Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League,Journal of Clinical Hypertension

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Management of nocturnal hypertension: An expert consensus document from Chinese Hypertension League
Journal of Clinical Hypertension ( IF 2.8 ) Pub Date : 2023-12-21 , DOI: 10.1111/jch.14757
Jing Liu ₁ , Yan Li ₂ , Xinjun Zhang ₃ , Peili Bu ₄ , Xueping Du ₅ , Lizheng Fang ₆ , Yingqing Feng ₇ , Yifang Guo ₈ , Fei Han ₉ , Yinong Jiang ₁₀ , Yuming Li ₁₁ , Jinxiu Lin ₁₂ , Min Liu ₁₃ , Wei Liu ₁₄ , Mingzhi Long ₁₅ , Jianjun Mu ₁₆ , Ningling Sun ₁ , Hao Wu ₁₇ , Jianhong Xie ₁₈ , Jingyuan Xie ₂ , Liangdi Xie ₁₂ , Jing Yu ₁₉ , Hong Yuan ₂₀ , Yan Zha ₂₁ , Yuqing Zhang ₂₂ , Shanzhu Zhu ₂₃ , Jiguang Wang ₂ ,

Affiliation

Peking University People's Hospital Beijing China
Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China
West China Hospital of Sichuan University Chengdu Sichuan China
Qilu Hospital of Shandong University Jinan Shandong China
Yuetan Community Health Service Center Fuxing Hospital Capital Medical University Beijing China
Sir Run Run Shaw Hospital Zhejiang University School of Medicine Hangzhou Zhejiang China
Guangdong Provincial People's Hospital Guangzhou Guangdong China
Hebei General Hospital Shijiazhuang Hebei China
The First Affiliated Hospital of Zhejiang University School of Medicine Hangzhou Zhejiang China
The First Affiliated Hospital of Dalian Medical University Dalian China
T International Cardiovascular Hospital Tianjin China
The First Affiliated Hospital of Fujian Medical University Fuzhou Fujian China
Henan Province People's Hospital Zhengzhou Henan China
Beijing Hospital Beijing China
The Second Affiliated Hospital of Nanjing Medical University Nanjing Jiangsu China
The First Affiliated Hospital of Xi'an Jiaotong University Xi'an China
School of General Practice and Continuing Education, Capital Medical University Beijing China
Zhejiang Provincial People's Hospital Hangzhou Zhejiang China
Lanzhou University Second Hospital Lanzhou Gansu China
The Third Xiangya Hospital of Central South University Changsha Hunan China
Guizhou Provincial People's Hospital Guiyang Guizhou China
Fuwai Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China
Zhongshan Hospital Fudan University Shanghai China

Nocturnal hypertension is highly prevalent among Chinese and Asian populations, which is mainly attributed to high salt intake and high salt sensitivity. Nocturnal hypertension increases the risk of cardiovascular and all-cause mortality, independent of daytime blood pressure (BP). However, it can usually be detected by 24-h ambulatory BP monitoring, rather than routine office or home BP measurement, thus is often underdiagnosed in clinical practice. Currently, no specific guidance is available for the management of nocturnal hypertension in China or worldwide. Experts from the Chinese Hypertension League summarized the epidemiologic and pathophysiologic characteristics and clinical phenotype of nocturnal hypertension and provided consensus recommendations on optimal management of nocturnal hypertension, with the goal of maximally reducing the cardiovascular disease risks. In this consensus document, 24-h ABPM is recommended for screening and diagnosis of nocturnal hypertension, especially in the elderly, patients with diabetes, chronic kidney diseases, obstructive sleep apnea and other conditions prone to high nocturnal BP. Lifestyle modifications including salt intake restriction, exercise, weight loss, sleep improvement, and mental stress relief are recommended. Long-acting antihypertensive medications are preferred for nocturnal and 24-h BP control. Some newly developed agents, renal denervation, and other device-based therapy on nocturnal BP reduction are evaluated.

更新日期：2023-12-21

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