Document Detail


Blunted nocturnal decline in blood pressure.
MedLine Citation:
PMID:  15470290     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blood pressure normally declines 10%-20% from daytime to sleep. Patients with less than a 10% reduction in daytime blood pressure are referred to as nondippers. A blunted nocturnal decline in blood pressure may be due to diminished sodium excretory capacity, alteration in the autonomic nervous system, or other factors. Secondary hypertension should be considered as a possibility. Target organ damage appears to be more common in nondippers, however, poor reproducibility of nondipping status raises the question as to the appropriate duration of monitoring to establish a diagnosis. Nondippers tend to have a greater reduction in nocturnal blood pressure with nonpharmacologic and pharmacologic treatment.
Authors:
L Michael Prisant
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  6     ISSN:  1524-6175     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-07     Completed Date:  2005-01-24     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  594-7     Citation Subset:  IM    
Affiliation:
Department of Hypertension and Clinical Pharmacology, Medical College of Georgia, Augusta, GA 30912, USA. mprisant@mail.mcg.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Circadian Rhythm
Humans
Hypertension / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Clinical features and management of selected hypertensive emergencies.
Next Document:  Update on the management of hypertension: recent clinical trials and the JNC 7.