Asian Expert Consensus on Nocturnal Hypertension Management

Hypertension. 2025 Jun;82(6):945-956. doi: 10.1161/HYPERTENSIONAHA.124.24026. Epub 2025 Apr 11.

Abstract

There is consistent and strong evidence that nighttime blood pressure is a better predictor of target organ damage and cardiovascular events, and the prevalence of nocturnal hypertension is high in all populations but higher in Asians than Europeans. Excessive salt intake and salt sensitivity have long been believed to be risk factors for elevated nighttime blood pressure in Asians. For various reasons, the control rate of nocturnal hypertension is low, for example, insufficient monitoring and inappropriate therapeutic regimens. With the increasing evidence and possibility of management, it is highly relevant to have thorough discussions among Asian experts and to reach a consensus on major aspects in regard to the management of nocturnal hypertension. The consensus involves 5 aspects, including definitions and diagnosis, epidemiology, risk and risk factors, treatment, and future perspectives.

Keywords: antihypertensive agents; blood pressure monitoring, ambulatory; hypertension; prevalence; sodium chloride, dietary.

Publication types

  • Review

MeSH terms

  • Antihypertensive Agents* / therapeutic use
  • Asia / epidemiology
  • Asian People
  • Blood Pressure Monitoring, Ambulatory
  • Blood Pressure* / physiology
  • Circadian Rhythm* / physiology
  • Consensus*
  • Disease Management
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / drug therapy
  • Hypertension* / epidemiology
  • Hypertension* / ethnology
  • Hypertension* / physiopathology
  • Hypertension* / therapy
  • Prevalence
  • Risk Factors

Substances

  • Antihypertensive Agents