Variations of Blood-Pressure in Hypertensives During Sleep

Shaw, DavidB.; Knapp, M S; Davies, Daniel

doi:10.1016/s0140-6736(63)91503-4

Cited by 74 publications

(16 citation statements)

References 6 publications

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“…These studies confirmed the lack of fall in blood pressure during sleep in patients with malignant hypertension (Richardson et al, 1964;Shaw et al, 1963).…”

Section: Introductionsupporting

confidence: 68%

Detection of a diurnal rhythm in arterial blood pressure in the evaluation of 24‐hour antihypertensive therapy

Germanò¹,

Ciavarella²,

Appolloni³

et al. 1984

Clinical Cardiology

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Summary:Uncertainty in defining hypertensive disease makes a prolonged study of blood pressure pattern necessary, using continuous or semicontinuous blood pressure recordings. Its pathophysiological meaning involves data sufficiently indicative of blood pressure profile with reference to the continuous stimulations of different intensity and duration, which are met by subjects both in their daily activities and in the passage from an active life to sleep. Such a parameter is, in fact, an indispensable premise for a correct course of therapy. The aim of our work was at first the detection of a diurnal rhythm in blood pressure, using data obtained in a 24-h ambulatory monitoring away from the conditioning of different activities and daily routine. We have employed three groups of 34 males each. The first group consisted of hypertensive outpatients, while hospitalized subjects comprised the second group. Thethird group was composed of normal subjects. Furthermore, after finding this system productive, we started studying whether this rhythm of blood pressure could be modified under the influence of a single administered drug dose, and whether information obtained could be easily interpreted. We studied 12 male patients with essential hypertension, which had been untreated. Each patient underwent three 24-h blood pressure ambulatory monitorings. Two different doses of nifedipine (10 and 20 mg) were randomly administered to each of the patients at the beginning of the second and third readings. We observed a significant fall in systolic blood pressure and a minor decrease in diastolic blood pressure after administration of a single 10 mg nifedipine tablet.

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“…These studies confirmed the lack of fall in blood pressure during sleep in patients with malignant hypertension (Richardson et al, 1964;Shaw et al, 1963).…”

Section: Introductionsupporting

confidence: 68%

Detection of a diurnal rhythm in arterial blood pressure in the evaluation of 24‐hour antihypertensive therapy

Germanò¹,

Ciavarella²,

Appolloni³

et al. 1984

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

“…The change in blood pressure associated with sleep has been described in several studies [11][12][13][14]. In healthy individuals 24-h recordings have shown that blood pressure tends to be highest in the morning with a gradual decrease over the course of the day and is lowest (15-20 %) 2 h after the onset of sleep.…”

Section: Discussionmentioning

confidence: 92%

Latent overhydration and nocturnal hypertension in diabetic nephropathy

et al. 1995

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“…make a valuable contribution to an aspect of blood pressure management often ignored. In 1961, in blood pressure studies over 24 h, we observed blood pressure did not fall at night in patients with malignant (accelerated) hypertension who had renal failure or were at risk of this . Wang et al .…”

mentioning

confidence: 99%

Time of administration of treatment for hypertension in renal patients

Knapp¹

2018

Internal Medicine Journal

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Variations of Blood-Pressure in Hypertensives During Sleep

Cited by 74 publications

References 6 publications

Detection of a diurnal rhythm in arterial blood pressure in the evaluation of 24‐hour antihypertensive therapy

Detection of a diurnal rhythm in arterial blood pressure in the evaluation of 24‐hour antihypertensive therapy

Latent overhydration and nocturnal hypertension in diabetic nephropathy

Time of administration of treatment for hypertension in renal patients

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