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Erschienen in: Irish Journal of Medical Science (1971 -) 2/2007

01.06.2007 | Review Article

The circadian nuances of hypertension: a reappraisal of 24-h ambulatory blood pressure measurement in clinical practice

verfasst von: E. O’Brien

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 2/2007

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Abstract

Ambulatory blood pressure measurement has been in use in clinical practice for nearly half a century. However, despite the benefits the technique brings to managing patients with hypertension it is much under-used in practice. The purpose of this review is to examine critically the information that can be derived from the technique and to highlight the application of this evidence in clinical practice.
Literatur
1.
Zurück zum Zitat O’Brien E (2003) ABPM blood pressure measurement is indispensable to good clinical practice. J Hypertens 21:S11–S18CrossRef O’Brien E (2003) ABPM blood pressure measurement is indispensable to good clinical practice. J Hypertens 21:S11–S18CrossRef
2.
Zurück zum Zitat Pickering TG, Shimbo D, Haas D (2006) Ambulatory blood-pressure monitoring. N Engl J Med 354:2368–2374PubMedCrossRef Pickering TG, Shimbo D, Haas D (2006) Ambulatory blood-pressure monitoring. N Engl J Med 354:2368–2374PubMedCrossRef
3.
Zurück zum Zitat O’Brien E (2007) Measurement of blood pressure. Part III. Ambulatory blood pressure measurement. In: Beevers DG, Lip GH, O’Brien E (eds) ABC of hypertension, 5th edn. BMJ/Blackwell, Oxford, UK, pp 26–29 O’Brien E (2007) Measurement of blood pressure. Part III. Ambulatory blood pressure measurement. In: Beevers DG, Lip GH, O’Brien E (eds) ABC of hypertension, 5th edn. BMJ/Blackwell, Oxford, UK, pp 26–29
4.
Zurück zum Zitat O’Brien E, Pickering T, Asmar R, Myers M, Parati G, Staessen J, Mengden T, Imai Y, Waeber B, Palatini P with the statistical assistance of Atkins N, Gerin W on behalf of the Working Group on Blood Pressure Monitoring of the European Society of Hypertension (2002) International protocol for validation of blood pressure measuring devices in adults. Blood Press Monit 7:3–17 O’Brien E, Pickering T, Asmar R, Myers M, Parati G, Staessen J, Mengden T, Imai Y, Waeber B, Palatini P with the statistical assistance of Atkins N, Gerin W on behalf of the Working Group on Blood Pressure Monitoring of the European Society of Hypertension (2002) International protocol for validation of blood pressure measuring devices in adults. Blood Press Monit 7:3–17
5.
Zurück zum Zitat O’Brien E, Asmar R, Beilin L, Imai Y, Mallion J-M, Mancia G, Mengden T, Myers M, Padfield P, Palatinin P, Parati G, Pickering T, Redon J, Staessen J, Stergiou G, Verdecchia P on behalf of the European Society of Hypertension Working Group on Blood Pressure Monitoring (2003) European society of hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens 21:821–848 O’Brien E, Asmar R, Beilin L, Imai Y, Mallion J-M, Mancia G, Mengden T, Myers M, Padfield P, Palatinin P, Parati G, Pickering T, Redon J, Staessen J, Stergiou G, Verdecchia P on behalf of the European Society of Hypertension Working Group on Blood Pressure Monitoring (2003) European society of hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens 21:821–848
6.
Zurück zum Zitat O’Brien E (2007) Sleepers v non-sleepers.: a new twist in the dipper/non-dipper concept. Hypertension 49:769–770PubMedCrossRef O’Brien E (2007) Sleepers v non-sleepers.: a new twist in the dipper/non-dipper concept. Hypertension 49:769–770PubMedCrossRef
7.
Zurück zum Zitat O’Brien E, Atkins N (2004) Can improved software facilitate the wider use of ambulatory blood pressure measurement in clinical practice? Blood Press Monit 9:237–241PubMedCrossRef O’Brien E, Atkins N (2004) Can improved software facilitate the wider use of ambulatory blood pressure measurement in clinical practice? Blood Press Monit 9:237–241PubMedCrossRef
8.
