What does sudden elevation in BP during night mean?
Patient: my blood pressure suddenly rose to 170/110 for the last few days. It happened at midnight and when i was not in stress. I am taking metaprolol 100mg twice a day and nifedipine 60 mg a day. My day time pressure is around 145/90. Please let me know why it spike at night? Thank you. Doctor: HII UNDERSTAND YOUR CONCERNS.LATE NIGHT OR EARLY MORNING SURGE IN BLOOD PRESSURE IS BECAUSE OF CIRCADIAN VARIATIONS IN BP IN HUMAN BEINGS.EVEN IN NORMAL HUMAN BEINGS BLOOD PRESSURE IS SLIGHTLY IN UPPER RANGE OF NORMAL AT LATE MIDNIGHT AND THIS EFFECT IS PRONOUNCED IN HYPERTENSIVES.I WILL STRESS UPON YOU THAT THIS RISE IN BLOOD PRESSURE NEEDS TO BE CONTROLLED TO PREVENT FURTHER COMPLICATIONS.SO I WILL RECOMMENT YOU HOME MONITORING OF BP .YOU CAN BUY ONE AUTOMATIC ELECTRONIC BP APPARATUS.THEN VISIT YOUR PHYSICIAN WITH THESE BP READINGS AND GET YOUR DOSAGES OF ANTIHYPERTENSIVES ADJUSTED.I HOPE MY ADVISE WILL HELP YOUTHANKSDR PRANAY BUDKULE