JAKARTA - The blood pressure in the morning can increase due to the body's natural response to biological clocks or sirkadian rhythm. The phenomenon of increase in blood in this morning is called the morning surprise.
Morning surprise usually occurs within the first two to three hours of waking up. This increase is normal, but it can be dangerous for patients with hypertension.
Especially for hypertension patients of degree two and three. The spike could cause a stroke to a dangerous heart attack.
Moring surprise usually occurs at 6-10 am, but it can also happen in the early hours of the morning. According to research, a 10 mmHg spike could increase the risk of stroke by up to 14 percent," said the Specialist for Kidney and Hypertension Internal Medicine, dr. Tunggul D. Situmorang, Sp.PD-KGH, in Sudirman, Jakarta, Thursday, November 20, 2025.
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Many people with hypertension do not feel specific symptoms during the morning surprise. This happens because they may feel fine, even though their bodies are in a high cardiovascular stress condition.
"This is why patients need to check their blood pressure independently and regularly in the morning and evening," he added.
Keep in mind that hypertension control does not only depend on doctors, but also on patient discipline. Therefore, patients should live a healthy lifestyle, by maintaining ideal weight, limiting consumption of salt, exercise, quitting smoking, and taking regular medicine.
A small decrease in blood pressure also had a significant impact. A decrease in 10 mmHg of systolic blood can reduce the risk of stroke, cardiovascular events to heart failure," concluded Doctor Tunggul.
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