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morning surge of blood pressure

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https://www.readbyqxmd.com/read/28458378/differences-in-dynamic-diurnal-blood-pressure-variability-between-japanese-and-american-treatment-resistant-hypertensive-populations
#1
Kazuomi Kario, Deepak L Bhatt, Sandeep Brar, George L Bakris
BACKGROUND: Dynamic diurnal changes in 24-h ambulatory systolic blood pressure (SBP) are associated with increased cardiovascular risk. We compared ambulatory BP dynamics in Japanese and American black and white populations with treatment-resistant hypertension.Methods and Results:Both HTN-Japan (n=41) and SYMPLICITY HTN-3 (n=384 white and n=140 black patients) enrolled patients with office SBP ≥160 mmHg and 24-h ambulatory SBP ≥135 mmHg while on ≥3 antihypertensive medications...
April 29, 2017: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/28379890/morning-blood-pressure-monitoring-in-the-management-of-hypertension
#2
Ji-Guang Wang, Kazuomi Kario, Jeong-Bae Park, Chen-Huan Chen
: The aim of the current article is to review the current evidence on the role of morning blood pressure (BP) in the management of hypertension. Morning BP surge had been and will continue to be a hot topic of hypertension research. However, more evidence is needed to prove its clinical usefulness in the management of hypertension. Masked morning hypertension, as the other forms of masked hypertension, requires more research. The concept of morning BP monitoring could be clinically relevant in the therapeutic management of hypertension and in the prevention of cardiovascular complications by defining and treating morning hypertension...
April 4, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28352632/decoding-white-coat-hypertension
#3
REVIEW
Dennis A Bloomfield, Alex Park
There is arguably no less understood or more intriguing problem in hypertension that the "white coat" condition, the standard concept of which is significantly blood pressure reading obtained by medical personnel of authoritative standing than that obtained by more junior and less authoritative personnel and by the patients themselves. Using hospital-initiated ambulatory blood pressure monitoring, the while effect manifests as initial and ending pressure elevations, and, in treated patients, a low daytime profile...
March 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/28290800/-comparative-efficacy-of-the-influence-of-fixed-combinations-of-antihypertensive-drugs-that-block-the-renin-angiotensin-aldosterone-system-with-thiazide-diuretics-on-the-parameters-of-ambulatory-blood-pressure-monitoring
#4
O D Ostroumova, I A Garelik
AIM: to compare effects of fixed-dose combinations of antihypertensive drugs that block renin-angiotensin-aldosterone system (RAAS) with hydrochlorothiazide (HCT) on parameters of ambulatory blood pressure monitoring (ABPM). MATERIAL AND METHODS: Patients (n=50; 25 women, 25 men aged 40-75 years) with stage II essential hypertension who received no antihypertensive therapy for 12 weeks were randomized to receive once daily fixed-dose combinations of either valsartan/HCT (Val/HCT - group I) or quinapril/HCT (Quin/HCT - groupII) in starting doses of 80/12...
December 2016: Kardiologiia
https://www.readbyqxmd.com/read/28272109/morning-blood-pressure-surge-is-associated-with-carotid-intima-media-thickness-in-prehypertensive-patients
#5
Sertac Alpaydin, Yasar Turan, Mustafa Caliskan, Zuhal Caliskan, Feyza Aksu, Serhan Ozyildirim, Zafer Buyukterzi, Osman Kostek, Haldun Muderrisoglu
OBJECTIVE: Morning blood pressure (BP) surge (MBPS) is defined as an excessive increase in the morning BP from the lowest systolic BP during sleep and is reported as a risk factor for cardiovascular events in current clinical studies. In this study, we aimed to investigate the relationship between MBPS and carotid intima-media thickness (C-IMT) in prehypertensive patients. PATIENTS AND METHODS: We evaluated the association between the rate of BP variation derived from ambulatory BP monitoring and C-IMT in patients with prehypertension...
