Diagnosis and Management of Supine and Nocturnal Hypertension in Orthostatic Hypotension: A Review

Prassana Aravinthan; Trilochan Aravinthan; Aksharaa Anpalahan; Mahesan Anpalahan

doi:10.2174/1573402119666221222160649

Diagnosis and Management of Supine and Nocturnal Hypertension in Orthostatic Hypotension: A Review

Curr Hypertens Rev. 2023;19(1):19-26. doi: 10.2174/1573402119666221222160649.

Authors

Prassana Aravinthan¹, Trilochan Aravinthan¹, Aksharaa Anpalahan², Mahesan Anpalahan^{3

4}

Affiliations

¹ Kinesiology and Health Sciences, Faculty of Health, York University, Toronto, Canada.
² Department of Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.
³ Department of General Medicine, Eastern Health, Melbourne, Victoria, Australia.
⁴ Department of Medicine, Monash University, Melbourne, Victoria, Australia.

PMID: 36567279
DOI: 10.2174/1573402119666221222160649

Abstract

The prevalence of supine and nocturnal hypertension (S-N-HT) is high among patients with orthostatic hypotension (OH), especially in those who have a neurogenic aetiology. The evidence suggests that S-N-HT exacerbates OH, although it is unclear whether pharmacologic treatment of S-N-HT will improve OH. S-N-HT has also been associated with target organ damage. Therefore, assessment and management of S-N-HT should be an integral part of managing OH, but it is often overlooked in clinical practice.

Keywords: Supine hypertension; ambulatory blood pressure; autonomic dysfunction; circadian blood pressure rhyth; nocturnal hypertension; orthostatic hypotension.

Publication types

Review

MeSH terms

Humans
Hypertension* / diagnosis
Hypertension* / drug therapy
Hypertension* / epidemiology
Hypotension, Orthostatic* / diagnosis
Hypotension, Orthostatic* / epidemiology
Hypotension, Orthostatic* / therapy
Supine Position