Nocturnal Hypertension: A Predictor of Cardiovascular Events
1 in 4 people with controlled daytime blood pressure may have nocturnal hypertension1. Most ‘non-dippers’ and ‘reverse dippers’ remain undetected, although they are the cohort of hypertensive patients with the highest risk of developing future cardiovascular events2.
Blood pressure readings are mostly taken during the day. However, nocturnal BP readings (those taken while the patient is sleeping at night) are better predictors of the risk of fatal and nonfatal cardiovascular events, and target organ damage than daytime blood pressure values 2,3,4.
Blood pressure normally decreases at night, known as dipping. Most patients with high BP during the day still ‘dip’. Sometimes, however, patients’ BP doesn’t dip or can even rise during the night. The latter defined as ‘non-dippers’ or ‘reverse dippers’, are the most at-risk cohort for cardiovascular events2.
Join the discussion about nocturnal hypertension: the scientific relevance, patients at risk, how to determine nocturnal hypertension, as well as examples of patient cases.
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Nocturnal Hypertension: A predictor of cardiovascular events
Presented by: Terry McCormack
Daily Practice: Daytime and nighttime blood pressure explained
Presented by: Melanie Dunwell
Nocturnal Hypertension in General Practice
Presented by: Matthew S Capehorn
Key Learning Objectives
- Nocturnal hypertension: Cohort with the highest risk for cardiovascular event
- How to recognize nocturnal hypertension?
- Which patients are at risk?
- New ways to detect nocturnal hypertension
- General Practitioners
- Practice Nurses
- Hypertension Specialists
Terry McCormack is a GP in Whitby, North Yorkshire, Professor of Primary Care Cardiovascular Medicine at Hull York Medical School (HYMS) and President of the British and Irish Hypertension Society. He is a primary care researcher, particularly interested in hypertension, lipids and anticoagulation. In 2020 he was the winner of the HYMS Undergraduate Medicine Phase II and III Teacher of Excellence Award. Guideline work includes the NICE Hypertension, Perioperative Care and Venous Thromboembolism guideline committees and the AAGBI/BHS preoperative BP guideline. He is an editor of the British Journal of Cardiology and a Fellow of the European Society of Cardiology.
Melanie Dunwell is a registered nurse for 25 years working at Whitby Group Practice as a Practice Nurse since 2022. She manages a large team of nurses including Health Care Assistants looking after many patients with a range of chronic diseases, including hypertension, Ischaemic Heart Disease & diabetes. She specialises in women’s health, in particular, menopause. In recent years Melanie's nursing team has won the Cardiovascular Clinical Team of the Year award at the General Practice Awards.
Dr Capehorn is an expert in Obesity and Weight Management. He was the Clinical Director of the National Obesity Forum (NOF) for 7 years, and since then a Board member and Trustee of the Association for the Study of Obesity (ASO). Matthew is an Expert Adviser to NICE on the topic of Obesity, as well as being on numerous Advisory Boards, including Academic Advisory Boards. He was an Honorary Senior Lecturer for the University of Sheffield and prior to this Chester on their MSc in weight management.
For nearly 10 years the Rotherham Institute for Obesity (RIO) was the country’s biggest and busiest “tier 3” specialist weight management centre, based in primary care, and as well playing a pivotal role in setting it up he remains their clinical manager and GpwSI.
Dr Roland Asmar is president of the "Foundation-Medical research Institutes", and past-President of the "Cardiovascular Institute", Paris, France. Prior to this position, he was past president, of the French spoken network of hypertension, and the International Society of Vascular Health.
Dr Asmar developed his clinical research activities in different research units at Broussais Hospital and Paris VI - Pierre & Marie Curie University. He received the distinction 'Cardiologist of the Year 2001' in France for his Continuous Medical Education activity.
Dr Asmar has published more than 300 scientific articles and several books. He is editor in chief of the "Vascular health and Risk management" journal. Dr Asmar has led the organization of several international Consensus Conferences. His principal research interests include hypertension, blood pressure measurements, and non-invasive evaluation of arterial hemodynamic.