Nocturnal blood pressure and cardiovascular disease: a review of recent advances
Open accessAbstract
The accurate measurement, prediction and treatment of high blood pressure (BP) are essential issues in the management of hypertension. Ambulatory blood pressure monitoring (ABPM) has been shown to be superior to clinic BP measurements as ABPM can provide the following important information: (i) the mean BP levels, (ii) the diurnal variation in BP and (iii) the short-term BP variability. Among these parameters, there is increasing evidence that the mean nocturnal BP level is the most sensitive predictor of cardiovascular morbidity and mortality. Furthermore, several studies have shown that less nocturnal BP dipping, defined as less nocturnal BP decline relative to daytime BP, or a high night-day BP ratio was associated with poor prognosis irrespective of the 24-hour BP levels. These findings can be interpreted in at least two ways: namely, high nocturnal BP or less nocturnal BP dipping might be not only a potent risk factor for cardiovascular disease (CVD), but also a marker of pre-existing or concurrent diseases that can lead to nocturnal BP elevation. In this review, we consider the clinical utility of ABPM and in particular focus on the nocturnal BP levels or nocturnal BP dipping as a potent risk factor for CVD. In addition, the clinical management of high nocturnal BP and blunted nocturnal BP dipping with antihypertensive medications is discussed.
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“To the best of our knowledge, this is the first review that included Chinese populations (the 2 larger studies) and summarized the effect of MBSR on asleep BP.”
BackgroundInfluentialNighttime Blood Pressure and New-Onset Left Ventricular Hypertrophy
Cuspidi, C., Facchetti, R., Bombelli, M., Sala, C., Negri, F., Grassi, G. M., & Mancia, G. (2013) · Hypertension · doi:10.1161/hypertensionaha.111.00682 · Cited by 65 · see citing works
Regional Fat Distribution and Blood Pressure Level and Variability
Yano, Y., Vongpatanasin, W., Ayers, C. R., Turer, A. T., Chandra, A., Carnethon, M. R., Greenland, P., de Lemos, J. A., & Neeland, I. J. (2016) · Hypertension · doi:10.1161/hypertensionaha.116.07876 · Cited by 67 · see citing works
“Most studies linking obesity with hypertension have used office blood pressure (BP) measured on a single occasion, a snapshot of BP that may not fully characterize an individual’s BP status.(9,10) Alternative BP phenotypes, including out-of-office BP measurements and BP variability, have been implicated in the pathoge…”
BackgroundSelf-citationEffects of exposure to violence with a weapon during adolescence on adult hypertension
Ford, J. L., & Browning, C. R. (2014) · Annals of Epidemiology · doi:10.1016/j.annepidem.2013.12.004 · Cited by 62 · see citing works
“The lack of a nocturnal decline in blood pressure, also known as nondipping, is a recognized risk factor for cardiovascular disease [14].”
Ambulatory Blood Pressure Monitoring in Spinal Cord Injury: Clinical Practicability
Hubli, M., & Krassioukov, A. V. (2013) · Journal of Neurotrauma · doi:10.1089/neu.2013.3148 · Cited by 65 · see citing works
“12 It is encouraged that an activity-diary of the monitoring period is completed by the assessed subject or a caregiver (e.g., in the case of tetraplegia with restricted writing skills) to report sleep and wake times, the timing of BP medication administration and any symptoms potentially related…”
Daiber, A., Frenis, K., Kuntić, M., Li, H., Wolf, E., Kilgallen, A. B., Lecour, S., Laake, L. W. V., Schulz, R., Hahad, O., et al. (2022) · Antioxidants and Redox Signaling · doi:10.1089/ars.2021.0272 · Cited by 54 · see citing works
“Importantly, a blunted or absent nighttime blood pressure dip (a fall in pressure around 10–20% is considered normal) is associated with altered cell communication in the heart, thereby leading to an increased risk of cardiovascular events [for review see Yano and Kario (257)].”
BackgroundYamamoto, K. I., & Rakugi, H. (2021) · Hypertension Research · doi:10.1038/s41440-021-00706-1 · Cited by 51 · see citing works
“nighttime than during daytime, the reduction under S/V being greater, consistent with the notion that diureticinduced natriuresis improves nocturnal hypertension [70, 71].”
