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Night blood pressure spikes are a significant concern as they increase heart risk. Generally, blood pressure falls during sleep, but do you know that some factors can increase it, leading to possible complications? Also read Cardiologist describes 10 symptoms of heart disease that you ignore, but should not: irregular heartbeat, swollen legs, jaw pain
Undevated night BP Spikes Results
In an interview with HT lifestyle, Dr. Narasimha Pie, Advisor and Prominent, Cardiology, KMC Hospital, Mangalore said, “Night blood pressure spikes are a red flag as they increase cardiovascular risk.” Dr. Damarranjan Behera, Consultant International Cardiologist, Manipal Hospital, Bhubaneswar said, “Night blood pressure spikes can be easily remembered, but they are very dangerous for patients recovering from high blood pressure, heart failure, or a stent process.”
He shared that taking a blood pressure medicine at the right time could give better control over night spikes and said, “The missing prescribed night dose can leave the room for a spike for blood pressure, while the patient should relax, which increases the risk of stroke, heart seizures and other complications.
Dr. Jyoti Kusnur, Consultant Inanational Cardiologist at Manipal Hospital, Goa, shared, “Healthy blood pressure follows a circadian rhythm: in healthy individuals, it falls ~ 10–20 percent during sleep, ~ 10–20 percent falls-Dubki Dubki.”
“When the pressure fails to sink-or it rises (non-dipping/riser)-The load of the night accelerates the injury to the internal lining of the blood vessels, then the left-ventricular hypertrophy and kidney microdemage, and the insulin resistance. With, especially stroke, and sudden, and sudden, and ie, cortisol, catcolamine and platelets (blood cells) viscosity, and vascular tone peaks, ”Dr. Kusnoor said.
Explaining why this is remembered, Dr. Kusnoor said: “Clinic check captures the day’s snapshot, while many patients only have only masked or REM/obstructive-sleep-epano-related spikes at night. 24-hour ambulatory monitoring (and home night-BP equipment) pattern and guide therapy is detected.”

Spikes due to night blood pressure
According to doctors, stress, shift work, and late night screen can disturb the circadian rhythm, making blood pressure strong and more dangerous. Consuming high-sodium or heavy dinner, alcohol, caffeine and nicotine can also interfere with normal blood pressure control at night.
Dr. Pai explained, “Generally, during sleep, BP takes a dip, but hormonal surge-especially cortisol and adrenaline were issued in the morning, which gives it high, sometimes excessive push. Stress, disrupted sleep, shift work, and late night screen using these surge, which makes the surgery the night. In all interference with normal BP control.
High risk group
According to him, the highest -risk people include: women with PCOS, where hormonal imbalance deteriorates BP variability, patients with obstructive sleep apnea, who frequently experience oxygen drops, trigger spikes, and individuals on irregular drug programs, who leave interlinds in BP control. “It is important to identify and manage these factors, because nocturnal hypertension is closely linked to the high rates of heart attacks, strokes and sudden heart incidences,” Dr. Pai said.
Night blood pressure
Dr. According to Behera, today, we have more opportunities than ever, with home blood pressure monitor, smart wearballs, and 24-hour ambulatory monitoring, providing the real-time evidence of the Nuttonal pattern: “The most important thing is to measure, and when necessary, to track patients.
Who should do the screen? Dr. According to Kusnur: “Snorars who can have obstructive sleep apnea (when dipped oxygen levels during sleep), diabetes, chronic kidney disease, resistant hypertension, old adults and shift-workers. 24 hours ABPM (Ambulance BP Monitoring) is now available, a comprehensive and simple test tools are now available, a wide and simple test device is now available. Is for. “
What helps Dr. Kusnoor said that cure obstructive sleep apnea, reduce evening salt/alcohol, get regular sleep, and antihypertensives (ie chronotherapy, ie sewing BP medicines and to adjust the time to adjust the time to adjust the time according to the 24-hour BP behavior in any patient.
Note the readers: This article is only for informative purposes and is not an option for professional medical advice. Always consult your doctor with any question about a medical condition.
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