Patient with Isolated Diurnal Hypertension

  • Julian Segura
Part of the Practical Case Studies in Hypertension Management book series (PCSHM)


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.


Daytime hypertension Diurnal uncontrolled hypertension 24-h ambulatory blood pressure monitoring Cardiovascular risk High blood pressure 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Julian Segura
    • 1
  1. 1.Hypertension Unit, Department of NephrologyHospital Universitario 12 de OctubreMadridSpain

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