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睡眠与高血压——2024年最新情况

Sleep and hypertension - up to date 2024.

作者信息

Tomitani Naoko, Hoshide Satoshi, Kario Kazuomi

机构信息

Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.

出版信息

Hypertens Res. 2024 Dec;47(12):3356-3362. doi: 10.1038/s41440-024-01845-x. Epub 2024 Aug 16.

Abstract

People spend one-third of their lives sleeping, and adequate, restful sleep is an essential component of a healthy life. Conversely, disruption of sleep has been found to cause various physical and mental health problems. Emerging research has shown that blood pressure (BP) during sleep is a stronger predictor of cardiovascular events than conventional office BP or daytime BP. Thus, management of both sleep health and nighttime BP during sleep is important for preventing cardiovascular events. However, recent studies demonstrated that nighttime BP is poorly controlled compared with office BP and daytime BP. This finding is understandable, given the challenges in monitoring BP during sleep and the multiplicity of factors related to nocturnal hypertension and BP variability. This review summarizes recent evidence and considers future perspectives for the management of sleep and hypertension.

摘要

人们一生中有三分之一的时间在睡眠,充足、安稳的睡眠是健康生活的重要组成部分。相反,睡眠中断已被发现会导致各种身心健康问题。新兴研究表明,睡眠期间的血压(BP)比传统的诊室血压或日间血压更能预测心血管事件。因此,管理睡眠健康和睡眠期间的夜间血压对于预防心血管事件很重要。然而,最近的研究表明,与诊室血压和日间血压相比,夜间血压控制不佳。考虑到睡眠期间监测血压的挑战以及与夜间高血压和血压变异性相关的多种因素,这一发现是可以理解的。本综述总结了近期证据,并考虑了睡眠与高血压管理的未来前景。

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