Zurück zum Zitat O’Brien E (2006) Ambulatory blood pressure measurement: a trove of hidden gems? Hypertension 48:364–365PubMedCrossRef O’Brien E (2006) Ambulatory blood pressure measurement: a trove of hidden gems? Hypertension 48:364–365PubMedCrossRef
9.
Zurück zum Zitat O’Brien E (2007) Assessment of circadian cardiovascular risk with ambulatory blood pressure measurement. In: Mancia G (ed) Manual of hypertension of the European society of hypertension. Taylor and Francis (in press) O’Brien E (2007) Assessment of circadian cardiovascular risk with ambulatory blood pressure measurement. In: Mancia G (ed) Manual of hypertension of the European society of hypertension. Taylor and Francis (in press)
10.
Zurück zum Zitat Verdecchia P, O’Brien E, Pickering T, Staessen JA, Parati G, Myers M, Palatini P on behalf of the European Society of Hypertension Working Group on Blood Pressure Monitoring (2003) When to suspect white coat hypertension? Statement from the working group on blood pressure monitoring of the European society of hypertension. Am J Hypertens 16:87–91 Verdecchia P, O’Brien E, Pickering T, Staessen JA, Parati G, Myers M, Palatini P on behalf of the European Society of Hypertension Working Group on Blood Pressure Monitoring (2003) When to suspect white coat hypertension? Statement from the working group on blood pressure monitoring of the European society of hypertension. Am J Hypertens 16:87–91
11.
Zurück zum Zitat Owens P, Atkins N, O’Brien E (1999) Diagnosis of white coat hypertension by ambulatory blood pressure monitoring. Hypertension 34:267–272PubMed Owens P, Atkins N, O’Brien E (1999) Diagnosis of white coat hypertension by ambulatory blood pressure monitoring. Hypertension 34:267–272PubMed
12.
Zurück zum Zitat Gerin W, Ogedegbe G, Schwartz JE, Chaplin WF, Goyal T, Clemow L, Davidson KW, Burg M, Lipsky S, Kentor R, Jhalani J, Shimbo D, Pickering TG (2006) Assessment of the white coat effect. J Hypertens 24:67–74PubMedCrossRef Gerin W, Ogedegbe G, Schwartz JE, Chaplin WF, Goyal T, Clemow L, Davidson KW, Burg M, Lipsky S, Kentor R, Jhalani J, Shimbo D, Pickering TG (2006) Assessment of the white coat effect. J Hypertens 24:67–74PubMedCrossRef
13.
Zurück zum Zitat Mancia G, Facchetti R, Bombelli M, Grassi G, Sega R (2006) Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure. Hypertension 47:846–853PubMedCrossRef Mancia G, Facchetti R, Bombelli M, Grassi G, Sega R (2006) Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure. Hypertension 47:846–853PubMedCrossRef
14.
Zurück zum Zitat Calvo C, Hermida RC, Ayala DE, Lopez JE, Fernandez JR, Dominguez MJ, Mojon A, Covelo M (2003) The ‘ABPM effect’ gradually decreases but does not disappear in successive sessions of ambulatory monitoring. J Hypertens 21:2265–2273PubMedCrossRef Calvo C, Hermida RC, Ayala DE, Lopez JE, Fernandez JR, Dominguez MJ, Mojon A, Covelo M (2003) The ‘ABPM effect’ gradually decreases but does not disappear in successive sessions of ambulatory monitoring. J Hypertens 21:2265–2273PubMedCrossRef
15.
Zurück zum Zitat Dolan E, Stanton A, Thijs L, Hinedi K, Atkins N, McClory S, Den Hond E, McCormack P, Staessen JA, O’Brien E (2005) Superiority of ambulatory over clinic blood pressure measurement in predicting mortality: the Dublin outcome study. Hypertension 46:156–161PubMedCrossRef Dolan E, Stanton A, Thijs L, Hinedi K, Atkins N, McClory S, Den Hond E, McCormack P, Staessen JA, O’Brien E (2005) Superiority of ambulatory over clinic blood pressure measurement in predicting mortality: the Dublin outcome study. Hypertension 46:156–161PubMedCrossRef
16.
