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chronotherapy ambulatory blood pressure

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https://www.readbyqxmd.com/read/27845956/the-association-of-night-time-systolic-blood-pressure-with-ultrasound-markers-of-subclinical-cardiac-and-vascular-disease
#1
Anne Marie O'Flynn, Emily Ho, Eamon Dolan, Ronan J Curtin, Patricia M Kearney
INTRODUCTION: The aim of this study was to examine the association of night-time systolic blood pressure (BP) with subclinical cardiac dysfunction measured by global longitudinal strain (GLS) and subclinical vascular damage measured by carotid intima-media thickness (CIMT) and carotid plaques. METHODS: GLS was measured by speckle-tracking analysis of echocardiogram images. CIMT was measured at the distal 1 cm of the common carotid artery. The presence of carotid plaques was recorded...
November 11, 2016: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/27316324/sleep-time-blood-pressure-unique-sensitive-prognostic-marker-of-vascular-risk-and-therapeutic-target-for-prevention
#2
Ramón C Hermida, Diana E Ayala, Michael H Smolensky, José R Fernández, Artemio Mojón, Francesco Portaluppi
Correlation between blood pressure (BP) and target organ damage, vascular risk, and long-term patient prognosis is stronger for measurements derived from around-the-clock ambulatory BP monitoring (ABPM) than in-clinic daytime ones. Numerous studies consistently substantiate the asleep BP mean is both an independent and much better predictor of cardiovascular disease (CVD) risk than either the awake or 24 h means. Elevated sleep-time BP, i.e., sleep-time hypertension, which can only be diagnosed by around-the-clock ABPM, is much more common than suspected, not only in patients with sleep disorders, but, among others, in those who are elderly or have type 2 diabetes, chronic kidney disease, or resistant hypertension...
April 14, 2016: Sleep Medicine Reviews
https://www.readbyqxmd.com/read/27241550/nocturnal-hypertension-neglected-issue-in-comprehensive-hypertension-management
#3
Andi Kristanto, Randy Adiwinata, Silvia Suminto, Benny N Kurniawan, Finna Christianty, Robert Sinto
The body circardian rhythm affects blood pressure variability at day and night, therefore blood pressure at day and night might be different. Nocturnal hypertension is defined as increase of blood pressure >120/70mmHg at night, which is caused by disturbed circadian rhythm, and associated with higher cardiovascular and cerebrovascular events also mortality in hypertensive patients. Nocturnal hypertension and declining blood pressure pattern, can only be detected by continuous examination for 24 hours, also known as ambulatory blood pressure measurement (ABPM)...
January 2016: Acta Medica Indonesiana
https://www.readbyqxmd.com/read/27221952/sleep-time-ambulatory-blood-pressure-as-a-prognostic-marker-of-vascular-and-other-risks-and-therapeutic-target-for-prevention-by-hypertension-chronotherapy-rationale-and-design-of-the-hygia-project
#4
Ramón C Hermida
This article describes the rationale, objectives, design and conduct of the ambulatory blood pressure monitoring (ABPM)-based Hygia Project. Given the substantial evidence of the significantly better prognostic value of ABPM compared to clinic BP measurements, several international guidelines now propose ABPM as a requirement to confirm the office diagnosis of hypertension. Nonetheless, all previous ABPM outcome investigations, except the Monitorización Ambulatoria para Predicción de Eventos Cardiovasculares study (MAPEC) study, relied upon only a single, low-reproducible 24 h ABPM assessment per participant done at study inclusion, thus precluding the opportunity to explore the potential reduction in cardiovascular disease (CVD) risk associated with modification of prognostic ABPM-derived parameters by hypertension therapy...
2016: Chronobiology International
https://www.readbyqxmd.com/read/26657008/chronotherapy-with-conventional-blood-pressure-medications-improves-management-of-hypertension-and-reduces-cardiovascular-and-stroke-risks
#5
Ramón C Hermida, Diana E Ayala, Michael H Smolensky, José R Fernández, Artemio Mojón, Francesco Portaluppi
Correlation between blood pressure (BP) and target organ damage, vascular risk and long-term patient prognosis is greater for measurements derived from around-the-clock ambulatory BP monitoring than in-clinic daytime ones. Numerous studies consistently substantiate the asleep BP mean is both an independent and a much better predictor of cardiovascular disease (CVD) risk than either the awake or 24 h means. Sleep-time hypertension is much more prevalent than suspected, not only in patients with sleep disorders, but also among those who are elderly or have type 2 diabetes, chronic kidney disease or resistant hypertension...
