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Veteran cardiologist explains why nighttime BP matters even when daytime BP is normal: 'It should drop by at least...'

Updated on: Sep 11, 2026, 15:11:38 IST
When we sleep, the body is supposed to be relaxed and normally your BP should drop by at least 10% at night. (Pexel)
When we sleep, the body is supposed to be relaxed and normally your BP should drop by at least 10% at night. (Pexel)
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Elevated nighttime blood pressure poses significant health risks, including strokes and organ damage, highlights Dr Alok Chopra.

High blood pressure (BP) is a serious and rapidly growing health crisis in India, affecting nearly 1 in 4 adults and causing around 1.6 million deaths every year, according to the Indian Heart Association. While keeping a check on your BP is one part of how you can track your health vitals, there's another part many miss out on.

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In a September 9 Instagram video, Dr Alok Chopra, a cardiologist with over 40 years of experience, highlighted this problem, stressing that your BP may look fine during the day, but what happens at night is also very important and can tell you a lot about your cardiovascular health.

Why is your nighttime blood pressure reading also important?

According to Dr Alok, your high blood pressure reading is just one part of the story; what actually matters is your nighttime blood pressure. Explaining the reason, the cardiologist stated, “When we sleep, the body is supposed to be relaxed and normally your BP should drop by at least 10% at night.”

Blood pressure rises with consumption of salty foods.

That's why Dr Alok emphasises that consistently managing blood pressure is extremely important. “

What does research say?

According to the Journal of the American Heart Association, nighttime blood pressure (BP) dipping is a natural manifestation of circadian rhythm and the body's physiological processes during sleep. Therefore, elevated nighttime BP and nighttime BP without the expected decrease from daytime BP readings are associated with worse cardiovascular outcomes and risk of incident heart failure.

The same study also found that lower nighttime BP was associated with more adverse outcomes. Moreover, nighttime hypertension, a condition where nighttime BP remains elevated, is influenced by both lifestyle and physiological factors, including sleep disturbances and certain medical conditions.

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. It is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.

Dr Alok Chopra is a renowned Delhi-based cardiologist with 40 years of experience. He completed his MBBS and postgraduate studies at Maulana Azad Medical College, New Delhi. He is also a member of the Royal College of Physicians, London. After completing his residency at GB Pant Hospital, New Delhi, he served as a lecturer in the Department of Cardiology at the Royal Postgraduate Medical School, Hammersmith Hospital, London. Dr Chopra specialises in diseases of the heart and circulatory system.

 
ABOUT THE AUTHOR
Krishna Pallavi Priya

Krishna Priya Pallavi is a journalist with over 9 years of experience, covering health, fashion, pop culture, travel, wellness, entertainment, festivals, mental health, art, decor, fitness, and sex and relationships. She is an alumna of the Indian Institute of Mass Communication (IIMC), Dhenkanal, and holds an undergraduate degree in Journalism and Mass Communication from Guru Gobind Singh Indraprastha University, Delhi. Her strong academic foundation informs her analytical and detail-oriented approach to storytelling, helping her uncover stories where none seem to exist. Before joining Hindustan Times, Pallavi worked with some of India’s leading media organisations. She spent close to three years at India Today, where she honed her newsroom skills and developed a sharp editorial sensibility. She also worked for over a year and a half at Vagabomb, ScoopWhoop’s feminist digital platform, where she explored stories through a gender-sensitive, socially aware lens. Pallavi has a deep interest in global fashion trends and international fashion seasons, and enjoys interviewing celebrities and tracking pop culture movements—interests that frequently translate into engaging, reader-friendly stories. Alongside lifestyle and entertainment, she has a keen eye for impactful health and wellness journalism, regularly interacting with doctors, designers, and digital content creators to bring nuance and credibility to her work. Born and raised in Haryana, Pallavi remains deeply connected to her ancestral roots in Odisha. Her ability to spot fresh angles brings curiosity and depth to stories she pursues. When not chasing deadlines, she enjoys spending time with her dog, planning her next vacation, reading, running new trails, and discovering new destinations.

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