Pivin Edward, Megdiche Fatma, Burnier Michel, Wuerzner Grégoire
Service de néphrologie et consultation d'hypertension, CHUV, 1011 Lausanne.
Rev Med Suisse. 2016 Sep 14;12(530):1513-1517.
Since the use of ambulatory blood pressure monitoring (ABPM) in the beginning of the 70's, our perception of blood pressure based only on office blood pressure has been challenged. Indeed, more specific phenotypes such as white coat hypertension, masked hypertension or different circadian patterns of blood pressure have been described and studied. This has resulted in increased use of ambulatory blood pressure measurements for diagnostic and therapeutic purposes. The main focus of this paper is night-time blood pressure. We review, in a non-systematic way, the diagnostic, the prognostic and therapeutic utility of night-time blood pressure. Finally, studies in which antihypertensive drugs are given at night will be presented.
自20世纪70年代初动态血压监测(ABPM)开始应用以来,我们仅基于诊室血压对血压的认知受到了挑战。事实上,诸如白大衣高血压、隐匿性高血压或不同血压昼夜模式等更具特异性的表型已被描述和研究。这导致动态血压测量在诊断和治疗目的方面的应用增加。本文的主要关注点是夜间血压。我们以非系统的方式回顾夜间血压的诊断、预后和治疗效用。最后,将介绍夜间给予降压药物的研究。