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Traditionally, however, doctors have recommended people take blood pressure medication in the morning. "Blood pressure tends to be higher during the day and lower at night, so I typically ...
For most people, recommendations are to reduce blood pressure to less than or equal to somewhere between 140/90 mmHg and 160/100 mmHg. [2] In general, for people with elevated blood pressure, attempting to achieve lower levels of blood pressure than the recommended 140/90 mmHg will create more harm than benefits, [3] in particular for older people. [4]
Guidelines on the choice of agents and how best to step up treatment for various subgroups in hypertension (high blood pressure) have changed over time and differ between countries. A Comparison of International Guidelines on Goal Blood Pressure and Initial Therapy for Adults With Hypertension (adapted from JNC 8 guidelines [ 1 ] )
Ambulatory blood pressure monitoring allows blood pressure to be intermittently monitored during sleep and is useful to determine whether the patient is a "dipper" or "non-dipper"—that is to say, whether or not blood pressure falls at night compared to daytime values. A nighttime fall is normal and desirable.
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"Your blood pressure is supposed to be under 140 over 90, optimally closer to 120 over 80."
Blood pressure varies over longer time periods (months to years) and this variability predicts adverse outcomes. [18] Blood pressure also changes in response to temperature, noise, emotional stress, consumption of food or liquid, dietary factors, physical activity, changes in posture (such as standing-up), drugs, and disease. [19]
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