Journal of the American Society of Hypertension
Volume 2, Issue 2 , Pages 88-96 , March 2008

Prognostic value of circadian blood pressure changes in relation to differing measures of day and night

  • Paolo Verdecchia, MD, FACC, FAHA

      Affiliations

    • Struttura Complessa di Cardiologia, Unità di Ricerca Clinica — Cardiologia Preventiva; Ospedale S. Maria della Misericordia, Perugia, Italy
    • Corresponding Author InformationCorresponding author: Paolo Verdecchia, MD, FACC, FAHA, Struttura Complessa di Cardiologia, Unità di Ricerca Clinica — Cardiologia Preventiva, Ospedale S. Maria della Misericordia, Piazzale G. Menghini, 06132 Perugia, Italy. Tel: +39-075 5782213; fax: +39 075 5782214.
    • ,
  • Fabio Angeli, MD

      Affiliations

    • Struttura Complessa di Cardiologia, Unità di Ricerca Clinica — Cardiologia Preventiva; Ospedale S. Maria della Misericordia, Perugia, Italy
    • ,
  • Claudia Borgioni, MD

      Affiliations

    • Struttura Complessa di Cardiologia, Unità di Ricerca Clinica — Cardiologia Preventiva; Ospedale S. Maria della Misericordia, Perugia, Italy
    • ,
  • Salvatore Repaci, MD

      Affiliations

    • Struttura Complessa di Cardiologia, Unità di Ricerca Clinica — Cardiologia Preventiva; Ospedale S. Maria della Misericordia, Perugia, Italy
    • ,
  • Massimo Guerrieri, MD

      Affiliations

    • Struttura Complessa di Cardiologia, Unità di Ricerca Clinica — Cardiologia Preventiva; Ospedale S. Maria della Misericordia, Perugia, Italy
    • ,
  • Francesco Andreani, MD

      Affiliations

    • Struttura Complessa di Cardiologia, Unità di Ricerca Clinica — Cardiologia Preventiva; Ospedale S. Maria della Misericordia, Perugia, Italy
    • ,
  • Marta Garofoli, MD

      Affiliations

    • Struttura Complessa di Cardiologia, Unità di Ricerca Clinica — Cardiologia Preventiva; Ospedale S. Maria della Misericordia, Perugia, Italy
    • ,
  • Gianpaolo Reboldi, MD, PhD, MSc

      Affiliations

    • Dipartimento di Medicina Interna, Università di Perugia, Perugia, Italy

Received 21 August 2007 ,Accepted 2 October 2007.