Zurück zum Zitat Staessen J, Bulpitt CJ, Fagard R, Mancia G, O’Brien ET, Thijs L, Vyncke G, Amery A (1991) Reference values for the ambulatory blood pressure and the blood pressure measured at home: a population study. J Hum Hypertens 5:355–361PubMed Staessen J, Bulpitt CJ, Fagard R, Mancia G, O’Brien ET, Thijs L, Vyncke G, Amery A (1991) Reference values for the ambulatory blood pressure and the blood pressure measured at home: a population study. J Hum Hypertens 5:355–361PubMed
17.
Zurück zum Zitat Stolarz K, Staessen JA, O’Brien E (2002) Night-time blood pressure—dipping into the future? J Hypertens 20:2131–2133PubMedCrossRef Stolarz K, Staessen JA, O’Brien E (2002) Night-time blood pressure—dipping into the future? J Hypertens 20:2131–2133PubMedCrossRef
18.
Zurück zum Zitat O’Brien E, Sheridan J, O’Malley K (1988) Dippers and non-dippers. Lancet ii:397CrossRef O’Brien E, Sheridan J, O’Malley K (1988) Dippers and non-dippers. Lancet ii:397CrossRef
19.
Zurück zum Zitat Ohkubo T, Hozawa A, Yamaguchi J, Kikuya K, Ohmori K, Michimata M, Matsubara M, Hashimoto J, Hoshi H, Araki T, Tsuji I, Satoh H, Hisamichi S, Imai Y (2002) Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-h blood pressure: the ohasama study. J Hypertens 20:2183–2189PubMedCrossRef Ohkubo T, Hozawa A, Yamaguchi J, Kikuya K, Ohmori K, Michimata M, Matsubara M, Hashimoto J, Hoshi H, Araki T, Tsuji I, Satoh H, Hisamichi S, Imai Y (2002) Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-h blood pressure: the ohasama study. J Hypertens 20:2183–2189PubMedCrossRef
20.
Zurück zum Zitat Kario K, Shimada K (2004) Risers and extreme-dippers of nocturnal blood pressure in hypertension: antihypertensive strategy for nocturnal blood pressure. Clin Exp Hypertens 26:177–189PubMedCrossRef Kario K, Shimada K (2004) Risers and extreme-dippers of nocturnal blood pressure in hypertension: antihypertensive strategy for nocturnal blood pressure. Clin Exp Hypertens 26:177–189PubMedCrossRef
21.
Zurück zum Zitat Metoki H, Ohkubo T, Kikuya M, Asayama K, Obara T, Hashimoto J, Totsune K, Hoshi H, Satoh H, Imai Y (2006) Prognostic significance for stroke of a morning pressor surge and a nocturnal blood pressure decline: the ohasama study. Hypertension 47:149–154PubMedCrossRef Metoki H, Ohkubo T, Kikuya M, Asayama K, Obara T, Hashimoto J, Totsune K, Hoshi H, Satoh H, Imai Y (2006) Prognostic significance for stroke of a morning pressor surge and a nocturnal blood pressure decline: the ohasama study. Hypertension 47:149–154PubMedCrossRef
22.
Zurück zum Zitat Smirk FH (1964) Observations on the mortality of 270 treated and 199 untreated retinal grade i and ii hypertensive patients followed in all instances for five years. NZ Med J 63:413–443 Smirk FH (1964) Observations on the mortality of 270 treated and 199 untreated retinal grade i and ii hypertensive patients followed in all instances for five years. NZ Med J 63:413–443
23.
