Patient with Isolated Diurnal Hypertension
A 70-year-old, Caucasian male, diagnosed of hypertension at 55 years of age, was referred by his family physician to perform a 24-h ambulatory blood pressure monitoring (ABPM) and to evaluate uncontrolled hypertension. He was treated with four antihypertensive drugs. 24-h ABPM was performed, and the final diagnosis was uncontrolled diurnal hypertension.
There are several advantages of ABPM when compared with clinic BP that reinforce a more widely use of this type of BP measurement in the clinical practice. Current blood pressure (BP) thresholds for hypertension diagnosis based on ABPM is an average BP ≥135/85 mmHg during daytime period.
KeywordsDaytime hypertension Diurnal uncontrolled hypertension 24-h ambulatory blood pressure monitoring Cardiovascular risk High blood pressure
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