Hipertensión y Riesgo Vascular

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Hipertensión y Riesgo Vascular Narrative review: Isolated nocturnal hypertension – A frosted glass
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Vol. 42. Núm. 3.
Páginas 129-246 (Julio - Septiembre 2025)
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Vol. 42. Núm. 3.
Páginas 129-246 (Julio - Septiembre 2025)
Review

Narrative review: Isolated nocturnal hypertension – A frosted glass

Revisión narrativa: Hipertensión nocturna aislada – Un vidrio esmerilado
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J. Minettoa,b,
Autor para correspondencia
jjminetto@hotmail.com

Corresponding author.
, G. Cerria,b, W. Espechea,b
a Interzonal General Agudos San Martin Hospital, La Plata, Argentina
b National University of La Plata, Buenos Aires, Argentina
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Abstract

The following article is a narrative review on isolated nocturnal hypertension, conducted up to July 2024, with a search for primary and secondary articles in MEDLINE, LILACS, and gray literature.

This review highlights aspects related to its current definition, epidemiology, and associated populations and risk factors, as well as specifics regarding its diagnosis, prognostic importance for target organ damage and cardiovascular events/mortality, and potential treatments.

This condition has particular aspects and, although it is not very common in the general population, it reaches high prevalence in some at-risk populations. To date, there is much debate and many issues to investigate regarding diagnostic aspects, as well as its heterogeneity and clinical significance, which indicate different prognoses. Therapeutic aspects are even more a matter of debate, necessitating future research.

Keywords:
Hypertension
Blood pressure monitoring ambulatory
Circadian rhythm
Blood pressure
Masked hypertension
Prehypertension
Abbreviations:
ABPM
HBPM
LVH
CAP
PWV
CKD
HIV
BMI
SBP
TOD
Resumen

El siguiente artículo es una revisión narrativa sobre la hipertensión nocturna aislada, realizada hasta julio de 2024, con una búsqueda de artículos primarios y secundarios en MEDLINE, LILACS y literatura gris.

Esta revisión destaca aspectos relacionados con su definición actual, epidemiología, poblaciones asociadas y factores de riesgo, así como detalles específicos sobre su diagnóstico, importancia pronóstica en el daño de órganos blanco y eventos/mortalidad cardiovascular, y posibles tratamientos.

Esta condición presenta particularidades y, aunque no es muy común en la población general, alcanza una alta prevalencia en algunas poblaciones de riesgo. Hasta la fecha, existe un amplio debate y muchas cuestiones por investigar en relación con los aspectos diagnósticos, su heterogeneidad y significado clínico, lo que indica diferentes pronósticos. Los aspectos terapéuticos son aún más debatidos, lo que resalta la necesidad de futuras investigaciones.

Palabras clave:
Hipertensión
Monitoreo ambulatorio de presión arterial
Ritmo circadiano
Presión arterial
Hipertensión enmascarada
Prehipertensión

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