Zurück zum Zitat Rachmani R, Shenhav G, Slavachevsky I, Levy Z, Ravid M (2004) Use of a mild sedative helps to identify true non-dippers by ABPM: a study in patients with diabetes mellitus and hypertension. Blood Press Monit 9:65–69PubMedCrossRef Rachmani R, Shenhav G, Slavachevsky I, Levy Z, Ravid M (2004) Use of a mild sedative helps to identify true non-dippers by ABPM: a study in patients with diabetes mellitus and hypertension. Blood Press Monit 9:65–69PubMedCrossRef
24.
Zurück zum Zitat Palatini P (2004) Non-dipping in hypertension: still a challenging problem. J Hypertens 22:2269–2272PubMedCrossRef Palatini P (2004) Non-dipping in hypertension: still a challenging problem. J Hypertens 22:2269–2272PubMedCrossRef
25.
Zurück zum Zitat Ben-Dov IZ, Ben-Arieh L, Mekler J, Bursztyn M (2005) Blood pressure dipping is reproducible in clinical practice. Blood Press Monit 10:79–84PubMedCrossRef Ben-Dov IZ, Ben-Arieh L, Mekler J, Bursztyn M (2005) Blood pressure dipping is reproducible in clinical practice. Blood Press Monit 10:79–84PubMedCrossRef
26.
Zurück zum Zitat Chaves H, Campello de Souza FM, Krieger EM (2005) The reproducibility of dipping status: beyond the cutoff points. Blood Press Monit 10:201–205PubMedCrossRef Chaves H, Campello de Souza FM, Krieger EM (2005) The reproducibility of dipping status: beyond the cutoff points. Blood Press Monit 10:201–205PubMedCrossRef
27.
Zurück zum Zitat O’Brien E, Murphy J, Tyndall A, Atkins N, Mee F, McCarthy G, Staessen J, O’Malley K (1991) Twenty-four-hour ambulatory blood pressure in men and women aged 17 to 80 years: the allied Irish bank study. J Hypertens 9:355–360PubMedCrossRef O’Brien E, Murphy J, Tyndall A, Atkins N, Mee F, McCarthy G, Staessen J, O’Malley K (1991) Twenty-four-hour ambulatory blood pressure in men and women aged 17 to 80 years: the allied Irish bank study. J Hypertens 9:355–360PubMedCrossRef
28.
Zurück zum Zitat Owens P, Lyons S, O’Brien E (1998) Ambulatory blood pressure in the hypertensive population: patterns and prevalence of hypertensive sub-forms. J Hypertens 16:1735–1743PubMedCrossRef Owens P, Lyons S, O’Brien E (1998) Ambulatory blood pressure in the hypertensive population: patterns and prevalence of hypertensive sub-forms. J Hypertens 16:1735–1743PubMedCrossRef
29.
Zurück zum Zitat Bur A, Herkner H, Vlcek M, Woisetschläger C, Derhaschnig U, Hirschl MM (2002) Classification of blood pressure levels by ambulatory blood pressure in hypertension. Hypertension 40:817–822PubMedCrossRef Bur A, Herkner H, Vlcek M, Woisetschläger C, Derhaschnig U, Hirschl MM (2002) Classification of blood pressure levels by ambulatory blood pressure in hypertension. Hypertension 40:817–822PubMedCrossRef
30.
Zurück zum Zitat Mule G, Nardi E, Cottone S, Andronico G, Federico MR, Piazza G, Volpe V, Ferrara D, Cerasola G (2003) Relationships between ambulatory white coat effect and left ventricular mass in arterial hypertension. Am J Hypertens 16:498–501PubMedCrossRef Mule G, Nardi E, Cottone S, Andronico G, Federico MR, Piazza G, Volpe V, Ferrara D, Cerasola G (2003) Relationships between ambulatory white coat effect and left ventricular mass in arterial hypertension. Am J Hypertens 16:498–501PubMedCrossRef
31.