May 2016: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/26228254/-ambulatory-blood-pressure-chronotherapy-of-hypertension-and-glaucoma
#6
Ramón C Hermida, Diana E Ayala
No abstract text is available yet for this article.
January 1, 2016: Medicina Clínica
https://www.readbyqxmd.com/read/26180036/-chronotherapy-in-arterial-hypertension
#7
M Bendersky
The blood pressure profile in most normo- and hypertensive subjects are currently known, as well as the impact their changes induced on the cardio- and cerebrovascular risk. Ambulatory blood pressure monitoring (ABPM) has contributed greatly to the knowledge of this parameter. It to correct the schedule of drug administration (chronotherapy) with changes in any component of the BP profile that have better correlation with risk. These include the nocturnal decrease and the morning BP surge. Investigations in this direction are still scarce, and multicenter studies need to be conducted that can answer the true preventive impact of such modifications...
July 2015: Hipertensión y Riesgo Vascular
https://www.readbyqxmd.com/read/26005390/resistant-hypertension-and-chronotherapy
#8
REVIEW
Ingrid Prkacin, Diana Balenovic, Vesna Djermanovic-Dobrota, Iva Lukac, Petra Drazic, Iva-Klara Pranjic
Resistant hypertension is defined as blood pressure that remains above 140/90 mmHg in spite of the continuous use of three antihypertensive agents in optimal dose, including diuretic, and lifestyle changes. According to data from United States of America and Europe, the prevalence ranges from 10 up to 30% in patients with hypertension. Numerous biological and lifestyle factors can contribute to the development of resistant hypertension: medications, volume overload, obesity, diabetes mellitus, older age, renal parenchymal and renovascular disease, primary aldosteronism, obstructive sleep apnea, pheochormocytoma, Cushing's syndrome, thyroid diseases, aortic coarctation...
April 2015: Materia Socio-medica
https://www.readbyqxmd.com/read/25515866/treatment-of-hypertension-with-chronotherapy-is-it-time-of-drug-administration
#9
REVIEW
Paul M Stranges, Amy M Drew, Patricia Rafferty, Jerrica E Shuster, Amie D Brooks
OBJECTIVE: To review evidence for dosing antihypertensives at bedtime and possible cardiovascular risk reduction. DATA SOURCES: A PubMed, EMBASE, and Cochrane Controlled Trials database literature search (1990-September 2014) limited to human subjects was performed using the search terms hypertension, chronotherapy, ambulatory blood pressure, morning administration, evening administration, and antihypertensives. Additional references were identified from literature citations...
March 2015: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/24393346/the-effect-of-continuous-nursing-intervention-guided-by-chronotherapeutics-on-ambulatory-blood-pressure-of-older-hypertensive-patients-in-the-community
#10
RANDOMIZED CONTROLLED TRIAL
Mei Cheng, Shu-Ling Cheng, Qing Zhang, He Jiang, Ji-Yan Cong, Xiao-Ying Zang, Yue Zhao
AIMS AND OBJECTIVES: To explore the effect of continuous nursing intervention guided by chronotherapeutics so as to provide the easy, noninvasive, effective and acceptable intervention for older hypertensive patients in the community. BACKGROUND: Many researchers studied the effect of administration at different times on blood pressure control and circadian rhythm. However, the individual administrative time was set ambiguously in previous studies. DESIGN: A semi-experimental study...
August 2014: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/24009285/abnormalities-in-chronic-kidney-disease-of-ambulatory-blood-pressure-24-h-patterning-and-normalization-by-bedtime-hypertension-chronotherapy
#11
Ramón C Hermida, Michael H Smolensky, Diana E Ayala, José R Fernández, Ana Moyá, Juan J Crespo, Artemio Mojón, María T Ríos, Fabio Fabbian, Francesco Portaluppi
In chronic kidney disease (CKD), the prevalence of hypertension is very high, escalating with diminishing renal function. Typically, the diagnosis of hypertension and the clinical decisions regarding its treatment are based on daytime clinic blood pressure (BP) measurements. However, the correlation between BP level and target organ damage, cardiovascular risk and long-term prognosis is greater for ambulatory than clinic measurements. Moreover, evidence is consistent among numerous studies that the elevated risk and incidence of end-organ injury and fatal and non-fatal cardiovascular events are significantly associated with blunted night-time BP decline, and that the asleep BP better predicts cardiovascular events than either the awake or 24-h BP mean...
