Contents

Search

early morning blood pressure surge (EMBPS)

An early morning blood pressure surge of 29/24 mm Hg occurs, that begins before awakening. [1,2] Etiology: 1) early morning orthostasis participate in effect 2) effect increased by a) atherosclerosis [4], smoking b) alcohol consumption c) longer sleep duration d) later waking times Epidemiology: - effect is greater in whites than blacks - not effected by gender, body mass index or duration of hypertension Complications: - early morning blood pressure surge coincides with peak cardiocascular risk; however, association unclear [3]

General

blood pressure (BP)

References

  1. Neutel JM et al, Magnitude of the early morning blood pressure surge in untreated hyertensive patients: a pooled analysis. Int J Clin Prac 2008, Sept 15 PMID: 18795972
  2. Kario et al, Clinical implication of morning blood pressure surge in hypertension. J Cardiovasc Pharmacol 2003, 42: Suppl 1 S87 PMID: 14871036
  3. Ohkubo T et al, Prognostic significance of morning surge in blood pressure: which definition, which outcome? Blood Press Monit 2008, 13:161 PMID: 18496293
  4. Kario K, Saito I, Kushiro T et al Morning Home Blood Pressure Is a Strong Predictor of Coronary Artery Disease: The HONEST Study. J Am Coll Cardiol. 2016 Apr 5;67(13):1519-27. PMID: 27150682 Free Article