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Sleep and hypertension - up to date 2024
Naoko Tomitani1, Satoshi Hoshide2, Kazuomi Kario2
1Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan. tomitani.n@jichi.ac.jp.
Adequate sleep is vital for health, as disrupted sleep and high nighttime blood pressure (BP) increase cardiovascular risk. Managing sleep and nocturnal BP is crucial for preventing heart events, though nighttime BP control remains challenging.
Area of Science:
- Cardiology
- Sleep Medicine
- Hypertension Research
Background:
- Sleep is essential for health, and its disruption is linked to various physical and mental health issues.
- Nocturnal blood pressure (BP) is a significant predictor of cardiovascular events, surpassing traditional BP measurements.
- Current management strategies often show poorer control of nighttime BP compared to daytime or office BP.
Purpose of the Study:
- To review current evidence on the relationship between sleep health and nocturnal hypertension.
- To highlight the importance of managing sleep and nighttime BP for cardiovascular event prevention.
- To discuss challenges and future perspectives in monitoring and managing nocturnal hypertension.
Main Methods:
- Literature review of recent studies on sleep, nocturnal BP, and cardiovascular outcomes.
- Analysis of factors contributing to poor nighttime BP control and BP variability.
- Synthesis of evidence regarding management strategies for sleep and hypertension.
Main Results:
- Nighttime BP is a stronger predictor of cardiovascular events than office or daytime BP.
- Nocturnal hypertension is frequently underdiagnosed and undertreated.
- Factors such as sleep disturbances and BP variability complicate nighttime BP management.
Conclusions:
- Optimizing sleep health and managing nocturnal hypertension are critical for cardiovascular disease prevention.
- Addressing the challenges in monitoring and treating nighttime BP is essential for improved patient outcomes.
- Further research and clinical strategies are needed to enhance the control of sleep and hypertension.
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