The effects of various definitions of dipping and daytime and night-time on the characterization of 24 h profiles of blood pressure.

Abstract:

BACKGROUND:Ambulatory blood pressure monitoring allows characterization of the patient's average blood pressure load as well as various profiles of blood pressure. Results from clinical studies suggest that dippers (patients whose blood pressures decrease during night-time) have a lower risk of cardiovascular events than do nondippers with similar daytime blood pressures. However, the definitions of dipping as well as of daytime and night-time vary among clinical studies. OBJECTIVE:To determine whether various definitions lead to markedly different classifications of dipper status. DESIGN AND METHODS:We analyzed 894 24 h ambulatory blood pressure recordings that had been performed at our institution according to three previously published definitions of daytime and night-time and five definitions of dipping. RESULTS:There were small but statistically significant differences among the mean daytime and night-time blood pressures determined using the various definitions. Likewise, the proportions of dippers varied significantly with definitions of dipping and of daytime and night-time. CONCLUSIONS:Differences among definitions of dipping as well as of daytime and night-time lead to significant variations in the characterization of patients' 24 h blood blood pressure profiles. The results of this analysis can be used when comparing the results of clinical studies as well as in their design.

journal_name

Blood Press Monit

authors

Butkevich A,Phillips RA,Sheinart KF,Tuhrim S

doi

10.1097/00126097-200002000-00004

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

19-22

issue

1

eissn

1359-5237

issn

1473-5725

journal_volume

5

pub_type

杂志文章
  • Prediction of strokes versus cardiac events by ambulatory monitoring of blood pressure: results from an international database.

    abstract::We performed this study to elucidate the role of nighttime versus daytime ambulatory blood pressure in predicting stroke and cardiac events. The International Collaborative Study of the Prognostic Utility of ABPM, which includes prospective cohort studies of ambulatory blood pressure monitoring (ABPM) from seven sites...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MBP.0b013e3282411a12

    authors: Pickering T,Schwartz J,Verdecchia P,Imai Y,Kario K,Eguchi K,Pierdomenico S,Ohkubo T,Wing L

    更新日期:2007-12-01 00:00:00

  • The impact of arm circumference on noninvasive oscillometric blood pressure referenced with intra-aortic blood pressure.

    abstract:OBJECTIVE:To investigate the influence of arm circumference (AC) on the brachial blood pressure (BP) measured with an adult cuff. PARTICIPANTS AND METHODS:This study included 208 patients (150 men, 61.0±8.0 years) for coronary angiography. Intra-aortic BP and noninvasive right brachial oscillometric BP (noninvasive BP...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000141

    authors: Shangguan Q,Wu Y,Xu J,Su H,Li J,Hong K,Cheng X

    更新日期:2015-12-01 00:00:00

  • Development of a simulator for the validation of noninvasive blood pressure-monitoring devices.

    abstract::This research aimed to develop a simulator capable of oscillometric pressure pulses recorded from the participants for the validation of oscillometric noninvasive blood pressure (NIBP) devices. The simulator generates the pressure pulses to the cuff connected to NIBP devices depending on the oscillometric waveforms ob...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0000000000000174

    authors: Doh I,Lim HK,Ahn B

    更新日期:2016-06-01 00:00:00

  • Clinical test of a blood pressure measurement device with a wrist cuff.

    abstract::OBJECTIVE: To test a semi-automatic oscillometric blood pressure measurement device with a wrist cuff. METHODS: Two different test methods, partly based on European and American standards for clinical investigation of non-invasive sphygmomanometers, were worked out and compared. Mostly German guidelines were considere...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:

    authors: Wonka F,Thümmler M,Schöppe A

    更新日期:1996-08-01 00:00:00

  • Prognostic value of average real variability of systolic blood pressure in elderly treated hypertensive patients.

    abstract:OBJECTIVE:The independent prognostic significance of ambulatory blood pressure variability in the elderly is incompletely clear. We investigated the prognostic value of average real variability of 24-hour blood pressure in elderly treated hypertensive patients. METHODS:The occurrence of a combined end-point including ...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000381

    authors: Coccina F,Pierdomenico AM,Cuccurullo C,Pierdomenico SD

    更新日期:2019-08-01 00:00:00

  • Clinical use of ambulatory blood pressure monitoring in a Veteran's Medical Center.

    abstract::BACKGROUND: The lack of prospective data on the relative value of ambulatory blood pressure compared with office blood pressure as well as concern about increased costs have led to cautious endorsement of such monitoring in the clinical arena. Several consensus bodies have reviewed the scientific evidence and have sug...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:

    authors: Mansoor GA

    更新日期:1997-10-01 00:00:00

  • Validation of the Welch Allyn Pro BP 2000, a professional-grade inflation-based automated sphygmomanometer with arrhythmia detection in a combined pediatric and adult population by ANSI/AAMI/ISO standard testing.