BackgroundBooth, J. N., Muntner, P., Abdalla, M., Diaz, K. M., Viera, A. J., Reynolds, K., Schwartz, J. E., & Shimbo, D. (2015) · Journal of Hypertension · doi:10.1097/hjh.0000000000000791 · Cited by 51 · see citing works
“com Night-time ABP and nondipping BP status have been associated with increased risk for CVD outcomes and mortality, independent of mean daytime ABP [25,26].”
BackgroundWang, C., Li, Y., Zhang, J., Ye, Z., Zhang, Q., Ma, X., Peng, H., & Lou, T. (2016) · Journal of the American Heart Association · doi:10.1161/jaha.116.004198 · Cited by 47 · see citing works
“Superiority of nighttime BP levels as captured by ABPM (rather than daytime or clinic values of BP) for prediction of target organ damage or development of CV disease in the general population and in hypertensive patients has been reported.(7,8) From the Division of Nephrology, Department of Medicine, Third Affiliated…”
BackgroundMaiolino, G., Bisogni, V., Soranna, D., Pengo, M. F., Pucci, G., Vettor, R., Fava, C., Colussi, G., Bilo, G., Lombardi, C., et al. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101497 · Cited by 46 · see citing works
Yano, Y., Tanner, R., Sakhuja, S., Jaeger, B., Booth, J., Abdalla, M., Pugliese, D., Seals, S., Ogedegbe, G., Jones, D. W., et al. (2019) · JAMA cardiology · doi:10.1001/jamacardio.2019.2845 · Cited by 39 · see citing works
Self-citationOh, Y., Kim, J., Park, I.-S., Song, I., Son, Y., Park, J., Yang, D., Kim, H.-T., & Lee, K. (2014) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2014.06.056 · Cited by 43 · see citing works
High Prevalence of Isolated Nocturnal Hypertension in Chinese Patients With Chronic Kidney Disease
Wang, C., Deng, W., Gong, W., Zhang, J., Tang, H., Peng, H., Zhang, Q., Ye, Z., & Lou, T. (2015) · Journal of the American Heart Association · doi:10.1161/jaha.115.002025 · Cited by 42 · see citing works
“The superiority of nighttime BP levels as captured by ABPM, rather than daytime or clinic values of BP, for predicting target-organ damage or cardiovascular disease development in hypertensive patients has been reported.(10,11) INH was identified first in 2007 by Li et al.”
BackgroundCuspidi, C., Sala, C., Tadic, M. V., Rescaldani, M., Grassi, G. M., & Mancia, G. (2015) · American Journal of Hypertension · doi:10.1093/ajh/hpv094 · Cited by 42 · see citing works
Recognition and management of masked hypertension: A review and novel approach
Yano, Y., & Bakris, G. L. (2013) · Journal of the American Society of Hypertension · doi:10.1016/j.jash.2013.02.002 · Cited by 40 · see citing works
Self-citationCuspidi, C., Sala, C., Tadic, M. V., Gherbesi, E., Grassi, G. M., & Mancia, G. (2016) · Journal of Clinical Hypertension · doi:10.1111/jch.12790 · Cited by 40 · see citing works
Nighttime Blood Pressure and White Matter Hyperintensities in Patients With Parkinson Disease
Oh, Y., Kim, J., Yang, D., Koo, J., Kim, Y.-I., Jung, H.-O., & Lee, K. (2013) · Chronobiology International · doi:10.3109/07420528.2013.766618 · Cited by 37 · see citing works
Cho, M. (2019) · Korean Circulation Journal · doi:10.4070/kcj.2019.0245 · Cited by 35 · see citing works
Schön, C., Allegrini, P., Engelhart-Jentzsch, K., Riva, A., & Petrangolini, G. (2021) · Nutrients · doi:10.3390/nu13020654 · Cited by 35 · see citing works
“Prospective studies have shown that each 5% attenuation in the nocturnal BP decline conferred a ∼20% increase in the risk of cardiovascular mortality in the general or hypertensive population [20,21].”
