Open AccessEarly Morning Blood Pressure Surge
Author(s) -
Gosse Philippe,
Schumacher Helmut
Publication year - 2006
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/j.1524-6175.2006.04773.x
Subject(s) - morning , medicine , blood pressure , circadian rhythm , population , surge , cardiology , physics , environmental health , meteorology
Alterations in the circadian rhythm of blood pressure, Alterations in the circadian rhythm of blood pressure, risk. Estimates of the magnitude of the blood pressure surge on rising vary depending on technique and population, but it is usually around 10–30 mm Hg systolic and 7–23 mm Hg diastolic. The magnitude of the surge increases with age, alcohol consumption, and smoking and is greater in whites. Blood pressure variations and morning plasma aldosterone are closely correlated. A high morning surge is linked to increased target organ damage as well as strokes and other cardiovascular complications. Therapeutic options exist to reduce the magnitude of the morning blood pressure surge—notably, the use of drugs with a long duration of action, the use of medications that specifically antagonize the morning surge (such as α blockers), and the administration of drugs upon awakening but before rising.