    abstract:OBJECTIVE:The Welch Allyn Pro BP 2000, an automated sphygmomanometer, was subjected to ANSI/AAMI/ISO testing. PATIENTS AND METHODS:The protocol used was the same-arm sequential procedure described in the ANSI/AAMI/ISO 2013 Standard. Eight-eight (53 adults and 35 children aged 3-12 years old) patients completed testing...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0000000000000350

    authors: Alpert BS

    更新日期:2018-12-01 00:00:00

  • Brachial or wrist blood pressure in obese patients: which is the best?

    abstract:OBJECTIVE:Blood pressure (BP) measured in obese patients with a large arm circumference using a cuff of standard width may be overestimated. METHODS:We compared in this study the BP readings obtained with oscillometric devices at the left arm (OMRON HEM 705-CP) and the left wrist (OMRON R6) (Omron Medizintechnik, Mann...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0b013e3282fd16e3

    authors: de Senarclens O,Feihl F,Giusti V,Engelberger RP,Rodieux F,Gomez P,Liaudet L,Waeber B

    更新日期:2008-06-01 00:00:00

  • Relationship of vitamin D and parathyroid hormone with the nocturnal blood pressure decline in hypertension.

    abstract:OBJECTIVES:Vitamin D deficiency and high parathyroid hormone (PTH) levels have been linked with hypertension. Nondipper hypertension is associated with increased morbidity and mortality. We aimed to investigate the relationship of vitamin D and PTH levels with nondipper hypertension and nocturnal decline in untreated h...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000286

    authors: Karadag MK,Secen O

    更新日期:2017-12-01 00:00:00

  • Using the Finometer to examine sex differences in hemodynamic responses to orthostasis in older people.

    abstract:OBJECTIVES:In young and middle age, women have higher orthostatic intolerance (OI) than men, and hemodynamic differences have been found supporting this finding. In older people, these sex differences are less studied. Our aim was to contribute evidence. METHODS:Two hundred and twenty-four community-dwelling older par...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0b013e3283353199

    authors: Romero-Ortuno R,Cogan L,Foran T,Fan CW,Kenny RA

    更新日期:2010-02-01 00:00:00

  • Repeatability of blood pressure measurements during treadmill exercise.

    abstract:OBJECTIVE:Blood pressure measurements during exercise are difficult to obtain but are used widely in clinical practice. The objective of this study was to investigate the repeatability of blood pressure measurements and gas exchange parameters during treadmill exercise. METHODS:Participants were 10 healthy and nonsmok...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0b013e328351de5c

    authors: Instebø A,Helgheim V,Greve G

    更新日期:2012-04-01 00:00:00

  • The choice of threshold limits for pediatric ambulatory blood pressure monitoring influences clinical decisions.

    abstract:OBJECTIVES:Hypertension in children may be defined by blood pressure elevated above the 95th percentile according to sex and age. Population data for ambulatory blood pressure provide different age-related and sex-related threshold limits to office-derived data. We sought to determine whether, when using ambulatory blo...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/01.mbp.0000209085.55364.73

    authors: Kennedy SE,Mackie FE,Craig E,Kainer G

    更新日期:2006-06-01 00:00:00

  • Assessment of antihypertensive efficacy by non-invasive ambulatory blood pressure monitoring.

    abstract::The session devoted to the usefulness of non-invasive ambulatory blood pressure monitoring (ABPM) in the evaluation of antihypertensive therapy allowed us to discuss a number of important issues. ABPM emerged as a widely accepted technique to measure blood pressure in clinical trials. Actually, it was generally consid...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:

    authors: Asmar R,Waeber B

    更新日期:1996-06-01 00:00:00

  • Angiotensin II receptor blockers following intravenous nicardipine administration to lower blood pressure in patients with hypertensive intracerebral hemorrhage: a prospective randomized study.

    abstract:BACKGROUND AND OBJECTIVE:In patients with hypertensive intracerebral hemorrhage (HICH), intravenous nicardipine is primarily used to lower blood pressure (BP). However, there are few studies investigating the role of oral antihypertensives administered after intravenous nicardipine to prevent BP from rising. Angiotensi...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MBP.0000000000000225

    authors: Inamasu J,Nakae S,Adachi K,Hirose Y

    更新日期:2017-02-01 00:00:00

  • Potential hypotensive effects of Umezu polyphenols: a 14-week community-based, double-masked and placebo-controlled trial.