BackgroundCai, A., Zhong, Q., Liu, C., Zhou, D., Li, X., Zhang, Y., Feng, Y., & Zhou, Y. (2016) · Hypertension Research · doi:10.1038/hr.2016.82 · Cited by 32 · see citing works
Zanasi, A., Tincani, E., Evandri, V., Giovanardi, P., Bertolotti, M., & Rioli, G. (2012) · Journal of Hypertension · doi:10.1097/hjh.0b013e328357f16d · Cited by 33 · see citing works
“When PPH is diagnosed, drugs should not be stopped or reduced, on the contrary drug therapy should be strengthened, and antihypertensive medications should be prescribed at bedtime rather than in the morning, in order to promote a bedtime decline in BP toward a dipping pattern and a better BP control [31,32].”
BackgroundCuff-based blood pressure measurement: challenges and solutions
Pilz, N., Picone, D. S., Patzak, A. R., Opatz, O. S., Lindner, T., Fesseler, L., Heinz, V., & Bothe, T. L. (2024) · Blood Pressure · doi:10.1080/08037051.2024.2402368 · Cited by 32 · see citing works
Circadian Rhythm Disruptions and Cardiovascular Disease Risk: The Special Role of Melatonin
Nuszkiewicz, J., Rzepka, W., Markiel, J., Porzych, M., Woźniak, A., & Szewczyk‐Golec, K. (2025) · Current Issues in Molecular Biology · doi:10.3390/cimb47080664 · Cited by 36 · see citing works
“Similarly, HRV, particularly its circadian rhythm, is a sensitive marker of autonomic dysfunction and may provide early warning of increased sympathetic tone or diminished vagal activity [107,108].”
Gavriilaki, M., Anyfanti, P., Mastrogiannis, Κ., Gavriilaki, E., Lazaridis, A. A., Kimiskidis, V. Κ., & Gkaliagkousi, Ε. (2023) · Aging Clinical and Experimental Research · doi:10.1007/s40520-023-02361-7 · Cited by 31 · see citing works
Jankowski, P., Bednarek, A., Olszanecka, A., Windak, A., Kawecka-Jaszcz, K., & Czarnecka, D. (2012) · American Journal of Hypertension · doi:10.1093/ajh/hps030 · Cited by 31 · see citing works
Hou, T., Su, W., Guo, Z., & Gong, M. C. (2018) · Journal of Biological Rhythms · doi:10.1177/0748730418803719 · Cited by 31 · see citing works
“The non-dipping BP rhythm is the most common form of BP circadian rhythm disruption in diabetic patients and is associated with increased risks of target organ damage and detrimental cardiovascular outcomes (Ayala et al., 2013; Eguchi, 2011; Routledge et al., 2007; Yano and Kario, 2012).”
Yano, Y., Ning, H., Muntner, P., Reis, J. P., Calhoun, D. A., Viera, A. J., Levine, D. A., Jacobs, D. R., Shimbo, D., Liu, K., et al. (2015) · American Journal of Hypertension · doi:10.1093/ajh/hpv028 · Cited by 30 · see citing works
Self-citationUnique characteristics of Asians with hypertension: what is known and what can be done?
Loo, G. J. M., Puar, T. H. K., Foo, R., Ong, T. K., Wang, T., Nguyen, Q. N., Chin, C. T., & Chin, C. (2024) · Journal of Hypertension · doi:10.1097/hjh.0000000000003706 · Cited by 38 · see citing works
Technical advances in the characterization of the complexity of sleep and sleep disorders
Bianchi, M. T., & THOMAS, R. J. (2012) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2012.09.017 · Cited by 31 · see citing works
“Hemodynamic monitoring shows that sleep-related blood pressure reduction ( " dipping " ) is a marker of health, and adverse effects of non-dipping have a large volume of supportive data (Routledge et al., 2007; Yano and Kario, 2012).”
