Objective, physiological measurements taken during the sleep cycle that reflect the status and efficiency of the cardiovascular system, particularly the endothelial function and arterial stiffness. These metrics, such as nocturnal blood pressure dipping or heart rate variability patterns, provide critical insight into vascular health that is often masked during waking hours. Monitoring these nocturnal rhythms is essential for assessing true cardiovascular risk and hormonal influence.
Origin
This concept stems from chronobiology and cardiology, recognizing that the autonomic nervous system and endocrine rhythms impose a distinct, measurable pattern on vascular function during sleep. The “Nocturnal Metrics” are considered highly predictive because the body is at its most quiescent state, allowing underlying pathology or subtle dysregulation to become more apparent.
Mechanism
During restorative sleep, the parasympathetic nervous system should dominate, leading to a natural drop in blood pressure and heart rate variability that reflects optimal vascular compliance and endothelial nitric oxide production. Hormones like melatonin and growth hormone also play a role in vascular repair overnight. Abnormal nocturnal metrics, such as non-dipping blood pressure, indicate sympathetic overactivity and impaired hormonal-autonomic balance, signaling increased cardiovascular risk.
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