June 2014: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/23849214/-2013-ambulatory-blood-pressure-monitoring-recommendations-for-the-diagnosis-of-adult-hypertension-assessment-of-cardiovascular-and-other-hypertension-associated-risk-and-attainment-of-therapeutic-goals-summary-joint-recommendations-from-the-international-society
#12
Ramón C Hermida, Michael H Smolensky, Diana E Ayala, Francesco Portaluppi, Juan J Crespo, Fabio Fabbian, Erhard Haus, Roberto Manfredini, Artemio Mojón, Ana Moyá, Luis Piñeiro, María T Ríos, Alfonso Otero, Horia Balan, José R Fernández
Correlation between systolic (SBP) and diastolic (DBP) blood pressure (BP) level and target organ damage, cardiovascular disease (CVD) risk, and long-term prognosis is much greater for ambulatory BP monitoring (ABPM) than daytime office measurements. The 2013 ABPM guidelines specified herein are based on ABPM patient outcomes studies and constitute a substantial revision of current knowledge. The asleep SBP mean and sleep-time relative SBP decline are the most significant predictors of CVD events, both individually as well as jointly when combined with other ABPM-derived prognostic markers...
April 2013: Clínica e Investigación en Arteriosclerosis
https://www.readbyqxmd.com/read/23709604/diagnosing-vascular-variability-anomalies-not-only-mesor-hypertension
#13
REVIEW
Franz Halberg, Deborah Powell, Kuniaki Otsuka, Yoshihiko Watanabe, Larry A Beaty, Paul Rosch, Jerzy Czaplicki, Dewayne Hillman, Othild Schwartzkopff, Germaine Cornelissen
Chronobiology is the study of biological rhythms. Chronomics investigates interactions with environmental cycles in a genetically coded autoresonance of the biosphere with wrangling space and terrestrial weather. Analytical global and local methods applied to human blood pressure records of around-the-clock measurements covering decades detect physiological-physical interactions, a small yet measurable response to solar and terrestrial magnetism. The chronobiological and chronomic interpretation of ambulatory blood pressure monitoring (C-ABPM) records in the light of time-specified reference values derived from healthy peers matched by sex and age identify vascular variability anomalies (VVAs) for an assessment of cardio-, cerebro-, and renovascular disease risk...
August 1, 2013: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/23609565/chronotherapy-improves-blood-pressure-control-and-reduces-vascular-risk-in-ckd
#14
REVIEW
Ramón C Hermida, Diana E Ayala, Michael H Smolensky, Artemio Mojón, José R Fernández, Juan J Crespo, Ana Moyá, María T Ríos, Francesco Portaluppi
In patients with chronic kidney disease (CKD), the prevalence of increased blood pressure during sleep and blunted sleep-time-relative blood pressure decline (a nondipper pattern) is very high and increases substantially with disease severity. Elevated blood pressure during sleep is the major criterion for the diagnoses of hypertension and inadequate therapeutic ambulatory blood pressure control in these patients. Substantial, clinically meaningful ingestion-time-dependent differences in the safety, efficacy, duration of action and/or effects on the 24 h blood pressure pattern of six different classes of hypertension medications and their combinations have been substantiated...
June 2013: Nature Reviews. Nephrology
https://www.readbyqxmd.com/read/23569382/antihypertensive-therapy-nocturnal-dippers-and-nondippers-do-we-treat-them-differently
#15
REVIEW
Chakrapani Mahabala, Padmanabha Kamath, Unnikrishnan Bhaskaran, Narasimha D Pai, Aparna U Pai
Hypertension is a major independent risk factor for cardiovascular diseases. Management of hypertension is generally based on office blood pressure since it is easy to determine. Since casual blood pressure readings in the office are influenced by various factors, they do not represent basal blood pressure. Dipping of the blood pressure in the night is a normal physiological change that can be blunted by cardiovascular risk factors and the severity of hypertension. Nondipping pattern is associated with disease severity, left ventricular hypertrophy, increased proteinuria, secondary forms of hypertension, increased insulin resistance, and increased fibrinogen level...
