Open AccessPatterns of ambulatory blood pressure: clinical relevance and application
Author(s) -
O'Brien Eoin,
Kario Kazuomi,
Staessen Jan A.,
Sierra Alejandro,
Ohkubo Takayoshi
Publication year - 2018
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.13277
Subject(s) - medicine , ambulatory blood pressure , blood pressure , ambulatory , morning , white coat hypertension , cardiology , hemodynamics , clinical practice , pulse pressure , nocturnal , heart rate , intensive care medicine , physical therapy
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).