Sleep: A Window Into Autonomic Control in Children Born Preterm and Growth Restricted
Yiallourou, S. R., Wallace, E. M., Whatley, C., Odoi, A., Hollis, S. L., Weichard, A. J., Muthusamy, J. S., Varma, S. K., Cameron, J. D., Narayan, O. P., et al. (2017) · SLEEP · doi:10.1093/sleep/zsx048 · Cited by 28 · see citing works
Lee, S., THOMAS, R. J., Kim, H., Seo, H. S., Baik, I., Yoon, D. W., Kim, S. J., Lee, S. K., & Shin, C. (2014) · Journal of Hypertension · doi:10.1097/hjh.0000000000000290 · Cited by 28 · see citing works
“Particularly, nocturnal measurements of 24-h ABPM showed significant associations with stroke [4] and cognitive impairment [5], despite weak correlations with officebased measurements [6].”
BackgroundCircadian Control of Sodium and Blood Pressure Regulation
Soliman, R. H., & Pollock, D. M. (2021) · American Journal of Hypertension · doi:10.1093/ajh/hpab100 · Cited by 26 · see citing works
Yano, Y., Bakris, G. L., Inokuchi, T., Ohba, Y., Tamaki, N., Nagata, M., Kuwabara, M., Yokota, N., Eto, T., Kuroki, M., et al. (2013) · Journal of Hypertension · doi:10.1097/hjh.0000000000000025 · Cited by 26 · see citing works
Self-citationDai, S., Huang, B., Zou, Y., & Liu, Y. (2018) · Archives of Medical Science · doi:10.5114/aoms.2018.72609 · Cited by 26 · see citing works
Johnson, A. W., Hissen, S. L., Macefield, V. G., Brown, R., & Taylor, C. E. (2016) · Frontiers in Neuroscience · doi:10.3389/fnins.2016.00412 · Cited by 25 · see citing works
“These findings indicate that the ability of the baroreflex to buffer increases in blood pressure via reflexive changes in MSNA may play a role in determining the magnitude of the MSBP. Keywords: muscle sympathetic nerve activity, microneurography, ambulatory blood pressure, cardiovascular”
BackgroundMethodInfluentialDestors, M., Tamisier, R., Sapène, M., Grillet, Y., Baguet, J.-P., Richard, P., Girey-Rannaud, J., Dias-Domingos, S., Martin, F., Stach, B., et al. (2015) · Sleep Medicine · doi:10.1016/j.sleep.2014.10.019 · Cited by 24 · see citing works
“There is growing evidence that the mean nocturnal BP level is a major predictor of cardiovascular morbidity and mortality irrespective of the 24-h BP levels [28,29], and this may partly account for the relationship between nocturia and cardiovascular morbidity and mortality.”
BackgroundZhu, Y., Chen, X., Geng, S., Li, Q., Yuan, H., Zhou, X., Li, H., Li, J., & Jiang, H. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.13986 · Cited by 24 · see citing works
Lanfranchi, P. A., Pépin, J., & Somers, V. K. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00014-3 · Cited by 24 · see citing works
Blood Pressure in Young Adults and Cardiovascular Disease Later in Life.
Yano, Y. (2021) · American Journal of Hypertension · doi:10.1093/ajh/hpab005 · Cited by 14 · see citing works
Self-citationColussi, G., Catena, C., Dialti, V., Pezzutto, F., Mos, L., & Sechi, L. A. (2014) · American Journal of Hypertension · doi:10.1093/ajh/hpt231 · Cited by 23 · see citing works
Okamura, H., Doi, M., Goto, K., & Kojima, R. (2016) · Hypertension Research · doi:10.1038/hr.2016.91 · Cited by 23 · see citing works
Clinical significance of nocturnal home blood pressure monitoring and nocturnal hypertension in Asia
Fujiwara, T., Hoshide, S., Tomitani, N., Cheng, H., Soenarta, A. A., Turana, Y., Chen, C., Minh, H. V., Sogunuru, G. P., Tay, J. C., et al. (2021) · Journal of Clinical Hypertension · doi:10.1111/jch.14218 · Cited by 23 · see citing works
Self-citationVascular smooth muscle cell PRDM16 regulates circadian variation in blood pressure
Wang, Z., Mu, W., Zhong, J., Xu, R., Liu, Y., Zhao, G., Guo, Y., Zhang, J., Surakka, I. L., Chen, Y. E., et al. (2024) · Journal of Clinical Investigation · doi:10.1172/jci183409 · Cited by 22 · see citing works
Sleep Deficiency and Cardiometabolic Disease
Killick, R., Stranks, L., & Hoyos, C. M. (2022) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2022.02.011 · Cited by 23 · see citing works
Nuyujukian, D. S., Anton‐Culver, H., Manson, S. M., & Jiang, L. (2019) · Sleep Health · doi:10.1016/j.sleh.2019.02.003 · Cited by 22 · see citing works
Chang, E. K., Iukuridze, A., Echevarria, M., Teh, J. B., Chanson, D., Ky, B., Chow, E. J., Nakamura, R., Lindenfeld, L., & Armenian, S. H. (2020) · Transplantation and Cellular Therapy · doi:10.1016/j.bbmt.2020.02.027 · Cited by 21 · see citing works
Kai, H., Kudo, H., Takayama, N., Yasuoka, S., Aoki, Y., & Imaizumi, T. (2015) · Current Hypertension Reviews · doi:10.2174/1573402111666141217112655 · Cited by 21 · see citing works
“BP has several kinds of fluctuation in nature: for example, short-term (beat-to-beat and minute-tominute) variability, circadian BP variation, visit-to-visit variability of office BP, and the seasonal BP variation [4-8].”
