Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League
Abstract Nocturnal hypertension is highly prevalent among Chinese and Asian populations, which is mainly attributed to high salt intake and high salt sensitivity. Nocturnal hypertension increases the risk of cardiovascular and all‐cause mortality, independent of daytime blood pressure (BP). However,...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-01-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14757 |
| _version_ | 1797352159604375552 |
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| author | Jing Liu Yan Li Xinjun Zhang Peili Bu Xueping Du Lizheng Fang Yingqing Feng Yifang Guo Fei Han Yinong Jiang Yuming Li Jinxiu Lin Min Liu Wei Liu Mingzhi Long Jianjun Mu Ningling Sun Hao Wu Jianhong Xie Jingyuan Xie Liangdi Xie Jing Yu Hong Yuan Yan Zha Yuqing Zhang Shanzhu Zhu Jiguang Wang Chinese Hypertension League expert consensus committee on the management of nocturnal hypertension |
| author_facet | Jing Liu Yan Li Xinjun Zhang Peili Bu Xueping Du Lizheng Fang Yingqing Feng Yifang Guo Fei Han Yinong Jiang Yuming Li Jinxiu Lin Min Liu Wei Liu Mingzhi Long Jianjun Mu Ningling Sun Hao Wu Jianhong Xie Jingyuan Xie Liangdi Xie Jing Yu Hong Yuan Yan Zha Yuqing Zhang Shanzhu Zhu Jiguang Wang Chinese Hypertension League expert consensus committee on the management of nocturnal hypertension |
| author_sort | Jing Liu |
| collection | DOAJ |
| description | Abstract Nocturnal hypertension is highly prevalent among Chinese and Asian populations, which is mainly attributed to high salt intake and high salt sensitivity. Nocturnal hypertension increases the risk of cardiovascular and all‐cause mortality, independent of daytime blood pressure (BP). However, it can usually be detected by 24‐h ambulatory BP monitoring, rather than routine office or home BP measurement, thus is often underdiagnosed in clinical practice. Currently, no specific guidance is available for the management of nocturnal hypertension in China or worldwide. Experts from the Chinese Hypertension League summarized the epidemiologic and pathophysiologic characteristics and clinical phenotype of nocturnal hypertension and provided consensus recommendations on optimal management of nocturnal hypertension, with the goal of maximally reducing the cardiovascular disease risks. In this consensus document, 24‐h ABPM is recommended for screening and diagnosis of nocturnal hypertension, especially in the elderly, patients with diabetes, chronic kidney diseases, obstructive sleep apnea and other conditions prone to high nocturnal BP. Lifestyle modifications including salt intake restriction, exercise, weight loss, sleep improvement, and mental stress relief are recommended. Long‐acting antihypertensive medications are preferred for nocturnal and 24‐h BP control. Some newly developed agents, renal denervation, and other device‐based therapy on nocturnal BP reduction are evaluated. |
| first_indexed | 2024-03-08T13:11:12Z |
| format | Article |
| id | doaj.art-4ec45e515e814953bce968fc4b7262b6 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-08T13:11:12Z |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-4ec45e515e814953bce968fc4b7262b62024-01-18T11:56:10ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762024-01-01261718310.1111/jch.14757Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension LeagueJing Liu0Yan Li1Xinjun Zhang2Peili Bu3Xueping Du4Lizheng Fang5Yingqing Feng6Yifang Guo7Fei Han8Yinong Jiang9Yuming Li10Jinxiu Lin11Min Liu12Wei Liu13Mingzhi Long14Jianjun Mu15Ningling Sun16Hao Wu17Jianhong Xie18Jingyuan Xie19Liangdi Xie20Jing Yu21Hong Yuan22Yan Zha23Yuqing Zhang24Shanzhu Zhu25Jiguang Wang26Chinese Hypertension League expert consensus committee on the management of nocturnal hypertensionPeking University People's Hospital Beijing ChinaRuijin Hospital Shanghai Jiaotong University School of Medicine Shanghai ChinaWest China Hospital of Sichuan University Chengdu Sichuan ChinaQilu Hospital of Shandong University Jinan Shandong ChinaYuetan Community Health Service Center Fuxing Hospital Capital Medical University Beijing ChinaSir Run Run Shaw Hospital Zhejiang University School of Medicine Hangzhou Zhejiang