1.

Record Nr.

UNINA9910830350203321

Autore

Kario Kazuomi

Titolo

Essential manual of 24-hour blood pressure management : from morning to nocturnal hypertension / / Kazuomi Kario

Pubbl/distr/stampa

Hoboken, New Jersey : , : Wiley-Blackwell, , [2022]

©2022

ISBN

1-119-79941-4

1-119-79940-6

1-119-79938-4

Edizione

[Second edition.]

Descrizione fisica

1 online resource (397 pages)

Disciplina

616.132061

Soggetti

Hypertension

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Evidence and scientific rationale for ambulatory blood pressure monitoring (ABPM) -- Scientific rationale for HBPM -- Practical use of ABPM and HBPM -- BP targets, when to initiate antihypertensive therapy, and non-pharmacological treatment -- Antihypertensive medication -- Renal denervation -- Blood pressure linked telemedicine and telecare -- Asia Perspectives.

Sommario/riassunto

"Blood pressure (BP) always varies over time, including beat-by-beat, trigger-induced, orthostatic, diurnal, day-by-day, weekly, seasonal, and age-related variations. Of these different BP variability components, circadian rhythm is the central component of individual BP variability, and there is a large body of accumulating evidence highlighting the importance of this parameter. Basic circadian rhythm forms the basis of individual diurnal BP variation (Figure 1.1) 1. The circadian rhythm of BP is physiologically determined partly by the intrinsic rhythm of central and peripheral clock genes, which regulate the neurohumoral factor and cardiovascular systems, and partly by the sleep-wake behavioral pattern, and is associated with various pathological conditions. In addition to different patterns of circadian rhythm, short-term BP variability such as morning BP surge (MBPS), physical or psychological stress-induced daytime BP, and nighttime BP



surge triggered by hypoxic episodes in obstructive sleep apnea, arousal, rapid-eye-movement sleep, and nocturnal behavior (e.g. nocturia) modulates the circadian rhythm of BP, resulting in the different individual diurnal BP variation"--