TY - JOUR
T1 - Reliability of blood pressure patterns defined by a single 24-hour ambulatory blood pressure monitoring
T2 - The case of the dipping/non dipping and isolated clinic hypertension
AU - Cuspidi, Cesare
AU - Sala, Carla
AU - Zanchetti, Alberto
AU - Mancia, Giuseppe
PY - 2007/5
Y1 - 2007/5
N2 - Classification of hypertensive subjects according to different blood pressure patterns : i.e sustained vs isolated clinic hypertension (ICH), dipping vs non dipping is now regarded as a useful mean for a more precise individual risk stratification and therapeutic making decisions. However, this subdivision is routinely based on a single ambulatory blood pressure monitoring (ABPM), despite the well-known day-to-day variability in blood pressure due to variations in mental, physical and environmental stimuli. In this short review we have tried to answer the following question : how reliable is the classification of non-dipping and ICH pattern based on single 24-h ABPM recording? Data from the recent literature clearly indicate that these categorizations in non diabetic mild to moderate hypertensive patients on the basis of a single ABPM are highly unreliable, as a large fraction of subjects (20-50%) classified in these categories at the first ABPM, do not confirm the same BP pattern during a second ABPM. Thus, these findings support the idea that a more reliable classification of patients according to dipping/nondipping status or ICH vs sustained hypertension should be performed by repeating a second ABPM within a short-term period.
AB - Classification of hypertensive subjects according to different blood pressure patterns : i.e sustained vs isolated clinic hypertension (ICH), dipping vs non dipping is now regarded as a useful mean for a more precise individual risk stratification and therapeutic making decisions. However, this subdivision is routinely based on a single ambulatory blood pressure monitoring (ABPM), despite the well-known day-to-day variability in blood pressure due to variations in mental, physical and environmental stimuli. In this short review we have tried to answer the following question : how reliable is the classification of non-dipping and ICH pattern based on single 24-h ABPM recording? Data from the recent literature clearly indicate that these categorizations in non diabetic mild to moderate hypertensive patients on the basis of a single ABPM are highly unreliable, as a large fraction of subjects (20-50%) classified in these categories at the first ABPM, do not confirm the same BP pattern during a second ABPM. Thus, these findings support the idea that a more reliable classification of patients according to dipping/nondipping status or ICH vs sustained hypertension should be performed by repeating a second ABPM within a short-term period.
KW - Dipping/nondipping
KW - Isolated clinic hypertension
KW - Reproducibility
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U2 - 10.2174/157340207780598518
DO - 10.2174/157340207780598518
M3 - Article
AN - SCOPUS:34248672590
VL - 3
SP - 89
EP - 92
JO - Current Medical Imaging
JF - Current Medical Imaging
SN - 1573-4021
IS - 2
ER -