2013: Vascular Health and Risk Management
https://www.readbyqxmd.com/read/23541237/toward-a-personalized-chronotherapy-of-high-blood-pressure-and-a-circadian-overswing
#16
Yoshihiko Watanabe, Franz Halberg, Kuniaki Otsuka, Germaine Cornelissen
Timing can greatly affect the response to a stimulus, including antihypertensive medications. Herein, we assess the response of 30 patients to losartan/hydrochlorothiazide (L/H), administered for at least 1 month at a given circadian stage to each patient, this stage being changed during consecutive spans to cover six treatment times from awakening to bedtime at approximately 3-hour intervals. At the end of each stage, each patient underwent a 7-day around-the-clock ambulatory blood pressure (BP) profile, analyzed chronobiologically...
2013: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/23517220/2013-ambulatory-blood-pressure-monitoring-recommendations-for-the-diagnosis-of-adult-hypertension-assessment-of-cardiovascular-and-other-hypertension-associated-risk-and-attainment-of-therapeutic-goals
#17
Ramón C Hermida, Michael H Smolensky, Diana E Ayala, Francesco Portaluppi
Correlation between systolic (SBP) and diastolic (DBP) blood pressure (BP) level and target organ damage, cardiovascular disease (CVD) risk, and long-term prognosis is much greater for ambulatory BP monitoring (ABPM) than daytime office measurements. The 2013 ABPM guidelines specified herein are based on ABPM patient outcomes studies and constitute a substantial revision of current knowledge. The asleep SBP mean and sleep-time relative SBP decline are the most significant predictors of CVD events, both individually as well as jointly when combined with other ABPM-derived prognostic markers...
April 2013: Chronobiology International
https://www.readbyqxmd.com/read/23514718/how-to-use-ambulatory-blood-pressure-monitoring-in-resistant-hypertension
#18
REVIEW
Elizabeth S Muxfeldt, Gil F Salles
Resistant hypertension is defined as an uncontrolled office blood pressure (BP) despite the use of at least three antihypertensive drugs, in adequate doses and combinations, preferentially including one diuretic. It is a clinical diagnosis based on office BP measurements. Ambulatory BP monitoring (ABPM) is the cornerstone in the management of patients with resistant hypertension, as it is mandatory for diagnosis, treatment, follow-up and prognosis. In relation to diagnosis, ABPM measurements have classified patients with resistant hypertension into four subgroups: true, white-coat, controlled and masked resistant hypertension...
May 2013: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/23385650/time-of-day-of-energy-intake-association-with-hypertension-and-blood-pressure-10-years-later-in-the-1946-british-birth-cohort
#19
Suzana Almoosawi, Celia J Prynne, Rebecca Hardy, Alison M Stephen
OBJECTIVES: The role of circadian rhythm of energy and macronutrient intake in influencing cardiometabolic risk factors is increasingly recognized. However, little is known of the association between time of energy intake and blood pressure. We examined the association between time-of-day of energy intake and subsequent hypertension and change in blood pressure. METHODS: The analysis included 517 men and 635 women from the 1946 British birth cohort. Diet was assessed using 5-day estimated diaries...
May 2013: Journal of Hypertension
https://www.readbyqxmd.com/read/23171375/increasing-sleep-duration-to-lower-beat-to-beat-blood-pressure-a-pilot-study
#20
RANDOMIZED CONTROLLED TRIAL
Monika Haack, Jorge Serrador, Daniel Cohen, Norah Simpson, Hans Meier-Ewert, Janet M Mullington
Strong evidence has accumulated over the last several years, showing that low sleep quantity and/or quality plays an important role in the elevation of blood pressure. We hypothesized that increasing sleep duration serves as an effective behavioral strategy to reduce blood pressure in prehypertension or type 1 hypertension. Twenty-two participants with prehypertension or stage 1 hypertension, and habitual sleep durations of 7 h or less, participated in a 6-week intervention study. Subjects were randomized to a sleep extension group (48 ± 12 years, N = 13) aiming to increase bedtime by 1 h daily over a 6-week intervention period, or to a sleep maintenance group (47 ± 12 years, N = 9) aiming to maintain habitual bedtimes...
June 2013: Journal of Sleep Research
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