Essential Manual of 24-Hour Blood Pressure Management - From Morning to Nocturnal Hypertension

ESSENTIAL MANUAL OF 24-HOUR BLOOD PRESSURE MANAGEMENT
 
Hypertension is one of the greatest threats to human health. The World Health Organization (WHO) estimates that 1.13 billion people worldwide have hypertension. In 2017, new guidelines for managing hypertension were published by the American Hypertension Association (AHA), guidelines which lowered the diagnosis thresholds of hypertension, and thereby increased the prevalence of hypertension. As such, hypertension is now recognized as a more serious and widespread a condition than ever before.
 
In this new edition of the Essential Manual of 24-Hour Blood Pressure Management, the author emphasizes that lowering the blood pressure (BP) and restoring the BP profile with adequate circadian rhythm is essential for a long life without cardiovascular events. The author also introduces updated evidence for managing hypertension throughout 24-hour periods, from morning to nocturnal hypertension.
 
The Essential Manual of 24-Hour Blood Pressure Management, Second Edition, will be an essential companion for doctors who wish to provide evidence-based medicine and be familiar with the most cutting edge technology on monitoring BP. Medical researchers and students will also value the author's many insights, drawn from his distinguished career.

Sommario

Author biography, xi
 
Preface - Direction to "Perfect 24-hour Blood Pressure Control", xv
 
Acknowledgments, xix
 
1 Evidence and scientific rationale for ambulatory blood pressure monitoring (ABPM), 1
 
Diurnal BP variation and the concept of "perfect 24-hour BP control", 1
 
Nocturnal hypertension and nocturnal BP dipping status, 3
 
Nocturnal BP dipping status, 3
 
Non-dipper patterns of BP and pulse rate, 3
 
Riser pattern of BP and cardiovascular disease risk, 4
 
Riser pattern and HF, 7
 
Riser pattern and brain damage, 15
 
Nocturnal hypertension, 17
 
Associated Conditions and Mechanisms of Nocturnal Hypertension, 20
 
Mechanism of cardiovascular risk of nocturnal hypertension, 22
 
Extreme dipping, 24
 
Morning surge in BP, 27
 
Definition of MBPS, 33
 
Morning BP surge and cardiovascular disease, 34
 
Morning BP surge and organ damage, 37
 
Determinants of MBPS, 43
 
Mechanism of morning risk, 44
 
Morning BP surge and hemostatic abnormalities, 46
 
Vascular mechanism of exaggerated morning BP surge, 49
 
BP Variability and systemic hemodynamic atherothrombotic syndrome (SHATS), 52
 
The resonance hypothesis of BP surge, 53
 
Orthostatic hypertension, 54
 
Ambulatory BP variability, 57
 
Visit-to-visit variability in office BP, 58
 
Vicious cycle between BP variability and vascular disease--SHATS, 59
 
White-coat and masked hypertension, 71
 
White-coat hypertension, 73
 
Masked hypertension, 75
 
Advances in ABPM, 75
 
Development of information and communication technology-based multi-sensor (IMS)-ABPM, 75
 
New ABPM indices, 77
 
HI-JAMP registry, 82
 
2 Scientific rationale for HBPM, 85
 
Five prospective, general practitioner-based, home BP studies, 85
 
Morning hypertension, 85
 
Control status of morning home BP in the J-HOP study, 88
 
Evidence for morning hypertension control, 89
 
Home BP variability, 99
 
Morning-evening difference (ME-dif), 99
 
SD, CV, ARV, and VIM of home BP, 101
 
Maximum home SBP, 103
 
Orthostatic Home BP Change, 103
 
Seasonal variation of home BP and "thermosensitive hypertension", 109
 
Alcohol, 113
 
Daytime hypertension (stress hypertension), 115
 
Nighttime HBPM, 115
 
Cutting-edge of HBPM, 115
 
Basic nighttime home BP monitoring (Medinote), 119
 
Clinical evidence using nocturnal HBPM: J-HOP nocturnal BP study, 119
 
Trigger nighttime BP monitoring, 127
 
IT-based trigger nighttime BP monitoring system and the SPREAD study, 133
 
CPAP adherence and nighttime BP surge, 135
 
Antihypertensive medication on nighttime BP surge, 139
 
Wrist home HBPM and WISDOM Night study, 145
 
3 Practical use of ABPM and HBPM, 147
 
Concept and positioning of ABPM and HBPM in guidelines, 147
 
Recent guidelines, 147
 
Diagnosis of masked and white-coat hypertension, 147
 
Definition of morning hypertension, 148
 
Definition of nocturnal hypertension, 150
 
When to use HBPM and ABPM, 150
 
Clinically suspected SHATS, 152
 
Cardio-ankle vascular index (CAVI), 154
 
Coupling study, 154
 
How to measure home BP, 155
 
Nighttime home BP measurement schedule, 159
 
ABPM parameters, 162
 
24-hour BP, 166
 
Daytime BP and nighttime BP, 166
 
Morning BP parameters, 166
 
Nighttime BP parameters, 166
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Info autore

About the Author
Dr Kazuomi Kario, MD, PhD, FACC, FAHA, FESC graduated from Jichi Medical School in 1986. He is currently Professor and Chairman of Cardiovascular Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.

Riassunto

ESSENTIAL MANUAL OF 24-HOUR BLOOD PRESSURE MANAGEMENT

Hypertension is one of the greatest threats to human health. The World Health Organization (WHO) estimates that 1.13 billion people worldwide have hypertension. In 2017, new guidelines for managing hypertension were published by the American Hypertension Association (AHA), guidelines which lowered the diagnosis thresholds of hypertension, and thereby increased the prevalence of hypertension. As such, hypertension is now recognized as a more serious and widespread a condition than ever before.

In this new edition of the Essential Manual of 24-Hour Blood Pressure Management, the author emphasizes that lowering the blood pressure (BP) and restoring the BP profile with adequate circadian rhythm is essential for a long life without cardiovascular events. The author also introduces updated evidence for managing hypertension throughout 24-hour periods, from morning to nocturnal hypertension.

The Essential Manual of 24-Hour Blood Pressure Management, Second Edition, will be an essential companion for doctors who wish to provide evidence-based medicine and be familiar with the most cutting edge technology on monitoring BP. Medical researchers and students will also value the author's many insights, drawn from his distinguished career.

Dettagli sul prodotto

• Autori: K Kario, Kazuomi Kario, Kazuomi (Jichi Medical University Kario, Kario Kazuomi
• Editore: Wiley, John and Sons Ltd
• Lingue: Inglese
• Formato: Tascabile
• Pubblicazione: 31.01.2022
• EAN: 9781119799368
• ISBN: 978-1-119-79936-8
• Pagine: 400
• Categorie: Scienze naturali, medicina, informatica, tecnica > Medicina > Tematiche generali; Blutdruck, Medizin, Bluthochdruck, Medical Science, Invasive Kardiologie, Interventional Cardiology, Endovaskuläre Medizin, Endovascular Medicine