The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.
Aspirin Administered at Bedtime, But Not on Awakening, Has an Effect on Ambulatory Blood Pressure in Hypertensive Patients
Open accessAbstract
Objectives The purpose of this research was to investigate in untreated hypertensive patients the effects on ambulatory blood pressure (BP) of aspirin (ASA) administered at different times of the day.Background Previous studies have shown that ASA produces an administration time-dependent inhibition of angiotensin II. Low-dose ASA has also been shown to reduce BP when administered before bedtime, as opposed to upon awakening, in normotensive and hypertensive volunteers, and in pregnant women at high risk for preeclampsia.Methods We studied 328 untreated patients with grade 1 hypertension, 44.0 +/- 12.6 years of age, randomly divided into three groups: nonpharmacological hygienic-dietary recommendations, the same recommendations and ASA (100 mg/day) on awakening, or the same recommendations and ASA before bedtime. Blood pressure was measured every 20 min during the day and every 30 min at night for 48 consecutive h before and after 3 months of intervention.Results After three months of nonpharmacological intervention, there was a small and nonsignificant reduction of BP (<0.2 mm Hg; p = 0.648). Blood pressure was slightly elevated after aspirin on awakening (2.6/1.6 mm Hg in the 24-h mean of systolic/diastolic BP; p = 0.002). A significant BP reduction, however, was observed in the patients who received aspirin before bedtime (6.8/4.6 mm Hg in systolic/diastolic BP; p < 0.001).Conclusions This prospective trial documents a significant administration time-dependent effect of low-dose ASA on BP in untreated hypertensive patients. The timed administration of low-dose ASA could provide a valuable approach, beyond the secondary prevention of cardiovascular disease, in the added BP control of patients with mild essential hypertension.
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“Interestingly, in people with mild untreated hypertension, 100 mg aspirin at bedtime reduced 24-hour systolic BP by an average of 7 mmHg and diastolic BP by 5 mmHg, whereas a similar dose of aspirin upon awakening actually increased 24-hour systolic BP by an average of 3 mmHg and diastolic BP by 2 mmHg (178).”
From Role of the circadian system in cardiovascular disease (2018) · cites this paper as [178]
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The way I see it: House officers need formal career development
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Do Nonsteroidal Anti-inflammatory Drugs Affect Blood Pressure? A Meta-Analysis
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Tsimakouridze, E. V. (2017) · The Atrium (University of Guelph)
Wu, R., Laplante, M., & de Champlain, J. (2006) · médecine/sciences · doi:10.1051/medsci/200622120
Over-the-counter drugs and non-febrile thermoregulation: is there cause for concern?
Foster, J. (2017) · University of Bedfordshire Repository (University of Bedfordshire)
Abnormale Plazentation: Hypertensive Schwangerschaftserkrankungen
Schlembach, D., Baumann, M., Kehl, S., Klaritsch, P., & Lobmaier, S. M. (2023) · Springer Reference Medizin · doi:10.1007/978-3-662-44369-9_18-2
Low-Dose Aspirin for Prevention in High-Risk Pregnancy: Current Evidence and Clinical Application
Lee, K., & Na, S. (2025) · Perinatology · doi:10.14734/pn.2025.36.3.73
Li, Z., Xu, S., Chen, L., & Jiang, D. (2024) · Figshare · doi:10.6084/m9.figshare.25157766
Li, Z., Xu, S., Chen, L., & Jiang, D. (2024) · Figshare · doi:10.6084/m9.figshare.25157329
Low-dose aspirin in pregnancy: 81 mg vs 162 mg — Is there a role for personalized medicine?
Brewton, A., & Rood, K. M. (2026) · Seminars in Perinatology · doi:10.1016/j.semperi.2026.152268
Hypertensive Pregnancy Disorders
Schlembach, D., Baumann, M., Kehl, S., Klaritsch, P., & Lobmaier, S. M. (2026) · Springer eBooks · doi:10.1007/978-3-662-70578-0_25
Leinweber, M.-E., Lopuszko, A., Bonten, T. N., Chan, N., & Hinchliffe, R. J. (2026) · VASA · doi:10.1024/0301-1526/a001311
KHAN, M. G. (2006) · Elsevier eBooks · doi:10.1016/b978-012406061-6/50071-0
Metadata
- Authors
- Hermida, R. C., Ayala, D. E., Calvo, C., & López, J. E.
- Affiliations
- Universidade de Vigo (ES)
- Complejo Hospitalario Universitario de Santiago (ES)
- Corresponding author
- Hermida, Ramón C.
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2005-09
- Volume
- 46
- Issue
- 6
- Pages
- 975-983
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2055328140
- Cited by
- 111
- References
- 49
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 11 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 9 · 2019: 5 · 2018: 9 · 2017: 7 · 2016: 4 · 2015: 3 · 2014: 2 · 2013: 7 · 2012: 5
- FWCI
- 3.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Eicosanoids and Hypertension Pharmacology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
- Keywords
- aspirin, low-dose aspirin, bedtime administration, timing of drug administration, ambulatory blood pressure, essential hypertension, untreated hypertension, non-pharmacological treatment, blood pressure control
- MeSH terms
- Adult, Aged, Aspirin, Circadian Rhythm, Female, Humans, Hypertension, Male, Middle Aged, Prospective Studies, Blood Pressure Monitoring, Ambulatory
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