ChinaGuangdong Provincial People's Hospital Guangzhou Guangdong ChinaHebei General Hospital Shijiazhuang Hebei ChinaThe First Affiliated Hospital of Zhejiang University School of Medicine Hangzhou Zhejiang ChinaThe First Affiliated Hospital of Dalian Medical University Dalian ChinaT International Cardiovascular Hospital Tianjin ChinaThe First Affiliated Hospital of Fujian Medical University Fuzhou Fujian ChinaHenan Province People's Hospital Zhengzhou Henan ChinaBeijing Hospital Beijing ChinaThe Second Affiliated Hospital of Nanjing Medical University Nanjing Jiangsu ChinaThe First Affiliated Hospital of Xi'an Jiaotong University Xi'an ChinaPeking University People's Hospital Beijing ChinaSchool of General Practice and Continuing Education, Capital Medical University Beijing ChinaZhejiang Provincial People's Hospital Hangzhou Zhejiang ChinaRuijin Hospital Shanghai Jiaotong University School of Medicine Shanghai ChinaThe First Affiliated Hospital of Fujian Medical University Fuzhou Fujian ChinaLanzhou University Second Hospital Lanzhou Gansu ChinaThe Third Xiangya Hospital of Central South University Changsha Hunan ChinaGuizhou Provincial People's Hospital Guiyang Guizhou ChinaFuwai Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing ChinaZhongshan Hospital Fudan University Shanghai ChinaRuijin Hospital Shanghai Jiaotong University School of Medicine Shanghai ChinaAbstract Nocturnal hypertension is highly prevalent among Chinese and Asian populations, which is mainly attributed to high salt intake and high salt sensitivity. Nocturnal hypertension increases the risk of cardiovascular and all‐cause mortality, independent of daytime blood pressure (BP). However, it can usually be detected by 24‐h ambulatory BP monitoring, rather than routine office or home BP measurement, thus is often underdiagnosed in clinical practice. Currently, no specific guidance is available for the management of nocturnal hypertension in China or worldwide. Experts from the Chinese Hypertension League summarized the epidemiologic and pathophysiologic characteristics and clinical phenotype of nocturnal hypertension and provided consensus recommendations on optimal management of nocturnal hypertension, with the goal of maximally reducing the cardiovascular disease risks. In this consensus document, 24‐h ABPM is recommended for screening and diagnosis of nocturnal hypertension, especially in the elderly, patients with diabetes, chronic kidney diseases, obstructive sleep apnea and other conditions prone to high nocturnal BP. Lifestyle modifications including salt intake restriction, exercise, weight loss, sleep improvement, and mental stress relief are recommended. Long‐acting antihypertensive medications are preferred for nocturnal and 24‐h BP control. Some newly developed agents, renal denervation, and other device‐based therapy on nocturnal BP reduction are evaluated.https://doi.org/10.1111/jch.14757clinical managementexpert consensusnocturnal hypertension |
| spellingShingle | Jing Liu Yan Li Xinjun Zhang Peili Bu Xueping Du Lizheng Fang Yingqing Feng Yifang Guo Fei Han Yinong Jiang Yuming Li Jinxiu Lin Min Liu Wei Liu Mingzhi Long Jianjun Mu Ningling Sun Hao Wu Jianhong Xie Jingyuan Xie Liangdi Xie Jing Yu Hong Yuan Yan Zha Yuqing Zhang Shanzhu Zhu Jiguang Wang Chinese Hypertension League expert consensus committee on the management of nocturnal hypertension Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League The Journal of Clinical Hypertension clinical management expert consensus nocturnal hypertension |
| title | Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League |
| title_full | Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League |
| title_fullStr | Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League |
| title_full_unstemmed | Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League |
| title_short | Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League |
| title_sort | management of nocturnal hypertension an expert consensus document from chinese hypertension league |
| topic | clinical management expert consensus nocturnal hypertension |
| url | https://doi.org/10.1111/jch.14757 |
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