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[Therapeutic strategy for morning blood pressure elevation in elderly hypertensives]
Atsushi Sakima1, Shuichi Takishita
1Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus, School of Medicine.
Insights
Morning blood pressure surges in elderly hypertensives are linked to stroke. Controlling early morning blood pressure is a key strategy for preventing cardiovascular events in this population.
Area of Science:
- Cardiology
- Gerontology
- Neurology
Context:
- Cardiovascular events like stroke and heart attack show a peak incidence in the morning.
- Elderly individuals with hypertension experiencing a significant morning blood pressure surge face increased risks of cerebrovascular disease and stroke.
Purpose:
- To review recent therapeutic strategies for managing morning blood pressure surges in elderly hypertensive patients.
- To highlight the importance of early morning blood pressure control in preventing cardiovascular events.
Summary:
- Morning blood pressure surges in elderly hypertensive patients are associated with silent cerebrovascular disease and a higher risk of stroke.
- Effective blood pressure management during the early morning hours is crucial for cardiovascular event prevention.
- This review focuses on current strategies to address morning hypertension in the elderly.
Impact:
- Provides insights into optimizing antihypertensive therapy for elderly patients.
- Aims to reduce the incidence of morning-related cardiovascular events, particularly stroke, in older adults.
- Emphasizes the clinical significance of targeting morning blood pressure for improved patient outcomes.
Abstract:
Although the cardiovascular events such as stroke, angina pectoris and myocardial infarction can occur at any time of day, it has been known that the peak incidence of the cardiovascular events increases during the morning period. In elderly hypertensives, a greater morning blood pressure surge is associated with an advanced silent cerebrovascular disease as well as a higher incidence of stroke. Thus, the blood pressure control of the early morning period may become an important therapeutic strategy for preventing the cardiovascular events. In this review, we focused on the recent strategy for morning blood pressure rising in the elderly hypertensives.
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