Lessons Learned from Worldwide Chronobiologically-Interpreted Blood Pressure Monitoring
| Autoři | |
|---|---|
| Rok publikování | 2016 |
| Druh | Článek ve sborníku |
| Konference | Noninvasive methods in cardiology 2016 |
| Fakulta / Pracoviště MU | |
| Citace | |
| www | https://is.muni.cz/do/med/noninvasive_methods_in_cardiology/noninvasive_methods_in_cardiology_2016.pdf |
| Popis | Only recently do guidelines [1] start considering the circadian variation in blood pressure (BP). For a long time, 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 restactivity 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. |