-h BP control. Some newly developed agents, renal denervation, and other device-based therapy on nocturnal BP reduction are evaluated.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hipertensão Limite: Aged / Humans Idioma: En Revista: J Clin Hypertens (Greenwich) Assunto da revista: ANGIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hipertensão Limite: Aged / Humans Idioma: En Revista: J Clin Hypertens (Greenwich) Assunto da revista: ANGIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China