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Cardiovascular Risk Stratification and Blood Pressure Variability on Ambulatory and Home Blood Pressure Measurement

  • Blood Pressure Monitoring and Management (G Ogedegbe and JA Staessen, Section Editors)
  • Published:
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Abstract

Variability is a phenomenon attributed to most biological processes and is a particular feature of blood pressure (BP) that concerns many physicians regarding the clinical meaning and the impact on their clinical practice. In this review, we assessed the role of different indices of BP variability in cardiovascular risk stratification. We reviewed the indices of BP variability derived from ambulatory BP monitoring (day-to-night ratio, morning surge of BP, and short-term BP variability) and home BP measurement (standardized conventional BP measurement and self-BP measurement), and summarized our recent results with the intention to provide a clear message for clinical practice. Conclusion: BP variability, either derived from ambulatory BP measurement or home BP measurement does not substantially refine cardiovascular risk prediction over and beyond the BP level. Practitioners should be aware that BP level remains the main modifiable risk factor derived from BP measurement and contributes to improving the control of hypertension and adverse health outcomes.

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Conflict of Interest

José Boggia, Kei Asayama, Yan Li, Tine Willum Hansen, Luis Mena, and Rudolph Schutte declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Unidad de Hipertensión Arterial, Centro de Nefrología and Departamento de Fisiopatología, Universidad de la República, Montevideo, Uruguay

    José Boggia

  2. Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan

    Kei Asayama

  3. Center for Vascular Evaluations Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

    Yan Li

  4. Steno Diabetes Center, Gentofte, Denmark

    Tine Willum Hansen

  5. Departamento de Informática, Universidad Politécnica de Sinaloa, Mazatlan, Mexico

    Luis Mena

  6. Department of Physiology, Hypertension in Africa Research Team, North-West University, Potchefstroom, South Africa

    Rudolph Schutte

  7. Unidad de Hipertensión Arterial, Hospital de Clínicas Dr Manuel Quintela, Av Italia 2870 Piso 15 Sala 1 Of 13, 11600, Montevideo, Uruguay

    José Boggia

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  1. José Boggia
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  2. Kei Asayama
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  3. Yan Li
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  4. Tine Willum Hansen
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  5. Luis Mena
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  6. Rudolph Schutte
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Correspondence to José Boggia.

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This article is part of the Topical Collection on Blood Pressure Monitoring and Management

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Boggia, J., Asayama, K., Li, Y. et al. Cardiovascular Risk Stratification and Blood Pressure Variability on Ambulatory and Home Blood Pressure Measurement. Curr Hypertens Rep 16, 470 (2014). https://doi.org/10.1007/s11906-014-0470-8

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