title: Nocturnal Hypertension: Neglected Issue in Comprehensive Hypertension Management.
abstract: The body circardian rhythm affects blood pressure variability at day and night, therefore blood pressure at day and night might be different. Nocturnal hypertension is defined as increase of blood pressure >120/70mmHg at night, which is caused by disturbed circadian rhythm, and associated with higher cardiovascular and cerebrovascular events also mortality in hypertensive patients. Nocturnal hypertension and declining blood pressure pattern, can only be detected by continuous examination for 24 hours, also known as ambulatory blood pressure measurement (ABPM). Chronotherapy, has become a strategy for managing the hypertensive nocturnal patients, by taking hypertensive medication at night to obtain normal blood pressure decrease in accordance with the normal circadian rhythm and, improving blood pressure control.
authors.affiliation: Faculty of Medicine, Atmajaya Catholic University of Indonesia, Jakarta, Indonesia.
authors.forename: Andi
authors.initials: A
authors.lastname: Kristanto
authors.forename: Randy
authors.initials: R
authors.lastname: Adiwinata
authors.forename: Silvia
authors.initials: S
authors.lastname: Suminto
authors.forename: Benny N
authors.initials: BN
authors.lastname: Kurniawan
authors.forename: Finna
authors.initials: F
authors.lastname: Christianty
authors.forename: Robert
authors.initials: R
authors.lastname: Sinto
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000187:drug effects*; D001795:Blood Pressure Determination; D018660:Blood Pressure Monitoring, Ambulatory; D002940:Circadian Rhythm / Q000187:drug effects*; D019468:Disease Management; D055870:Drug Chronotherapy; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology; D016032:Randomized Controlled Trials as Topic
chemical_list: D000959:Antihypertensive Agents