open access
Blood pressure variability: Epidemiological and clinical issues
open access
Abstract
major epidemiological and clinical issues of BPV which may be important to understand the
background of this interesting feature. In healthy subjects, BPV is a measure of hemodynamic
condition and refl ects function of autonomic nervous system. BP fl uctuations result from the
complex interaction between environmental stimulation, genetic factors and cardiovascular
control mechanisms. Abnormal BPV is recognized in persons with a blurred dipping pattern
(i.e. extreme dipping, non-dipping, reverse-dipping, morning surge of BP) or increased variations
of day-time or night-time BP (high BP lability). Inappropriate BPV worsens the outcome,
including increase in all-cause and cardiac mortality and incidence of cardiovascular events,
and advance in target organ damage. Abnormal BPV may be softened or removed with suitable
time-dependent administration of anti-hypertensive agents, especially those acting on the
renin–angiotensin system.
Abstract
major epidemiological and clinical issues of BPV which may be important to understand the
background of this interesting feature. In healthy subjects, BPV is a measure of hemodynamic
condition and refl ects function of autonomic nervous system. BP fl uctuations result from the
complex interaction between environmental stimulation, genetic factors and cardiovascular
control mechanisms. Abnormal BPV is recognized in persons with a blurred dipping pattern
(i.e. extreme dipping, non-dipping, reverse-dipping, morning surge of BP) or increased variations
of day-time or night-time BP (high BP lability). Inappropriate BPV worsens the outcome,
including increase in all-cause and cardiac mortality and incidence of cardiovascular events,
and advance in target organ damage. Abnormal BPV may be softened or removed with suitable
time-dependent administration of anti-hypertensive agents, especially those acting on the
renin–angiotensin system.
Keywords
blood pressure variability, epidemiology, outcomes, reproducibility, pharmacotherapy
About this articleTitle
Blood pressure variability: Epidemiological and clinical issues
Journal
Issue
Article type
Review Article
Pages
112-120
Published online
2013-04-05
Page views
2574
Article views/downloads
3140
DOI
10.5603/CJ.2013.0022
Bibliographic record
Cardiol J 2013;20(2):112-120.
Keywords
blood pressure variability
epidemiology
outcomes
reproducibility
pharmacotherapy
Authors
Łukasz J. Krzych
Andrzej Bochenek