June 2017: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/28196818/association-of-morning-hypertension-subtype-with-vascular-target-organ-damage-and-central-hemodynamics
#6
Jaewon Oh, Chan Joo Lee, In-Cheol Kim, Sang-Hak Lee, Seok-Min Kang, Donghoon Choi, Sungha Park, Kazuomi Kario
BACKGROUND: A recent study reported that morning hypertension is associated with poor cardiovascular outcomes in hypertensive patients. However, it is unclear whether morning hypertension associated with sustained nocturnal hypertension and that associated with morning blood pressure (BP) surge differ in terms of their effects on cardiovascular target organ damage and clinical outcomes. The present study aimed to determine the association of morning hypertension with/without nocturnal hypertension with vascular target organ damage and central hemodynamics in patients at high risk for cardiovascular disease...
February 14, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28160382/association-between-nondipper-pulse-rate-and-measures-of-cardiac-overload-the-j-hop-study
#7
Yusuke Oba, Tomoyuki Kabutoya, Satoshi Hoshide, Kazuo Eguchi, Kazuomi Kario
This study aimed to investigate the relationship between nondipper pulse rate (PR) and hypertensive target organ damage. Ambulatory blood pressure monitoring was conducted in 940 high-risk Japanese patients enrolled in the Japan Morning Surge Home Blood Pressure Study. Nondipper PR was defined as (awake PR-sleep PR)/awake PR <0.1. The authors measured the patients' brain natriuretic peptide (BNP) and left ventricular mass index (LVMI). The nondipper PR group (n=213) had a significantly higher prevalence of high BNP (≥35 pg/mL, 39...
February 3, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28116919/morning-blood-pressure-surge-and-arterial-stiffness-in-newly-diagnosed-hypertensive-patients
#8
Ali Kıvrak, Süleyman Özbiçer, Gülhan Yüksel Kalkan, Mustafa Gür
OBJECTIVE: We aimed to investigate the relationship between the morning blood pressure (BP) surge and arterial stiffness in patients with newly diagnosed hypertension. SUBJECTS AND METHODS: Three hundred and twenty four (mean age 51.7 ± 11.4 years) patients who had newly diagnosed hypertension with 24 h ambulatory BP monitoring were enrolled. Parameters of arterial stiffness, pulse wave velocity and augmentation index (Aix) were measured by applanation tonometry and aortic distensibility was calculated by echocardiography...
June 2017: Blood Pressure
https://www.readbyqxmd.com/read/28005700/morning-pressor-surge-blood-pressure-variability-and-arterial-stiffness-in-essential-hypertension
#9
Giacomo Pucci, Francesca Battista, Fabio Anastasio, Giuseppe Schillaci
OBJECTIVE: An excess morning blood pressure surge (MBPS) may portend an increased cardiovascular risk, but the mechanisms thereof have been little investigated. The link between MBPS, short-term blood pressure (BP) variability, and arterial stiffness has not been entirely defined. METHODS: In 602 consecutive untreated hypertensive patients (48 ± 12 years, 61% men, office BP 149/93 ± 17/10 mmHg), we measured carotid-femoral pulse wave velocity (cf-PWV, SphygmoCor) and 24-h ambulatory BP...
February 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/27936340/high-morning-blood-pressure-surge-is-associated-with-oxidative-stress-and-paraoxonase-1-activity-in-newly-diagnosed-hypertensive-patients
#10
Onur Kaypaklı, Mustafa Gür, Hazar Harbalıoğlu, Taner Şeker, Şahabettin Selek
BACKGROUND: Both oxidative stress and morning surge (MS) of blood pressure (BP) were found to be closely related with cardiovascular and cerebrovascular diseases. We investigated the association between MS of BP and oxidative stress in newly diagnosed hypertensive patients. METHODS: We prospectively included 237 newly diagnosed hypertensive patients in the present study (mean age: 51.6 ± 11.7 years). The patients were classified according to the extent of the sleep-through surge as follows: the top decile of sleep-through surge (>47...
