Tags: Antihypertensives blood blood pressure Chronotherapy hypertension hypertensive medication treatment
There are increasing data supporting evening administration as a means of achieving better BP control through re-establishing normal sleeping dipping patterns, thereby preventing the development of comorbidities. Additionally, this dosing change has been shown to prevent the morning surge, a precursor to negative cardiovascular (CV) events, including heart attack and stroke. When the costs are high both fiscally and medically, simple and cost-free interventions should be the first-line treatments.
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The primary care nurse owes it to themselves and their patients to be informed on the chronic diseases they manage in order to achieve maximum patient compliance and satisfaction. Well informed, confident practitioners will be able to deliver evidence-based structured advice, and in doing so reduce morbidity and mortality rates from cerebrovascular accidents and cardiovascular disease for patients regardless of age, gender, or ethnicity.
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