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Blood pressures other than the one at the clinic

TLDR
While assessing the cardiovascular risk of hypertensive patients, different types of blood pressure measurements can be regarded as suitable surrogate endpoints and the possible role of clinic, stress, exercise, basal, home and ambulatory blood pressures is briefly discussed.
Abstract
While assessing the cardiovascular risk of hypertensive patients, different types of blood pressure measurements can be regarded as suitable surrogate endpoints. In this context the possible role of clinic, stress, exercise, basal, home and ambulatory blood pressures is briefly discussed. The clinical value of night-time blood pressure, of the clinic-daytime blood pressure difference and of blood pressure variability is also addressed.

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Journal ArticleDOI

Circadian variation of blood pressure: the basis for the chronotherapy of hypertension.

TL;DR: The normalization of the circadian BP pattern to a dipper profile is a novel therapeutic goal, and accumulating medical evidence suggests this can delay the progression towards the renal and cardiovascular pathology known to be a consequence of the non-dipper BP pattern.
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Modeling the circadian variability of ambulatorily monitored blood pressure by multiple-component analysis.

TL;DR: A rather simple model including only the two first harmonics of the 24h period describes sufficiently well, at the specified sampling rate, the circadian pattern of BP in normotensive subjects.
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The tolerance-hyperbaric test: a chronobiologic approach for improved diagnosis of hypertension

TL;DR: The establishment of time-qualified tolerance limits and the assessment of the extent and timing of BP elevation represents a valuable tool for the more accurate diagnosis of hypertension as well as means of gauging response to treatment.
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The role of home blood pressure measurement in managing hypertension: an evidence-based review.

TL;DR: The use of home BP measurement as an equivalent, feasible, and (apparently) more cost-effective technique to measure BP in hypertension, should enable groups of patients with a poorer prognosis to be identified and their treatment adjusted in order to improve their prognosis.
Journal ArticleDOI

Circadian time-qualified tolerance intervals for ambulatory blood pressure monitoring in the diagnosis of hypertension.

TL;DR: Results reflect expected changes in the tolerance limits as a function of gender and circadian sampling time, as well as upper blood pressure limits below the thresholds currently used for diagnosing hypertension, especially for women.
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