“Non-dipping” is equally frequent in narcoleptic patients and in patients with insomnia
Siemiński, M., & Partinen, M. (2015) · Sleep and Biological Rhythms · doi:10.1007/s41105-015-0004-z · Cited by 21 · see citing works
“This phenomenon has a crucial clinical significance—decrease in nocturnal values of blood pressure that below 10 % of the daytime values (so-called non-dipping) or increase of the BP during the night (‘‘inverse dipping’’) are major cardiovascular risk factors [5].”
BackgroundClinical Significance of Nocturnal Hypertension and Nighttime Blood Pressure Dipping in Hypertension
Anyfanti, P., Malliora, A., Chionidou, A., Mastrogiannis, Κ., Lazaridis, A. A., & Gkaliagkousi, Ε. (2023) · Current Hypertension Reports · doi:10.1007/s11906-023-01277-x · Cited by 20 · see citing works
“Elevated nocturnal BP may be frequently associated with breathing disorders during sleep, including obstructive sleep apnea but also milder forms of respiratory function disorder when lying in the supine position during the night [3].”
InfluentialIncreased Nighttime Blood Pressure in Patients with Glaucoma
Yoshikawa, T., Obayashi, K., Miyata, K., Saeki, K., & Ogata, N. (2019) · Ophthalmology · doi:10.1016/j.ophtha.2019.05.019 · Cited by 20 · see citing works
Regression of left ventricular hypertrophy with SGLT2 inhibitors
Paneni, F., Costantino, S., & Hamdani, N. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehaa530 · Cited by 20 · see citing works
“017), the latter being a potent predictor of target organ damage.(12) The observed changes in ambulatory and nocturnal SBP showed modest correlations with LVM change (r = 0.”
BackgroundBlood pressure variability: Epidemiological and clinical issues
Krzych, Ł. J., & Bochenek, A. A. (2013) · Cardiology Journal · doi:10.5603/cj.2013.0022 · Cited by 18 · see citing works
“Moreover, regardless of the relative circadian BP values, insuffi cient BP fall at night compared to day-time level or a high night to day BP ratio is associated with poor prognosis [89, 90].”
BackgroundMale prairie voles display cardiovascular dipping associated with an ultradian activity cycle
Lewis, R. J., & Curtis, J. T. (2016) · Physiology & Behavior · doi:10.1016/j.physbeh.2016.01.012 · Cited by 17 · see citing works
“Abnormal blood pressure rhythms, including attenuated dipping and non-dipping patterns, have been linked to higher risks of adverse cardiovascular events, such as ventricular hypertrophy and microalbuminuria[3, 4].”
BackgroundNumber and timing of ambulatory blood pressure monitoring measurements
Jaeger, B. C., Akinyelure, O. P., Sakhuja, S., Bundy, J. D., Lewis, C. E., Yano, Y., Howard, G., Shimbo, D., Muntner, P., & Schwartz, J. E. (2021) · Hypertension Research · doi:10.1038/s41440-021-00717-y · Cited by 18 · see citing works
“sampling times and outcomes that are associated with nocturnal hypertension, such as CVD and all-cause mortality [37, 38].”
