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Nocturnal Home Blood Pressure Monitoring

  • George S. StergiouEmail author
  • Emmanuel Andreadis
  • Kei Asayama
  • Kazuomi Kario
  • Anastasios Kollias
  • Takayoshi Ohkubo
  • Gianfranco Parati
  • Michael A. Weber
  • Yutaka Imai
Chapter
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)

Abstract

Novel devices for self-home blood pressure monitoring allow the evaluation of blood pressure during nighttime sleep. Accumulating evidence suggests that nocturnal home blood pressure monitoring provides similar values as nighttime ambulatory monitoring and with good agreement between the two methods in detecting non-dippers. More importantly, there is evidence that nocturnal home blood pressure is closely associated with indices of preclinical target organ damage, with similar correlations as with nocturnal ambulatory blood pressure, and predicts the treatment-induced regression in left ventricular hypertrophy as efficiently as ambulatory blood pressure. Some studies have shown that nocturnal home blood pressure monitoring is a useful alternative to ambulatory monitoring in the investigation of patients with sleep apnea. There is evidence that at least six readings obtained in two nights are required for a reliable assessment of nighttime home blood pressure, which provide reasonable agreement with nocturnal ambulatory blood pressure and association with indices of preclinical organ damage. These preliminary data suggest that the evaluation of blood pressure during nighttime sleep using modern low-cost automated home monitors is feasible and provides information which is clinically relevant and similar to that provided by nighttime ambulatory monitoring.

Keywords

Ambulatory blood pressure monitoring Home blood pressure Nighttime Nocturnal Non-dippers Self-measurement Sleep 

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Copyright information

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG, part of Springer Nature 2020

Authors and Affiliations

  • George S. Stergiou
    • 1
    Email author
  • Emmanuel Andreadis
    • 2
  • Kei Asayama
    • 3
    • 4
    • 5
  • Kazuomi Kario
    • 6
  • Anastasios Kollias
    • 2
  • Takayoshi Ohkubo
    • 3
    • 4
  • Gianfranco Parati
    • 7
    • 8
  • Michael A. Weber
    • 9
  • Yutaka Imai
    • 4
  1. 1.Hypertension Center STRIDE-7National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria HospitalAthensGreece
  2. 2.Chairman of Fourth Internal Medicine Department, Head of Hypertension and Cardiovascular Disease Prevention CenterEvangelismos General HospitalAthensGreece
  3. 3.Department of Hygiene and Public HealthTeikyo University School of MedicineTokyoJapan
  4. 4.Tohoku Institute for Management of Blood PressureSendaiJapan
  5. 5.Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular SciencesUniversity of LeuvenLeuvenBelgium
  6. 6.Division of Cardiovascular Medicine, Department of MedicineJichi Medical University School of Medicine (JMU)TochigiJapan
  7. 7.Department of Medicine and SurgeryUniversity of Milano-BicoccaMilanItaly
  8. 8.Istituto Auxologico Italiano, IRCCS, Department of CardiovascularNeural and Metabolic SciencesMilanItaly
  9. 9.Division of Cardiovascular MedicineState University of New York, Downstate Medical CenterNew YorkUSA

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