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Morning Hypertension

Morning hypertension or morning high blood pressure refers to an excessive increase in blood pressure in the morning to early morning hours until about 9:00 or 10:00 AM.

The blood pressure rise begins even before waking up (Morning Hypertension = High Blood Pressure in the Morning)
Normally, every person's blood pressure goes through a so-called circadian (daily rhythmic) rhythm within 24 hours. This develops in the first weeks of life. It represents the strongest manifestation of blood pressure rhythm with normal day-night fluctuations of about ten to 30 mmHg.

In the early morning, blood pressure rises even before waking up to prepare the body for the change in position from lying down to standing. The steepest increase occurs with getting up until the early morning hours.

This morning blood pressure rise is a normal event that everyone experiences - regardless of whether they have normal or elevated blood pressure values.
For hypertensives (people with high blood pressure), however, this increase can take on a threatening magnitude, as it occurs at a higher level.

This danger is evident from the increase in heart attacks, sudden cardiac death, and strokes in the morning hours, peaking around 9:00 AM. The morning blood pressure rise is attributed a causal role in this.
To avoid such events, an excessive morning blood pressure rise must be prevented, which is now defined as a therapeutic goal.
When diagnosing morning high blood pressure, efforts are made to manage it through medication adjustments.

There are several blood pressure monitors on the market specifically designed to detect morning hypertension.

BloodPressureDB offers a PDF analysis with a chart of blood pressure measurements by time. The blood pressure rhythm is also clearly recognizable.

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This article is from BloodPressureDB – the leading app since 2011 that supports hundreds of thousands in blood pressure monitoring every day. Our content is based on carefully researched, evidence-based data and is continuously updated (as of 12/2023).

Author Sabine Croci is a certified medical assistant with many years of experience in internal medicine and cardiology as well as in outpatient care and has been leading the editorial team of BloodPressureDB since 2015. Thanks to her extensive additional qualifications as a paramedic, first responder, and in various therapy and emergency areas, she provides well-founded, practical, and reliably verified information.


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