References 

  1. Pickering TG, Shimbo D, Haas D. Ambulatory blood-pressure monitoring. N Engl J Med. 2006;354:2368–2374
  2. Verdecchia P. Prognostic value of ambulatory blood pressure: current evidence and clinical implications. Hypertension. 2000;35:844–851
  3. Staessen JA, Thijs L, Fagard R, O’Brien ET, Clement D, de Leeuw PW, et al. Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension (Systolic Hypertension in Europe Trial Investigators). JAMA. 1999;282:539–546
  4. Fagard R, Staessen JA, Thijs L. The relationships between left ventricular mass and daytime and nighttime blood pressures: a meta-analysis of comparative studies. J Hypertens. 1995;13:823–829
  5. van Ittersum FJ, Ijzerman RG, Stehouwer CD, Donker AJ. Analysis of 24-hour ambulatory blood pressure monitoring: what time period to assess blood pressures during waking and sleeping?. J Hypertens. 1995;13:1053–1058
  6. Peixoto Filho AJ, Mansoor GA, White WB. Effects of actual versus arbitrary awake and sleep times on analyses of 24-hour blood pressure. Am J Hypertens. 1995;8:676–680
  7. Fagard R, Brguljan J, Thijs L, Staessen J. Prediction of the actual awake and asleep blood pressures by various methods of 24-hour pressure analysis. J Hypertens. 1996;14:557–563
  8. Weston PJ, Robinson JE, Watt PA, Thurston H. Reproducibility of the circadian blood pressure fall at night in healthy young volunteers. J Hum Hypertens. 1996;10:163–166
  9. Verdecchia P, Porcellati C, Schillaci G, Borgioni C, Ciucci A, Battistelli M, et al. Ambulatory blood pressure (An independent predictor of prognosis in essential hypertension). Hypertension. 1994;24:793–801
  10. Verdecchia P, Angeli F, Reboldi G, Carluccio E, Benemio G, Gattobigio R, et al. Improved cardiovascular risk stratification by a simple ECG index in hypertension. Am J Hypertens. 2003;16:646–652
  11. American Diabetes Association. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 1997;20:1183–1197
  12. Verdecchia P, Schillaci G, Boldrini F, Porcellati C. Quantitative assessment of day-to-day spontaneous variability in non-invasive ambulatory blood pressure measurements in essential hypertension. J Hypertens. 1991;9:S322–S323
  13. O’Brien E, Asmar R, Beilin L, Imai Y, Mallion JM, Mancia G, et al. European Society of Hypertension Working Group on Blood Pressure Monitoring European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens. 2003;21:821–848
  14. Verdecchia P, Schillaci G, Guerrieri M, Gatteschi C, Benemio G, Boldrini F, et al. Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation. 1990;81:528–536
  15. Davidson MB, Hix JK, Vidt DG, Brotman DJ. Association of impaired diurnal blood pressure variation with a subsequent decline in glomerular filtration rate. Arch Intern Med. 2006;166:846–852
  16. Yamamoto Y, Akiguchi I, Oiwa K, Hayashi M, Kimura J. Adverse effect of nighttime blood pressure on the outcome of lacunar infarct patients. Stroke. 1998;29:570–576
  17. Schwartz GL, Bailey KR, Mosley T, Knopman DS, Jack CR, Canzanello VJ, et al. Association of ambulatory blood pressure with ischemic brain injury. Hypertension. 2007;49:1228–1234
  18. Dolan E, Stanton A, Thijs L, Hinedi K, Atkins N, McClory S, et al. Superiority of ambulatory over clinic blood pressure measurement in predicting mortality: the Dublin Outcome Study. Hypertension. 2005;46:156–161
  19. Sega R, Facchetti R, Bombelli M, Cesana G, Corrao G, Grassi G, et al. Prognostic value of ambulatory and home blood pressures compared with office blood pressure in the general population (Follow-up results from the Pressioni Arteriose Monitorate e Loro Associazioni (PAMELA) Study). Circulation. 2005;111:1777–1783
  20. O’Brien E, Asmar R, Beilin L, Imai Y, Mancia G, Mengden T, et al. European Society of Hypertension Working Group on Blood Pressure Monitoring Practice guidelines of the European Society of Hypertension for clinic, ambulatory and self-blood pressure measurement. J Hypertens. 2005;23:697–701
  21. Pickering TG. How should the diurnal changes of blood pressure be expressed?. Am J Hypertens. 1995;8:681–682
  22. Floras JS, Jones JV, Johnston JA, Brooks DE, Hassan MO, Sleight P. Arousal and the circadian rhythm of blood pressure. Clin Sci Mol Med Suppl. 1978;4:395–397
  23. Khoury AF, Sunderajan P, Kaplan NM. The early morning rise in blood pressure is related mainly to ambulation. Am J Hypertens. 1992;5:339–344
  24. Gatzka CD, Schmieder RE. Improved classification of dippers by individualized analysis of ambulatory blood pressure profiles. Am J Hypertens. 1995;8:666–671
  25. Harshfield GA. How should the diurnal changes of blood pressure be determined?. (letter) Am J Hypertens. 1996;9:97
  26. Profant J, Dimsdale JE. Race and diurnal blood pressure patterns (A review and meta-analysis). Hypertension. 1999;33:1099–2004
  27. Verdecchia P, Angeli F, Borgioni C, Gattobigio R, Reboldi G. Ambulatory blood pressure and cardiovascular outcome in relation to perceived sleep deprivation. Hypertension. 2007;49:777–783

 This study has been funded in part by the Associazione Umbra Cuore e Ipertensione, Perugia, Italy.

 Conflict of interest: none.

PII: S1933-1711(07)00202-1

doi: 10.1016/j.jash.2007.10.003

Journal of the American Society of Hypertension
Volume 2, Issue 2 , Pages 88-96 , March 2008

Article Tools

* Image Usage & Resolution