Zurück zum Zitat Owens P, Lyons S, Rodriquez S, O’Brien E (1998) Is elevation of clinic blood pressure in patients with white coat hypertension who have normal ambulatory blood pressure associated with target organ damage? J Hum Hypertens 12:743–748PubMedCrossRef Owens P, Lyons S, Rodriquez S, O’Brien E (1998) Is elevation of clinic blood pressure in patients with white coat hypertension who have normal ambulatory blood pressure associated with target organ damage? J Hum Hypertens 12:743–748PubMedCrossRef
33.
Zurück zum Zitat Bjorklund K, Lind L, Zethelius B, Berglund L, Lithell H (2004) Prognostic significance of 24-h ambulatory blood pressure characteristics for cardiovascular morbidity in a population of elderly men. J Hypertens 22:1691–1697PubMedCrossRef Bjorklund K, Lind L, Zethelius B, Berglund L, Lithell H (2004) Prognostic significance of 24-h ambulatory blood pressure characteristics for cardiovascular morbidity in a population of elderly men. J Hypertens 22:1691–1697PubMedCrossRef
34.
Zurück zum Zitat Khattar RS, Senior R, Lahiri A (1998) Cardiovascular outcome in white-coat versus sustained mild hypertension: a 10-year follow-up study. Circulation 98:1892–1897PubMed Khattar RS, Senior R, Lahiri A (1998) Cardiovascular outcome in white-coat versus sustained mild hypertension: a 10-year follow-up study. Circulation 98:1892–1897PubMed
35.
Zurück zum Zitat Staessen JA, Fagard R, Thijs L, Celis H, Arabidze GG, Birkenhager WH, et al (1997) Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension. Lancet 350:757–764PubMedCrossRef Staessen JA, Fagard R, Thijs L, Celis H, Arabidze GG, Birkenhager WH, et al (1997) Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension. Lancet 350:757–764PubMedCrossRef
36.
Zurück zum Zitat Mason PJ, Manson JA, Sesso HD, Albert CM, Chown MJ, Cook NR, Greenland P, Ridker PM, Glynn RJ (2004) Blood pressure and risk of secondary cardiovascular events in women: the women’s antioxidant cardiovascular study (WACS). Circulation 109:1623–1629PubMedCrossRef Mason PJ, Manson JA, Sesso HD, Albert CM, Chown MJ, Cook NR, Greenland P, Ridker PM, Glynn RJ (2004) Blood pressure and risk of secondary cardiovascular events in women: the women’s antioxidant cardiovascular study (WACS). Circulation 109:1623–1629PubMedCrossRef
37.
Zurück zum Zitat Pickering TG (2003) Isolated diastolic hypertension. J Clin Hypertens 6:411–413CrossRef Pickering TG (2003) Isolated diastolic hypertension. J Clin Hypertens 6:411–413CrossRef
38.
Zurück zum Zitat Mousa T, El-Sayed MA, Motawea AK, Salama MA, Elhendy A (2004) Association of blunted nighttime blood pressure dipping with coronary artery stenosis in men. Am J Hypertens 17:977–980PubMedCrossRef Mousa T, El-Sayed MA, Motawea AK, Salama MA, Elhendy A (2004) Association of blunted nighttime blood pressure dipping with coronary artery stenosis in men. Am J Hypertens 17:977–980PubMedCrossRef
39.
Zurück zum Zitat Bellelli G, Frisoni GB, Lucchi E, Guerini F, Geroldi C, Magnifico F, Bianchetti A, Trabucchi M (2004) Blunted reduction in night-time blood pressure is associated with cognitive deterioration in subjects with long-standing hypertension. Blood Press Monit 9:71–76PubMedCrossRef Bellelli G, Frisoni GB, Lucchi E, Guerini F, Geroldi C, Magnifico F, Bianchetti A, Trabucchi M (2004) Blunted reduction in night-time blood pressure is associated with cognitive deterioration in subjects with long-standing hypertension. Blood Press Monit 9:71–76PubMedCrossRef
40.
