Assistant Professor of Medicine, Metabolic Diseases Unit, 2nd Medical Department, Ippokratio Hospital Thessaloniki, Aristotle University of Thessaloniki.
Curr Vasc Pharmacol. 2014 May;12(3):527-36. doi: 10.2174/157016111203140518173019.
Non-dipping is a common pattern of arterial hypertension and it is associated with increased cardiovascular risk. Use of ambulatory blood pressure monitoring, as suggested in recent guidelines, could further increase its prevalence among subjects with hypertension. In this review we discuss assessment, relevance and associated factors. Non-dipping could be addressed through chronotherapy, the use of specific classes of anti-hypertensives, such as renin-angiotensin blockers, or modification of associated factors. However, more data are needed in order to comprehensively estimate factors associated with non-dipping and how they could be modified.
非杓型是一种常见的动脉高血压模式，它与心血管风险增加有关。最近的指南建议使用动态血压监测，这可能会进一步增加高血压患者中非杓型的患病率。在这篇综述中，我们讨论了评估、相关性和相关因素。非杓型可以通过时间治疗学、使用特定类别的抗高血压药物（如肾素-血管紧张素阻滞剂）或改变相关因素来解决。然而，需要更多的数据来全面评估与非杓型相关的因素以及如何对其进行修正。
