Kazuomi Kario

Essential Manual of 24-Hour Blood Pressure Management (eBook, PDF)

From Morning to Nocturnal Hypertension

• Format: PDF

Produktbeschreibung

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.

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Produktdetails

• Verlag: John Wiley & Sons
• Seitenzahl: 400
• Erscheinungstermin: 1. Februar 2022
• Englisch
• ISBN-13: 9781119799382
• Artikelnr.: 63398072

Autorenporträt

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.

Inhaltsangabe

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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