Cited by 331Blood Pressure and Hypertension StudiesSleep and Work-Related FatigueSleep and related disorders

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Effects of insufficient sleep on blood pressure in hypertensive patients: a 24-h study

Lusardi, P·1999·American Journal of Hypertension

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Abstract

The influence of acute sleep deprivation during the first part of the night on 24-h blood pressure monitoring (ABPM) was studied in 36 never-treated mild to moderate hypertensive patients. According to a crossover design, they were randomized to have either sleep deprivation or a full night's sleep 1 week apart, during which they were monitored with ABPM. Urine samples for analysis of nocturnal urinary excretion of norepinephrine were collected. During the sleep-deprivation day, both mean 24-h blood pressure and mean 24-h heart rate were higher in comparison with those recorded during the routine workday, the difference being more pronounced during the nighttime (P < .01). Urinary excretion of norepinephrine showed a significant increase at night during sleep deprivation (P < .05). Blood pressure and heart rate significantly increased in the morning after a sleep-insufficient night (P < .05). These data suggest that lack of sleep in hypertensive patients may increase sympathetic nervous activity during the night and the following morning, leading to increased blood pressure and heart rate. This situation might represent an increased risk for both target organ damage and acute cardiovascular diseases.

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Authors: Lusardi, P.
Affiliations: University of Pavia (IT)
Corresponding author: Lusardi, P
Venue: American Journal of Hypertension
Publisher: Oxford University Press (OUP)
Published: 1999-01
Volume: 12
Issue: 1
Pages: 63-68
ISSN: 0895-7061 (ISSN-L)
DOI: 10.1016/s0895-7061(98)00200-3
OpenAlex: W2045209949
Cited by: 331
References: 32
Citations by year: 2026: 9 · 2025: 9 · 2024: 14 · 2023: 20 · 2022: 18 · 2021: 13 · 2020: 15 · 2019: 19 · 2018: 12 · 2017: 17 · 2016: 22 · 2015: 17 · 2014: 23 · 2013: 14 · 2012: 17
FWCI: 2.91
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Hypertension (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords: sleep deprivation, insufficient sleep, hypertension, blood pressure, heart rate, urinary norepinephrine, sympathetic activity, 24-hour ambulatory blood pressure monitoring, nocturnal blood pressure, morning blood pressure surge, target organ damage, cardiovascular risk
MeSH terms: Adult, Aged, Blood Pressure, Circadian Rhythm, Creatinine, Female, Follow-Up Studies, Heart Rate, Humans, Hypertension, Male, Middle Aged, Norepinephrine, Prognosis, Risk Factors, Sleep Deprivation, Sympathetic Nervous System, Cross-Over Studies, Blood Pressure Monitoring, Ambulatory

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Effects of insufficient sleep on blood pressure in hypertensive patients: a 24-h study

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