Hypertension has been widely extended to various continents, and it has been a significant cause of cardiovascular morbidity along with mortality. The treatment of lowering blood pressure seems to be common in the Asian population, and it has reduced mortality and cardiovascular events. It has been found that morning hypertension is more common in Asia than compared to Europe region. The Asian Expert Panel has shown importance towards the management of hypertension which might have some significant effects on the health of Asian people. Morning hypertension can be a combined phenotype of two different situations. Hypertensive BP levels were raised in the morning for a shorter period. However, it was still not clear whether programmed morning clinic BP evaluation may resolve morning hypertension or not. The authors suggested that it can be used as a screening tool for the diagnosis of morning hypertension. There was another quest discovered to find out the intensity of this hypertension appearing in a patient during a week or various seasons of the year. With the supporting evidence gained from the present Consensus Statement, it is suggested that during the colder periods of the year or on the first working day of the week, hypertension was found to be more than on the other weekdays or seasons. As hypertension gives rise to further diseases like diabetes mellitus, and obesity along with provoking already established cardiovascular disease, it’s recommended to use out-of-clinic BP evaluation to assure the diagnosis of morning hypertension among these populations. It is evident that the morning hours close to rising are associated with the prevalence of cardiovascular events. Hence, it is recommended that hypertension should be controlled during this period. However, the prevalence of cardiovascular events was also found during nighttime sleep. Therefore, antihypertensive treatment should be different according to the situation. Time of drug administration, biological drug half-life, dosage, and free or fixed-dose combination treatments should be considered. Appropriate randomized controlled clinical trials are needed to address the issue if antihypertensive therapy brings better cardiovascular outcomes.
References
Thomopoulos, C., Katsimagklis, G., & Makris, T. (2018). Morning hypertension in Asian populations. The Journal Of Clinical Hypertension, 20(1), 45-46. http://dx.doi.org/10.1111/jch.13133