2016: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/27821618/diurnal-blood-pressure-rhythmicity-in-relation-to-environmental-and-genetic-cues-in-untreated-referred-patients
#11
Chang-Sheng Sheng, Yi-Bang Cheng, Fang-Fei Wei, Wen-Yi Yang, Qian-Hui Guo, Fei-Ka Li, Qi-Fang Huang, Lutgarde Thijs, Jan A Staessen, Ji-Guang Wang, Yan Li
No previous study has addressed the relative contributions of environmental and genetic cues to the diurnal blood pressure rhythmicity. From 24-hour ambulatory recordings of systolic blood pressure obtained in untreated patients (51% women; mean age, 51 years), we computed the night-to-day ratio in 897 and morning surge in 637. Environmental cues included season, mean daily outdoor temperature, atmospheric pressure, humidity and weekday, and the genetic cues 14 single nucleotide polymorphisms in 10 clock genes...
January 2017: Hypertension
https://www.readbyqxmd.com/read/27806809/increased-level-of-morning-surge-in-blood-pressure-in-normotensives-across-sectional-study-from-pakistan
#12
COMPARATIVE STUDY
Aysha Almas, Fatehali Tipoo Sultan, Khawar Kazmi
OBJECTIVE: To determine the mean morning surge (MS) in blood pressure, the frequency of increased morning surge in normotensive subjects, and to compare those with morning surge with those without MS. STUDY DESIGN: Across-sectional, comparative study. PLACE AND DURATION OF STUDY: The Department of Medicine, The Aga Khan University Hospital, Karachi, from April 2011 to March 2012. METHODOLOGY: Adult normotensive healthy volunteers aged 35 to 65 years were inducted...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27754309/lbos-03-04-strict-blood-pressure-control-as-shown-in-the-sprint-trial-can-it-be-generalized-to-all-asian-populations
#13
Satoshi Hoshide, Yuichiro Yano, Hajime Haimoto, Kayo Yamagiwa, Kiyoshi Uchiba, Shoichiro Nagasaka, Yoshio Matsui, Akira Nakamura, Motoki Fukutomi, Kazuo Eguchi, Joji Ishikawa, Kazuomi Kario
OBJECTIVE: The SPRINT (Systolic Blood Pressure Intervention Trial) recently demonstrated that strict blood pressure (BP) control resulted in a lower cardiovascular disease (CVD) risk compared to standard BP control, however, this association was not observed regarding the incidence of stroke. Previous studies revealed that the contribution of BP as a risk factor was higher for stroke incidence than for any other CVD, especially in Asian populations. It is thus not clear whether the results of the SPRINT can be generalized to all Asian populations...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753958/os-09-02-prevalence-and-determinants-of-exaggerated-morning-surge-and-morning-hypertension-in-chinese-the-china-ambulatory-and-home-blood-pressure-registry-abpr
#14
Qian-Hui Guo, Yuan-Yuan Kang, Jie Song, Qi Chen, Chang-Yuan Liu, Shao-Kun Xu, Yi-Bang Cheng, Yan Li, Ji-Guang Wang
OBJECTIVE: Prognosis of exaggerated morning surge (MS) of blood pressure (BP) remains controversial, possibly due to the ethnic difference in the size of MS. Compared to MS, evidence on morning hypertension (MH) is more consistent. With the use of a national BP registry database, we studied the size of MS and the prevalence and determinants of exaggerated MS and MH in Chinese. DESIGN AND METHOD: In the 3547 patients (mean age, 56.8 years; women, 49.1%; hypertension, 79...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753949/os-07-05-determinants-of-morning-blood-pressure-surge-in-normotensive-subjects-and-untreated-hypertensive-patients-the-korean-ambulatory-blood-pressure-multicenter-observational-study
#15
Jeong-Eun Yi, Wook Bum Pyun, Yoonpyo Lee, Junbeom Park, Gee Yeon Kim, Sang-Hyun Ihm, Ju Han Kim, Soon Kil Kim, Gil Ja Shin
OBJECTIVE: Morning blood pressure (BP) surge has been regarded as a predictor of adverse cardiovascular events. However, its determinants remain controversial and no previous studies have evaluated whether or not there is a difference in the determinants of morning BP surge between normotensive and hypertensive subjects. DESIGN AND METHOD: We included 476 normotensive subjects (mean age 52.8 ± 15.4 years, 49.2% males) and 1028 untreated hypertensive patients (age 51...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753946/os-07-02-differences-in-circadian-blood-pressure-variability-patterns-between-japanese-and-american-treatment-resistant-hypertensive-populations
