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What time of the day is blood pressure highest?

Blood pressure has a daily pattern. Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening.

mayoclinic.org - Blood pressure: Does it have a daily pattern? - Mayo Clinic

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Does blood pressure have a daily pattern? I've noticed that my blood pressure is always lower in the morning than in the afternoon. Answer From Francisco Lopez-Jimenez, M.D.

Blood pressure has a daily pattern.

Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening. Blood pressure is usually lower at night while sleeping. The blood pressure measurement at night is called nocturnal blood pressure.

Examples of an irregular blood pressure pattern include:

High blood pressure during the night

High blood pressure early in the morning

Less than 10% drop in blood pressure overnight (nondipping blood pressure)

A rise in blood pressure overnight to early morning has been linked to an increased risk of heart disease.

An irregular blood pressure pattern could also mean that you have:

Poorly controlled high blood pressure

Obstructive sleep apnea

Kidney disease

Diabetes

Thyroid disease

A nervous system disorder

Poor diet, lack of exercise and certain lifestyle factors can affect blood pressure pattern, including:

Night-shift work

Smoking

Overweight or obesity

Stress and anxiety

Not taking medications for blood pressure or sleep apnea as directed, or ineffective treatment Your health care provider can tell you if an irregular daily blood pressure pattern needs treatment. Sometimes, a person's blood pressure rises simply when seeing a care provider. This is called whitecoat hypertension. A 24-hour blood pressure monitoring test can be done to measure blood pressure at regular time periods over 24 hours. The test is called ambulatory blood pressure monitoring. It provides a detailed look at blood pressure changes over an average day and night.

With Francisco Lopez-Jimenez, M.D.

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What is the best long term blood pressure medication?

There is a long list of medications for high blood pressure, and guidelines recommend both ACE inhibitors and ARBs as first-line options. Both classes have been proven effective in lowering blood pressure and curbing the risks of heart disease and stroke.

webmd.com - High Blood Pressure: Which Drug Works Best for You? - WebMD

By Amy Norton

HealthDay Reporter

TUESDAY, July 27, 2021 (HealthDay News) -- Two long used types of blood pressure drugs are equally effective, but the less popular one seems to have fewer side effects, according to a large "real-world" study. The two classes of medication are both recommended as "first-line" treatments for high blood pressure: angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs). ACE inhibitors have been around longer and studied more extensively, so doctors prescribe them more often. But the new findings suggest that ARBs might be a better choice for people just starting on medication, the researchers said. "There was no difference in the effectiveness of the drugs," senior researcher Dr. George Hripcsak said. "If you're not having side effects [with an ACE inhibitor], there's no need to switch." Looking at data on nearly 3 million patients, the investigators found that ACE inhibitors and ARBs were equally effective at lowering the risks of heart disease and stroke. Where they differed was side effects: ACE inhibitors were more likely to cause chronic cough and angioedema — severe swelling under the skin, often in the face.

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