Nocturnal Hypertension in Patients Receiving Chronic Hemodialysis
Authors: Steven J. Rosansky
Journal: Annals of Internal Medicine (1991)

Letters1 January 1991Nocturnal Hypertension in Patients Receiving Chronic HemodialysisSteven J. Rosansky, MDSteven J. Rosansky, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-114-1-96_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: Most hypertensive and nonhypertensive subjects studied with 24-hour ambulatory blood pressure monitoring have a reproducible decrease in blood pressure during sleep. This normal diurnal pattern may be absent in one of three elderly subjects (1); pregnant subjects with pre-eclampsia; patients with malignant hypertension, sleep apnea, the Cushing syndrome, diabetes mellitus, orthostatic hypotension, or congestive heart failure; and cardiac transplant recipients (2). Patients with autonomic nervous system dysfunction may also lack a normal nocturnal decline in blood pressure (3).We compared 24-hour ambulatory blood pressure data recorded from Spacelabs 90202 monitors (Redmond, Washington) in 11 patients with hypertension...References1. KobrinOigmanKumar IWA. Diurnal variation of blood pressure in elderly patients with essential hypertension. J Am Geriatr Soc. 1984;32:896-9. CrossrefMedlineGoogle Scholar2. Pickering T. The clinical significance of diurnal blood pressure variations. Circulation. 1990;81:700-2. CrossrefMedlineGoogle Scholar3. Pickering T. Sleep, circadian rhythms, and cardiovascular disease. Cardiovascular Reviews and Reports. 1980;1:37-47. Google Scholar4. VerdecchiaSchillaciGuerreri PGM. Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation. 1990;81:528-36. CrossrefMedlineGoogle Scholar5. ClarkDenbyPregibon LLD. A quantitative analysis of the effect of activity and time of day on the diurnal variations of blood pressure. J Chron Dis. 1987;40:671-81. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: William Jennings Bryan Dorn Veterans Hospital Columbia, SC 29201 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byComparison of Chronic Hemodialysis Patients under Strict Volume Control with respect to Cardiovascular Disease2013 Ambulatory Blood Pressure Monitoring Recommendations for the Diagnosis of Adult Hypertension, Assessment of Cardiovascular and other Hypertension-associated Risk, and Attainment of Therapeutic GoalsCircadian variation of blood pressure: The basis for the chronotherapy of hypertensionManagement of hypertension in hemodialysis patientsEditorials: Assessment of Blood Pressure in Hemodialysis PatientsCircadian Rhythm and Environmental Determinants of Blood Pressure Regulation in Normal and Hypertensive ConditionsBlood pressure, left ventricular hypertrophy and long-term prognosis in hemodialysis patientsAmbulatory blood pressure monitoring in dialysis patients and estimation of mean interdialytic blood pressureAmbulatory Blood Pressure Monitoring.Circadian blood pressure variation versus renal functionWhat are the Unique Aspects of Antihypertensive Therapy in Dialysis Patients?Blood Pressures in Hemodialysis and Peritoneal Dialysis Using Ambulatory Blood Pressure MonitoringAtrial Natriuretic Peptide and Circadian Blood Pressure Regulation: Clues from a Chronobiological ApproachHypertension is Not Adequately Controlled in Hemodialysis PatientsHow Well Is Hypertension Controlled in Hemodialysis Patients?Blood Pressure RhythmJean-François De Plaen, MD 1 January 1991Volume 114, Issue 1Page: 96-96KeywordsBlood pressureCardiac transplantationDiabetes mellitusElderlyHeart failureHypertensionHypotensionPregnancySleepSleep apnea ePublished: 1 December 2008 Issue Published: 1 January 1991 PDF downloadLoading ...