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Circadian Variation of Blood Pressure in the Population at Large

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Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

Abstract

Ambulatory blood pressure (ABP) measurement has several advantages. ABP readings are obtained outside the medical environment and are free of the so-called white coat effect (1,2) often seen when the blood pressure (BP) is conventionally measured. Therefore, the average BP level on ABP measurement provides a better estimate of a subject’s usual BP than conventional readings (3). In addition, BP is recorded during the habitual daily activities, both working and resting periods, and during episodes of emotional stress and sleep. The way in which a subject’s BP is modulated throughout the day to cope with these various levels of physical and emotional activity may provide meaningful pathophysiological information (4). Some investigators have demonstrated that the amplitude of the diurnal BP profile is characteristic for an individual (5), or that a blunted or absent nocturnal fall in BP is correlated with a worse cardiovascular prognosis (4,6–8). These views explain the growing interest in methods to describe the diurnal BP profile and its determinants.

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Author information

Authors and Affiliations

  1. Hypertension & Cardiovascular Rehabilitation Unit, Department of Molecular and Cardiovascular Research, Uz Gasthuisberg, Leuven, Belgium

    Hilde Celis MD

  2. Hypertension and Cardiovascular Rehabilitation Unit, Department of Molecular and Cardiovascular Research, Catholic University of Leuven, Belgium

    Jan A. Staessen MD, PhD

Authors
  1. Hilde Celis MD
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  2. Jan A. Staessen MD, PhD
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Editors and Affiliations

  1. Section of Hypertension and Clinical Pharmacology, University of Connecticut School of Medicine, Farmington, CT

    William B. White MD

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© 2007 Humana Press Inc.

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Celis, H., Staessen, J.A. (2007). Circadian Variation of Blood Pressure in the Population at Large. In: White, W.B. (eds) Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. Clinical Hypertension and Vascular Diseases. Humana Press. https://doi.org/10.1007/978-1-59259-978-3_7

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  • DOI: https://doi.org/10.1007/978-1-59259-978-3_7

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-512-5

  • Online ISBN: 978-1-59259-978-3

  • eBook Packages: MedicineMedicine (R0)

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