#16
Kazuomi Kario, Deepak Bhatt, Sandeep Brar, George Bakris
OBJECTIVE: Dynamic changes in 24-hour ambulatory blood pressure (BP) are associated with basal autonomic function and cardiovascular risk. We examined the influence of ethnicity on these parameters by comparing ambulatory BP dynamics in Japanese, African American (AA), and white populations with treatment-resistant hypertension. DESIGN AND METHOD: Both HTN-Japan (N = 41) and SYMPLICITY HTN-3 (N = 384 white and 140 AA) enrolled patients with office systolic BP ≥ 160 mmHg and 24-hour ambulatory systolic BP ≥ 135 mmHg while on ≥3 antihypertensive medications...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753938/os-06-03-diurnal-blood-pressure-rhythmicity-in-relation-to-environmental-and-genetic-cues
#17
Chang-Sheng Sheng, Yi-Bang Cheng, Fang-Fei Wei, Wen-Yi Yang, Qian-Hui Guo, Fei-Ka Li, Qi-Fang Huang, Lutgarde Thijs, Yan Li, Jan A Staessen, Ji-Guang Wang
OBJECTIVE: No previous study addressed the relative contributions of environmental and genetic cues to the diurnal blood pressure rhythmicity. We firstly investigated the explained variance of environmental and clock genes in relation to the night-to-day ratio (NDR) and morning surge (MS), respectively. DESIGN AND METHOD: From 24-h ambulatory recordings of systolic blood pressure (SBP) obtained in untreated Chinese patients (51% women; mean age, 51 years), we computed NDR in 897 and MS in 637...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753860/me-01-2-assessment-and-treatment-of-morning-hypertension-update
#18
Kazuomi Kario
The essential benefit of the management of hypertension is derived from the blood pressure (BP) lowering per se, indicating the importance of BP throughout 24 hours. Recent guidelines stressed the importance of home BP for the diagnosis and management of hypertension. It is well-known that cardiovascular events occur more frequently in the morning BP levels have been shown to increase during the period from night to early morning. Clinical research using ambulatory BP monitoring (ABPM) or home BP monitoring has clarified that morning BP and BP surge are more closely related to the cardiovascular risk than office BP (Kario et al...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753854/db-01-3-treatment-target-of-systolic-blood-pressure-in-diabetes-may-differ-according-to-ethnicity-pro
#19
Kazuomi Kario
Asians have specific characteristics of hypertension and related cardiovascular disease. Stroke is more common than coronary artery disease in Eastern Asian countries, while the coronary artery disease is more common than stroke in Western countries. The association slope between higher blood pressure (BP) and the risk of cardiovascular events is steeper in Asians than in Caucasians. This may partly explained by the recent result demonstrating that the morning BP surge in Asians is more extended (Hoshide, Kario, Parati et al...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753848/ed-03-2-home-blood-pressure-monitoring-is-better-than-office-bp-and-ambulatory-bp-update
#20
Kazuomi Kario
Out-of-office blood pressure (BP) measured by home BP monitoring (HBPM) or ambulatory BP monitoring (ABPM) was demonstrated to be superior to office BP for the prediction of cardiovascular events. The ABPM is superior to HBPM for detecting the all the BP-related risks throughout 24-hr, and the self-measured HBPM underestimates the risk of daytime stress hypertension and nocturnal hypertension. However, ABPM cannot always be provided in clinical practice, and home BP monitoring can be superior to ABPM as part of a home BP-guided antihypertension strategy in clinical practice...
September 2016: Journal of Hypertension
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