Patterns of ambulatory blood pressure: clinical relevance and application

Eoin O'Brien*, Kazuomi Kario, Jan A. Staessen, Alejandro de la Sierra, Takayoshi Ohkubo

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    15 Citations (Web of Science)

    Abstract

    Ambulatory blood pressure measurement (ABPM) is now recommended in all patients suspected of having hypertension. However, in practice, the mean daytime pressures are often used to make diagnostic and therapeutic decisions, and the information from abnormal patterns of blood pressure behavior is often overlooked. This paper presents daytime patterns (eg, white coat hypertension and siesta dipping), nocturnal patterns (eg, dipping, non-dipping, reverse dipping, and the morning surge), and discusses ambulatory hypotension, and abnormal patterns and indices of related hemodynamic parameters (eg, heart rate, pulse pressure, and blood pressure variability).
    Original languageEnglish
    Pages (from-to)1112-1115
    Number of pages4
    JournalJournal of Clinical Hypertension
    Volume20
    Issue number7
    DOIs
    Publication statusPublished - 1 Jul 2018

    Keywords

    • ABPM
    • daytime and nighttime patterns
    • hypotension
    • variability
    • EUROPEAN-SOCIETY
    • PROGNOSTIC-SIGNIFICANCE
    • POSITION PAPER
    • HYPERTENSION
    • METAANALYSIS
    • ASSOCIATION
    • POPULATION
    • PREVALENCE
    • MANAGEMENT
    • DIPPERS

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