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The Antihypertensive Effects and Mechanisms of Huotan Jiedu Tongluo Decoction in Rats with H-Type Hypertension
Published on: May 17, 2024
[Interest of chronotherapy in arterial hypertension]
P Vanderweckene1, P Erpicum, J-M Krzesinski
1Université de Liège, Département de médecine, CHU Sart-Tilman, 4000 Liège, Belgique. pvanderweckene@student.ulg.ac.be
Insights
Chronotherapy, or timed medication, can improve blood pressure control in hypertensive patients. Evening dosing of antihypertensive drugs and aspirin may reduce cardiovascular risk, especially in those with nocturnal dipping.
Area of Science:
- Cardiology
- Pharmacology
- Hypertension Management
Context:
- Arterial hypertension management is evolving.
- Interest in chronotherapy is increasing for treated hypertensive patients.
- Patients with minimal nocturnal blood pressure dipping face high cardiovascular risk.
Purpose:
- To explore the benefits of chronotherapy in managing arterial hypertension.
- To investigate the impact of evening antihypertensive drug administration on blood pressure control.
- To highlight the role of 24-hour ambulatory blood pressure monitoring.
Summary:
- Administering antihypertensive medications and aspirin in the evening can enhance blood pressure control.
- Timed dosing improves nocturnal blood pressure patterns and reduces overall cardiovascular risk.
- Chronotherapy is a valuable tool for managing high-risk hypertensive individuals.
Impact:
- Evening dosing strategies can optimize treatment for hypertensive patients.
- Improved blood pressure control through chronotherapy may lead to reduced cardiovascular events.
- 24-hour ambulatory blood pressure monitoring is crucial for personalized chronotherapy in high-risk patients.
Abstract:
The interest of chronotherapy in the field of arterial hypertension is progressively rising, especially in treated hypertensive patients characterized by a small decrease of their blood pressure during the night, and therefore often presenting a high cardiovascular risk. There are more and more data showing that administration of one antihypertensive drug in the evening (and even aspirin) can improve the blood pressure control during the night and the day/night blood pressure pattern, and so can diminish the level of risk. The role of chronotherapy also emphasizes the interest of 24 h ambulatory blood pressure monitoring in the management of high risk hypertensive patients.
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