Does High Blood Pressure Affect Sleep

Should You Take Your Blood Pressure Medication At Bedtime

While it is generally believed that nighttime blood pressure medications are helpful for those with non-dipping blood pressure, this new study seems to indicate that it might be helpful in more effectively lowering blood pressure for a broader range of people.

Dr. Kim Williams, the head of the division of cardiology at Rush University Medical Center and past president of the American College of Cardiology, says he feels itâs too soon to begin recommending that all patients take their medications at bedtime.

âWe need more data from other centers as much of the data favoring this come from a small set of investigators. Other trials and experience are not as strikingly positive,â he noted.

Williams added, âSpeculation would hold that this is a good idea when the patient is known to have nocturnal hypertension but these authors suggest that it works for all comers. We clearly need more data.â

Dr. Satjit Bhusri, assistant professor of cardiology at Zucker School of Medicine at Hofstra/Northwell, also felt that it should not be a blanket recommendation for all patients.

There are many factors to consider, he says, such as:

• Do you have large swings in your blood pressure?
• Are you consistent and regular in taking your medication?
• What other medications are you taking?

Your medication regimen should be personalized for you based upon a discussion with your physician, says Bhusri.

Can Lack Of Sleep Cause High Blood Pressure

As mentioned, a prolonged lack of sleep can lead to spikes in blood pressure. Various sleeping issues are likely to lead to increased blood pressure. The most common ones are:

• Insomnia: This condition makes it difficult to fall and stay asleep and can contribute to high blood pressure.

• Restless leg syndrome : There is a correlation between RLS and high blood pressure. Restless leg syndrome is a condition characterized by a person’s uncontrollable urge to move their legs. RLS seems to worsen in the evening at bedtime. The condition can cause depression and lead to insomnia, which, in turn, makes the blood pressure levels rise.

• Obstructive sleep apnea :OSA is a sleeping disorder that causes sudden and repetitive pauses in breathing when sleeping. This condition can cause hypertension if not controlled.

• Sleep deprivation: This happens when you get less than six hours of sleep per night, and it increases the risk of developing high blood pressure.

While the link between these sleeping issues to hypertension is not completely clear, there is a high probability that not enough sleep or having a sleep disorder like sleep apnea causes spikes in blood pressure levels.

What Is The Connection Between Sleep Apnea And High Blood Pressure

Sleep apnea, or obstructive sleep disorder, causes a reduction of airflow while you sleep the most tell tale sign is snoring, as well as gasping for air, waking up frequently, and chronic daytime fatigue.

A national multi sleep study of over 6,000 men and women, conducted through the John Hopkins School of Public Health found a correlation between high blood pressure and sleep apnea. While more severe sleep apnea, with over 30 lapses in breathing, presents the highest risk, this sweeping study found that even modest sleep apnea is associated with an increased risk of high blood pressure.

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How Much Sleep Do I Need

Most adults need at least 7 hours of sleep each night.1 However, more than 1 in 3 American adults say they dont get the recommended amount of sleep.2 While this may be fine for a day or two, not getting enough sleep over time can lead to serious health problemsand make certain health problems worse.

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Sleep Duration And Hypertension

Habitual sleep duration over the past 50 years has decreased by 1.5 to 2 h/day, and > 30% of Americans report sleeping less than 6 h/night.10 In the Sleep Heart Health Study, subjects sleeping 5 h/night had a higher frequency of prevalent hypertension , after adjusting for multiple confounders.11 The Whitehall II Study examined cross-sectional and prospective associations of sleep duration with prevalent and incident hypertension in a cohort of 10,308 British civil servants aged 35 to 55 years.12 At baseline, no association was noted in men however, women sleeping 5 h/night had a higher risk of hypertension compared with those sleeping 7 h/night , independent of confounders. In the prospective analysis, the incident hypertension risk was attenuated after confounding for cardiovascular and psychiatric comorbidities, emphasizing the importance of extensive evaluation of confounders in assessing this association.

In the first National Health and Nutrition Examination Survey of 4,810 middle-aged Americans in fully adjusted models, short sleep duration was associated with a 60% higher risk of self-reported incident hypertension over an 8- to 10-year follow-up period .13 No association was found in individuals aged 60 years.

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Sleep And Heart Failure

Heart failure happens when the heart is unable to pump enough blood to the rest of the body. This means that the body’s vital organs do not receive the amount of blood and oxygen they need to function properly.

People who have even modestly reduced sleep have an increased probability of cardiac arrest. The more poor sleeping habits someone has, the greater their risk of heart failure.

Prolonged Sunlight When You Take Blood Pressure Medication

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Protect Yourself From High Blood Pressure With Good Sleep

If you are experiencing a medical emergency, please call 911 or seek care at an emergency room.

Most people recognize the lifestyle problems that can raise blood pressure to unhealthy levels: smoking, being overweight or inactive, too much stress. In recent years, researchers have confirmed yet another controllable risk factor for high blood pressurea lack of good sleep.

That insight comes with both good news and bad news. The bad news is that about half of American adults dont consistently get the recommended 7 to 9 hours of shut-eye each night, according to the National Sleep Foundation. Even our children arent sleeping enough. This trend in poor sleep habits may partly explain why hypertension has become an increasing health burden in the U.S. over the past two decades. But the good news is this: better sleepand, in turn, a lower risk of developing hypertension and other cardiovascular problemsis achievable for most people who make it a priority.

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Blood Pressure Medication Swelling Symptoms

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How Hypertension Affects Your Body

High blood pressure contributes to hundreds of thousands of fatalities each year, with nearly half a million deaths in the United States alone. According to the Center for Disease Control, Tennessee has a high prevalence of hypertension in adults ages 20 and older, with an age-adjusted prevalence between 32 and 38.6 percent.

Left untreated, hypertension can damage your heart and contribute to severe health issues that can lead to a disability or even premature death. Some of these include:

• Cardiovascular Disease
• Kidney Disease or Failure

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What Can I Do To Get Better Sleep

• Stick to a regular sleep schedule. Go to bed at the same time each night and get up at the same time each morning, including on the weekends.
• Get enough natural light, especially earlier in the day. Try going for a morning or lunchtime walk.
• Get enough physical activity during the day. Try not to exercise within a few hours of bedtime.
• Avoid artificial light, especially within a few hours of bedtime. Use a blue light filter on your computer or smartphone.
• Dont eat or drink within a few hours of bedtime avoid alcohol and foods high in fat or sugar in particular.
• Keep your bedroom cool, dark, and quiet.

Work with your health care team to identify obstacles to good sleep, including other medical conditions.