Zurück zum Zitat Cicconetti P, Morelli S, Ottaviani L, Chiarotti F, De Serra C, De Marzio P, Costarella M, Sgreccia A, Ciotti V, Marigliano V (2003) Blunted nocturnal fall in blood pressure and left ventricular mass in elderly individuals with recently diagnosed isolated systolic hypertension. Am J Hypertens 16:900–905PubMedCrossRef Cicconetti P, Morelli S, Ottaviani L, Chiarotti F, De Serra C, De Marzio P, Costarella M, Sgreccia A, Ciotti V, Marigliano V (2003) Blunted nocturnal fall in blood pressure and left ventricular mass in elderly individuals with recently diagnosed isolated systolic hypertension. Am J Hypertens 16:900–905PubMedCrossRef
41.
Zurück zum Zitat Hoshide S, Kario K, Hoshide Y, Umeda Y, Hashimoto T, Kunii O, Ojima T, Shimada K (2003) Associations between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives. Am J Hypertens 16:434–438PubMedCrossRef Hoshide S, Kario K, Hoshide Y, Umeda Y, Hashimoto T, Kunii O, Ojima T, Shimada K (2003) Associations between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives. Am J Hypertens 16:434–438PubMedCrossRef
42.
Zurück zum Zitat Kikuya M, Ohkubo T, Asayama K, Metoki H, Obara T, Saito S, Hashimoto J, Totsune K, Hoshi H, Satoh H, Imai Y (2005) Ambulatory blood pressure and 10-year risk of cardiovascular and noncardiovascular mortality. The ohasama study. Hypertension 45:240–245PubMedCrossRef Kikuya M, Ohkubo T, Asayama K, Metoki H, Obara T, Saito S, Hashimoto J, Totsune K, Hoshi H, Satoh H, Imai Y (2005) Ambulatory blood pressure and 10-year risk of cardiovascular and noncardiovascular mortality. The ohasama study. Hypertension 45:240–245PubMedCrossRef
43.
Zurück zum Zitat Floras JS (1988) Antihypertensive treatment, myocardial infarction, and nocturnal myocardial ischaemia. Lancet 2(8618):994–996PubMedCrossRef Floras JS (1988) Antihypertensive treatment, myocardial infarction, and nocturnal myocardial ischaemia. Lancet 2(8618):994–996PubMedCrossRef
44.
Zurück zum Zitat Bursztyn M, Mekler J, Wachtel N, Ben-Ishay D (1994) Siesta and ambulatory blood pressure monitoring. Comparability of the afternoon nap and night sleep. Am J Hypertens 7:217–221PubMed Bursztyn M, Mekler J, Wachtel N, Ben-Ishay D (1994) Siesta and ambulatory blood pressure monitoring. Comparability of the afternoon nap and night sleep. Am J Hypertens 7:217–221PubMed
45.
Zurück zum Zitat Stergiou GS, Malakos JS, Zourbaki AS, Achimastos AD, Mountokalakis TD (1997) Blood pressure during siesta: effect on 24-h ambulatory blood pressure profiles analysis. J Hum Hypertens 11:125–131PubMedCrossRef Stergiou GS, Malakos JS, Zourbaki AS, Achimastos AD, Mountokalakis TD (1997) Blood pressure during siesta: effect on 24-h ambulatory blood pressure profiles analysis. J Hum Hypertens 11:125–131PubMedCrossRef
46.
Zurück zum Zitat Gomes MAM, Pierin AMG, Mion D Jr (2000) The effect of siesta in parameters of cardiac structure and in interpretation of ambulatory arterial blood pressure monitoring. Arq Bras Cardiol 74:314–318PubMedCrossRef Gomes MAM, Pierin AMG, Mion D Jr (2000) The effect of siesta in parameters of cardiac structure and in interpretation of ambulatory arterial blood pressure monitoring. Arq Bras Cardiol 74:314–318PubMedCrossRef
47.
Zurück zum Zitat Staessen JA, Thijs L, Fagard R, O’Brien ET, Clement D, de Leeuw PW, Mancia G, Nachev C, Palatini P, Parati G, Tuomilehto J, Webster J (1999) Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension. Systolic hypertension in Europe trial investigators. JAMA 282:539–546PubMedCrossRef Staessen JA, Thijs L, Fagard R, O’Brien ET, Clement D, de Leeuw PW, Mancia G, Nachev C, Palatini P, Parati G, Tuomilehto J, Webster J (1999) Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension. Systolic hypertension in Europe trial investigators. JAMA 282:539–546PubMedCrossRef
48.