BackgroundSelf-citationThe relationship between orexin levels and blood pressure changes in patients with narcolepsy
Siemiński, M., Chwojnicki, K., Sarkanen, T., & Partinen, M. (2017) · PLoS ONE · doi:10.1371/journal.pone.0185975 · Cited by 18 · see citing works
Forshaw, P. E., Correia, A. T. L., Roden, L. C., Lambert, E. V., & Rae, D. E. (2022) · Blood Pressure Monitoring · doi:10.1097/mbp.0000000000000619 · Cited by 17 · see citing works
Relationship Between Type of Hypertension and Renal Arteriolosclerosis in Chronic Glomerular Disease
Kono, K., Fujii, H., Nakai, K., Goto, S., Watanabe, S., Watanabe, K., & Nishi, S. (2016) · Kidney & Blood Pressure Research · doi:10.1159/000443440 · Cited by 17 · see citing works
Social support and ambulatory blood pressure in older people
Sánchez-Martínez, M., López‐García, E., Guallar‐Castillón, P., de la Cruz, J. J., ARBELAEZ, E. O., García‐Esquinas, E., Rodríguez‐Artalejo, F., & Banegas, J. R. (2016) · Journal of Hypertension · doi:10.1097/hjh.0000000000001036 · Cited by 17 · see citing works
“In this sense, constant exposure to mental and physical stress and elevated neurohumoral activation could significantly impact BP level, as well as the dipping BP pattern [41].”
BackgroundThe Reproducibility of Racial Differences in Ambulatory Blood Pressure Phenotypes and Measurements
Husain, A., Lin, F., Tuttle, L. A., Olsson, E., & Viera, A. J. (2017) · American Journal of Hypertension · doi:10.1093/ajh/hpx079 · Cited by 17 · see citing works
Felt, J. M., Russell, M. A., Ruiz, J. M., Johnson, J. A., Uchino, B. N., Allison, M., Smith, T. W., Taylor, D. J., Ahn, C. W., & Smyth, J. M. (2020) · Journal of Behavioral Medicine · doi:10.1007/s10865-020-00133-6 · Cited by 17 · see citing works
Biomarkers of high salt intake
Hosohata, K. (2020) · Advances in clinical chemistry · doi:10.1016/bs.acc.2020.09.002 · Cited by 16 · see citing works
Talavera, I., Banegas, J. R., de la Cruz, J. J., Martínez‐Gómez, D., Ruiz‐Canela, M., Ortolá, R., Hershey, M. S., Rodríguez‐Artalejo, F., & Sotos‐Prieto, M. (2023) · GeroScience · doi:10.1007/s11357-023-00898-z · Cited by 16 · see citing works
“Likewise, a 5% attenuation in nocturnal-SBP fall has been associated with 20% increased risk of CVD death in prospective studies [42].”
BackgroundPieters, D., Zock, P. L., Fuchs, D., & Mensink, R. P. (2018) · British Journal Of Nutrition · doi:10.1017/s0007114518003094 · Cited by 16 · see citing works
“Subjects in whom the BP reduction during sleep is less pronounced have an increased risk of cardiovascular events and mortality((29)).”
BackgroundResultHosohata, K., Kikuya, M., Asayama, K., Metoki, H., Imai, Y., & Ohkubo, T. (2020) · Clinical and Experimental Hypertension · doi:10.1080/10641963.2020.1779281 · Cited by 16 · see citing works
“In addition, a blunted decrease in nocturnal BP (ie, non-dipping status) has been associated with an increased risk of cardiovascular morbidity and mortality (2).”
BackgroundNolde, J. M., Frost, S. M., Kannenkeril, D., Lugo‐Gavidia, L. M., Chan, J., Joyson, A., Azzam, O., Carnagarin, R., Kiuchi, M. G., Vignarajan, J., et al. (2021) · Journal of Hypertension · doi:10.1097/hjh.0000000000002863 · Cited by 16 · see citing works
“Nocturnal BP, in particular, has been identified as a strong predictor of target organ damage, morbidity and mortality [2,3].”
