Seven-Day Ambulatory Blood Pressure Monitoring after 4 Months of Exercise Training
| Authors | |
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| Year of publication | 2017 |
| Type | Article in Proceedings |
| Conference | Noninvasive methods in cardiology 2017 |
| MU Faculty or unit | |
| Citation | |
| Web | https://is.muni.cz/do/med/noninvasive_methods_in_cardiology/noninvasive_methods_in_cardiology_2017.pdf |
| Description | Franz Halberg and Germaine Cornelissen using ambulatory blood pressure monitoring showed the need to account for day-to-day changes of blood pressure and heart rate and the necessity for circadian assessment of the hour-to- hour variability in cardiovascular parameters. Together with the Chronobiology center of Minnesota we participate in the international project BIOCOS. The presentation in May 2017 adds new results to this project BIOCOS (1, 2). In the guidelines for diagnoses of hypertension, fixed limits of 140/90 mmHg (systolic/diastolic BP) were used to diagnose hypertension in all adults 18 years and older. The circadian rhythm in BP was thought to primarily reflect the rest-activity schedule rather than being in part endogenous (2). While this is no longer the case, ambulatory BP monitoring is still restricted to “special cases”, often limited to 24 hours. Evidence is presented herein for the need to routinely screen for BP and heart rate (HR) variability, and for continued monitoring in patients in need of treatment. According to a consensus meeting held at St. Anna Hospital, Masaryk Univesity, Brno, Czech Republic in 2008 Franz Halberg with Germaine Cornélissen, Thomas Kenner, Bohumil Fiser, Jarmila Siegelova and others proclaimed Vascular Variability Disorders. Determination of Vascular Variability Disorders – MESOR hypertension, circadian hyper-amplitude-tension, excessive pulse pressure, deficient heart variability and deviation of circadian rhythm is best to diagnose from seven day/24-h ambulatory blood pressure monitoring (3, 4, 5, 6). Our previous studies analyzed from seven day/24-h ambulatory blood pressure monitoring immediate effect of exercise on circadian blood pressure profile. The question of long exercise during 3-4 months will show the effect on seven day/24-h ambulatory blood pressure monitoring. |