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Asian Expert Consensus on Nocturnal Hypertension Management
Jing Liu1, Yan Li2, Kei Asayama3
1Department of Hypertension, Peking University People's Hospital, Vascular Health Research Center of Peking University Health Science Center, Beijing, China (J.L.).
Hypertension (Dallas, Tex. : 1979)
|April 11, 2025
Summary
Nighttime blood pressure, or nocturnal hypertension, is a strong predictor of cardiovascular events and organ damage, especially in Asian populations. This consensus addresses its diagnosis, risks, and management strategies for better patient outcomes.
Area of Science:
- Cardiology
- Hypertension Research
- Public Health
Background:
- Nighttime blood pressure is a superior predictor of cardiovascular events and target organ damage compared to daytime readings.
- Nocturnal hypertension is prevalent globally, with higher rates observed in Asian populations than European populations.
- Established risk factors for elevated nighttime blood pressure in Asians include excessive salt intake and salt sensitivity.
Purpose of the Study:
- To establish a consensus among Asian experts on the management of nocturnal hypertension.
- To address key aspects including definitions, diagnosis, epidemiology, risk factors, and treatment strategies.
- To improve the low control rates of nocturnal hypertension through enhanced monitoring and therapeutic approaches.
Main Methods:
- Review of existing evidence on nocturnal hypertension.
- Expert discussions and formulation of consensus guidelines.
- Focus on epidemiological data and risk factor analysis specific to Asian populations.
Main Results:
- Consistent evidence supports nighttime blood pressure as a critical health indicator.
- Nocturnal hypertension is disproportionately high in Asian populations.
- Current management strategies are often inadequate, leading to low control rates.
Conclusions:
- There is a need for standardized definitions and diagnostic criteria for nocturnal hypertension in Asia.
- Targeted interventions addressing salt intake and sensitivity are crucial for Asian populations.
- A unified approach to monitoring and treatment is essential for effective management of nocturnal hypertension.
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