BackgroundPerceived social support and ambulatory blood pressure during daily life: a meta-analysis
Uchino, B. N., Baucom, B., Landvatter, J., de Grey, R. G. K., Tacana, T., Flores, M., & Ruiz, J. M. (2022) · Journal of Behavioral Medicine · doi:10.1007/s10865-021-00273-3 · Cited by 17 · see citing works
“One such outcome is nocturnal blood pressure dipping given our meta-analysis excluded such studies (Yano & Kario, 2012).”
BackgroundHeart rate variability and cognitive performance in adults with cardiovascular risk
Imbimbo, C., Spallazzi, M., Pellegrini, F. F., Villa, A., Zilioli, A., Mutti, C., Parrino, L., & Lazzeroni, D. (2022) · Cerebral Circulation - Cognition and Behavior · doi:10.1016/j.cccb.2022.100136 · Cited by 15 · see citing works
“ESS scores of simple snorers did not differ from controls [18].”
ResultBillington, E. O., Bristow, S. M., Gamble, G. D., Kwant, J., Stewart, A. J., Mihov, B., Horne, A. M., & Reid, I. R. (2016) · Osteoporosis International · doi:10.1007/s00198-016-3744-y · Cited by 15 · see citing works
“Failure of the blood pressure to dip appropriately overnight is associated with an increased risk of cardiovascular events [32], and it has been estimated that each 5 % attenuation in the decline of nocturnal BP confers a 20 % rise in cardiovascular mortality [33].”
BackgroundSmith, W. T., Malan, N. T., Schutte, A. E., Schutte, R., Mels, C. M. C., Vilser, W., & Malan, L. (2016) · Hypertension Research · doi:10.1038/hr.2016.48 · Cited by 15 · see citing works
Yano, Y., Butler, K. R., Hall, M. E., Schwartz, G. L., Knopman, D. S., Lirette, S. T., Jones, D. W., Wilson, J. G., Hall, J. E., Correa, A., et al. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.117.007022 · Cited by 15 · see citing works
“Nocturnal systolic BP (SBP) dipping was calculated as follows: (daytime SBP nocturnal SBP)9100/daytime SBP.(17) Nocturnal BP dipping, calculated by SBP, is strongly correlated with that calculated by diastolic BP (r=0.”
Self-citationAmbulatory Blood Pressure Monitoring in Type 2 Diabetes Mellitus: A Cross-sectional Study
Gunawan, F., Ng, H. Y., Gilfillan, C. P., & Anpalahan, M. (2018) · Current Hypertension Reviews · doi:10.2174/1573402114666180607090205 · Cited by 15 · see citing works
Influences of the circadian clock on neuronal susceptibility to excitotoxicity
Karmarkar, S. W., & Tischkau, S. A. (2013) · Frontiers in Physiology · doi:10.3389/fphys.2013.00313 · Cited by 15 · see citing works
The Evaluation and Therapeutic Management of Hypertension in the Transplant Patient
Thomas, B. S., & Weir, M. R. (2015) · Current Cardiology Reports · doi:10.1007/s11886-015-0647-z · Cited by 15 · see citing works
Newman, L., O’Connor, J. D., Romero‐Ortuño, R., Reilly, R. B., & Kenny, R. A. (2021) · Hypertension · doi:10.1161/hypertensionaha.121.17111 · Cited by 14 · see citing works
Anstey, D. E., Colantonio, L. D., Yano, Y., Booth, J., & Muntner, P. (2018) · The Journal of Clinical Hypertension · doi:10.1111/jch.13330 · Cited by 14 · see citing works
Self-citationManagement of hypertension in the digital era: Perspectives and future directions
Fujiwara, T., McManus, R. J., & Kario, K. (2022) · Hipertensión y Riesgo Vascular · doi:10.1016/j.hipert.2022.01.004 · Cited by 15 · see citing works
Self-citationSuwanich, A. (2013) · World Journal of Cardiology · doi:10.4330/wjc.v5.i11.404 · Cited by 14 · see citing works
Sleep and Circadian Regulation of the Autonomic Nervous System
de Zambotti, M., & Baker, F. C. (2021) · Springer eBooks · doi:10.1007/978-3-030-62263-3_7 · Cited by 13 · see citing works