Zurück zum Zitat Ingelsson E, Bjorklund-Bodegaard K, Lind L, Ärnlov J, Sundstrom J (2006) Diurnal blood pressure pattern and risk of congestive heart failure. JAMA 295:2859–2866PubMedCrossRef Ingelsson E, Bjorklund-Bodegaard K, Lind L, Ärnlov J, Sundstrom J (2006) Diurnal blood pressure pattern and risk of congestive heart failure. JAMA 295:2859–2866PubMedCrossRef
49.
Zurück zum Zitat Giles T (2005) Relevance of blood pressure variation in the circadian onset of cardiovascular events. J Hypertens 23(Suppl 1):S35–S39CrossRef Giles T (2005) Relevance of blood pressure variation in the circadian onset of cardiovascular events. J Hypertens 23(Suppl 1):S35–S39CrossRef
50.
Zurück zum Zitat Giles TD (2006) Circadian rhythm of blood pressure and the relation to cardiovascular events. J Hypertens 24(Suppl 2):S11–S16CrossRef Giles TD (2006) Circadian rhythm of blood pressure and the relation to cardiovascular events. J Hypertens 24(Suppl 2):S11–S16CrossRef
51.
Zurück zum Zitat Kario K, Pickering TG, Umeda Y, Hoshide S, Hoshide Y, Morinari M, Murata M, Kuroda T, Schwartz JE, Shimada K (2003) Morning surge in blood pressure as a predictor of silent and clinical cerebrovascular disease in elderly hypertensives: a prospective study. Circulation 107:1401–1406PubMedCrossRef Kario K, Pickering TG, Umeda Y, Hoshide S, Hoshide Y, Morinari M, Murata M, Kuroda T, Schwartz JE, Shimada K (2003) Morning surge in blood pressure as a predictor of silent and clinical cerebrovascular disease in elderly hypertensives: a prospective study. Circulation 107:1401–1406PubMedCrossRef
52.
Zurück zum Zitat Marfella R, Siniscalchi M, Nappo F, Gualdiero P, Esposito K, Sasso FC, Cacciapuoti F, Di Filippo C, Rossi F, D’Amico M, Giugliano D (2005) Regression of carotid atherosclerosis by control of morning blood pressure peak in newly diagnosed hypertensive patients. Am J Hypertens 18:308–318PubMedCrossRef Marfella R, Siniscalchi M, Nappo F, Gualdiero P, Esposito K, Sasso FC, Cacciapuoti F, Di Filippo C, Rossi F, D’Amico M, Giugliano D (2005) Regression of carotid atherosclerosis by control of morning blood pressure peak in newly diagnosed hypertensive patients. Am J Hypertens 18:308–318PubMedCrossRef
53.
Zurück zum Zitat Dolan E, Thijs L, Li Y, Atkins N, McCormack P, McClory S, O’Brien E, Staessen JA, Stanton AV (2006) Ambulatory arterial stiffness index as a predictor of cardiovascular mortality in the Dublin outcome study. Hypertension 47:365–370PubMedCrossRef Dolan E, Thijs L, Li Y, Atkins N, McCormack P, McClory S, O’Brien E, Staessen JA, Stanton AV (2006) Ambulatory arterial stiffness index as a predictor of cardiovascular mortality in the Dublin outcome study. Hypertension 47:365–370PubMedCrossRef
Metadaten
Titel
The circadian nuances of hypertension: a reappraisal of 24-h ambulatory blood pressure measurement in clinical practice
verfasst von
E. O’Brien
Publikationsdatum
01.06.2007
Verlag
Springer-Verlag
Erschienen in
Irish Journal of Medical Science (1971 -) / Ausgabe 2/2007
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-007-0022-1

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