NDLI: Lack of Nocturnal Blood Pressure Fall in Elderly Bedridden Hypertensive Patients With Cerebrovascular Disease

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Lack of Nocturnal Blood Pressure Fall in Elderly Bedridden Hypertensive Patients With Cerebrovascular Disease

Content Provider	Scilit
Author	Sasaki, Masato Ando, Hitoshi Fujimura, Akio
Copyright Year	2012
Description	Journal: Chronobiology international To prevent recurrence of cerebrovascular disease (CVD), adequate control of blood pressure (BP) is extremely important for the treatment of hypertensive CVD patients. As absence of the nocturnal fall of BP by the expected 10-20% from daytime levels is reported to exaggerate target organ injury, 24-h ambulatory blood pressure monitoring (ABPM) was conducted, especially to obtain data during nighttime sleep. Forty-eight elderly bedridden chronic phase CVD hypertensive patients (assessed 1-3 mo after CVD accident) participated. As a group, nocturnal BP was higher than diurnal BP, whereas nocturnal pulse rate was lower than diurnal pulse rate. The nocturnal BP fall was blunted in most (∼90%) of the patients. These results suggest that to perform a rational drug treatment, it is essential to do 24-h ABPM before initiation of antihypertensive therapy in elderly bedridden hypertensive CVD patients.
Related Links	http://www.tandfonline.com/doi/pdf/10.3109/07420528.2011.629377
Ending Page	65
Page Count	4
Starting Page	62
ISSN	07420528
e-ISSN	15256073
DOI	10.3109/07420528.2011.629377
Journal	Chronobiology international
Issue Number	1
Volume Number	29
Language	English
Publisher	Informa UK Limited
Publisher Date	2012-01-04
Access Restriction	Open
Subject Keyword	Journal: Chronobiology international Peripheral Vascular Disease Bedridden Patients Cerebrovascular Disease Hypertension Nocturnal Blood Pressure Non-dipper Blood Pressure Pattern Riser Blood Pressure Pattern
Content Type	Text
Subject	Physiology Physiology (medical)

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