Deng, M., Chen, D., Dong, Y., Lu, P., Zhan, B., Xu, J., Ji, X., Li, P., & Cheng, X. (2017) · Journal of Clinical Hypertension · doi:10.1111/jch.13057 · Cited by 13 · see citing works
Katary, M. A., & Abdel‐Rahman, A. A. (2020) · Alcohol · doi:10.1016/j.alcohol.2020.08.001 · Cited by 13 · see citing works
Hypertension Management in Women With a Multidisciplinary Approach
Nobakht, N., Afshar, Y., Vaseghi, M., Li, Z., Donangelo, I., Lavretsky, H., Mok, T., Han, C. S., & Nicholas, S. B. (2024) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2024.10.005 · Cited by 15 · see citing works
Both Chronic Kidney Disease and Nocturnal Blood Pressure Associate with Strokes in the Elderly
Yano, Y., Bakris, G. L., Matsushita, K., Hoshide, S., Shimada, K., & Kario, K. (2013) · American Journal of Nephrology · doi:10.1159/000354232 · Cited by 12 · see citing works
Self-citationFLASH Syndrome: Tapping into the Root of Chronic Illness
Binder, M. R. (2020) · American Journal of Clinical and Experimental Medicine · doi:10.11648/j.ajcem.20200806.11 · Cited by 12 · see citing works
“Because all three vital signs—RHR, RRR, and RBP—are regulated by the autonomic nervous system (ANS), all three (and their correlates) reflect on the activity of the ANS.”
BackgroundAssociations of Blood Pressure With Common Factors Among Left-Behind Farmers in Rural China
Shen, X., Li, K., Chen, P., Feng, R. E., Liang, H., Tong, G., Chen, J., Chai, J., Yong Quan, S. H. I., Xie, S., et al. (2015) · Medicine · doi:10.1097/md.0000000000000142 · Cited by 12 · see citing works
Carotid artery thickening and neurocirculatory abnormalities in de novo Parkinson disease
Kim, J., Oh, Y., Lee, K.-S., Song, I., Park, I.-S., Yang, D., Koo, J., & Goldstein, D. S. (2014) · Journal of Neural Transmission · doi:10.1007/s00702-014-1203-5 · Cited by 12 · see citing works
“These abnormalities are associated with disturbances of autonomic regulatory mechanisms (Yano and Kario 2012) and are thought to be related to involvement of sympathetic noradrenergic nerves and degeneration of medullary”
BackgroundSleep Deficiency and Cardiometabolic Disease
Killick, R., Stranks, L., & Hoyos, C. M. (2023) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2023.05.012 · Cited by 12 · see citing works
Kaisti, M., Panula, T., Sirkiä, J., Pänkäälä, M., Koivisto, T., Niiranen, T., & Kantola, I. M. (2024) · Advanced Science · doi:10.1002/advs.202307718 · Cited by 11 · see citing works
- Authors
- Yano, Y., & Kario, K.
- Affiliations
- University of Miyazaki (JP)
- Jichi Medical University (JP)
- Corresponding author
- Kario, Kazuomi
- Venue
- Hypertension Research
- Published
- 2012-03-01
- Volume
- 35
- Issue
- 7
- Pages
- 695-701
- ISSN
- 0916-9636 (ISSN-L)
- 1348-4214
- OpenAlex
- W2072950061
- Cited by
- 227
- References
- 78
- Citations by year
- 2026: 14 · 2025: 12 · 2024: 22 · 2023: 16 · 2022: 19 · 2021: 23 · 2020: 22 · 2019: 11 · 2018: 16 · 2017: 7 · 2016: 17 · 2015: 13 · 2014: 10 · 2013: 19 · 2012: 6
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Hypertension Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- nocturnal blood pressure, nocturnal blood pressure dipping, ambulatory blood pressure monitoring, cardiovascular risk, hypertension, diurnal blood pressure variation, cardiovascular morbidity and mortality, antihypertensive therapy
- MeSH terms
- Antihypertensive Agents, Blood Pressure, Cardiovascular Diseases, Circadian Rhythm, Female, Humans, Hypertension, Male, Prognosis, Risk, Blood Pressure Monitoring, Ambulatory
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