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Chronobiologic Blood Pressure Assessment from Womb to Tomb

  • Chapter
Biologic Rhythms in Clinical and Laboratory Medicine

Abstract

Like many other physiologic functions, and perhaps even more so, blood pressure (BP) varies greatly. It varies, of course, between the heart’s relaxation and its contraction. While the differences between systolic (S) and diastolic (D) BP have long been recognized and utilized, it is often not realized that the DBP at a given time can be higher than the SBP measured in the same person at another time on the same day. Both SBP and DBP vary in adulthood on the average by more than 50 mmHg within each day (Cornélissen 1987; Halberg et al. 1984 a). Part of this variability is predictable insofar as it is rhythmic. Among the rhythms that characterize BP, circadians (with a frequency of one cycle in about a day) are prominent during most of the human lifespan. Ultradian rhythms (with a frequency higher than circadian) and infradians (with a frequency lower than circadian), notably with circaseptan (about weekly) and circannual (about yearly) components, also characterize BP, as do trends with growth, development, maturation, and aging. Variance transpositions from one frequency domain to another are observed in association with development and aging (Anderson et al. 1989; Halberg 1963; F. Halberg et al. 1991; Hillman et al. to be published; Ikonomov et al. to be published).

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Cornélissen, G., Haus, E., Halberg, F. (1992). Chronobiologic Blood Pressure Assessment from Womb to Tomb. In: Touitou, Y., Haus, E. (eds) Biologic Rhythms in Clinical and Laboratory Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78734-8_32

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