    abstract:OBJECTIVE:To evaluate blood pressure (BP)-lowering effects of Umezu polyphenols, polyphenols contained in Japanese plums, in a community-based sample by double-masked and placebo-controlled design. METHODS:Seventy-two Japanese community-dwellers who were interested in prevention or control of their BP (preferably high...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MBP.0000000000000476

    authors: Takemura S,Yoshimasu K,Tsuno K,Kuroda M,Kishida K,Mitani T,Miyashita K

    更新日期:2020-12-01 00:00:00

  • Frequency of spontaneous fist clenching during routine blood pressure measurements and its effect on measurement accuracy.

    abstract:BACKGROUND:Guidelines for office blood pressure reading techniques do not warn us about the possibility that patients may clench their fist during cuff-inflation. It is unknown how often patients do this, and what effect it has on measured blood pressure readings. DESIGN AND METHODS:We registered double blood pressure...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/00126097-200206000-00001

    authors: Smulders YM,Godfried MH,van Montfrans GA

    更新日期:2002-06-01 00:00:00

  • Acute effects of moderate-intensity and high-intensity exercise on hemodynamic and autonomic reactivity to the cold pressor test in young adults with excess body weight.

    abstract:OBJECTIVE:To investigate the effects of a single session of moderate-intensity and high-intensity interval exercise in cardiovascular reactivity to the cold pressor test in young adults with excess body weight. METHODS:Twenty-two subjects with excess body weight (23 ± 2 years; 30.0 ± 3.4 kg·m) performed three sessions...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000422

    authors: Meireles K,Peçanha T,Dias ARL,Souza KA,Araújo JA,Silva JS,Rezende DAN,Santos RJ,Cambri LT,Arsa G

    更新日期:2020-04-01 00:00:00

  • The effect of crossing legs on blood pressure.

    abstract:OBJECTIVE:To determine whether crossing of the legs at the knee or at the ankles during blood pressure measurement in sitting position has an effect on blood pressure. METHODS:One hundred and eleven patients, 60 women, mean age 52+/-17 years (19-80): 49 chronically treated hypertensives, 28 treated diabetics and 34 no...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0b013e3280b083a7

    authors: Adiyaman A,Tosun N,Elving LD,Deinum J,Lenders JW,Thien T

    更新日期:2007-06-01 00:00:00

  • Nocturnal blood pressure nondipping in obese African-Americans.

    abstract:OBJECTIVES:Nondipping pattern of circadian blood pressure (BP) is associated with increased cardiovascular morbidity and mortality; however, limited data are available among obese African-Americans. We, therefore, aimed to evaluate the pattern of circadian BP variation and to identify clinical conditions associated wit...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0b013e328346a871

    authors: Napan S,Kwagyan J,Randall OS,Xu S,Ketete M,Maqbool AR

    更新日期:2011-06-01 00:00:00

  • Clinical features, anthropometric characteristics, and racial influences on the 'white-coat effect' in a single-centre cohort of 1553 consecutive subjects undergoing routine ambulatory blood pressure monitoring.

    abstract:BACKGROUND:Patients with high office blood pressures but relatively normal readings during daytime ambulatory monitoring have been the subject of much investigation and debate. This clinical finding in part depends on an alerting reaction to the circumstances of the clinical measurement, often described as the 'white-c...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:

    authors: Gualdiero P,Niebauer J,Addison C,Clark SJ,Coats AJ

    更新日期:2000-04-01 00:00:00

  • Validation of the A&D BP UA-651 device with a wide-range cuff for home blood pressure measurement according to the European Society of Hypertension International Protocol revision 2010.

    abstract::The aim of this study was to determine the accuracy of the A&D BP UA-651 device coupled to a wide-range cuff for home blood pressure (BP) measurement according to the International Protocol of the European Society of Hypertension. The device was evaluated in 33 patients. The mean age of the patients was 56.5±15.1 year...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000100

    authors: Benetti E,Fania C,Palatini P

    更新日期:2015-06-01 00:00:00

  • Interindividual and intraindividual variation in pulse wave velocity measurements in a male population.

    abstract:OBJECTIVE:Pulse wave velocity (PWV) is a measure of arterial stiffness and a marker for cardiovascular disease. Although commonly used, there are only a few reports investigating the intersession and intrasession variability in PWV measurements, the determination of which is important in a mixed population when using P...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0000000000000052

    authors: Tripkovic L,Hart KH,Frost GS,Lodge JK

    更新日期:2014-08-01 00:00:00

  • High-intensity handgrip training lowers blood pressure and increases heart rate complexity among postmenopausal women: a pilot study.

    abstract:OBJECTIVE:Handgrip exercise is an emerging strategy for resting blood pressure (BP) reduction requiring minimal time and exercise effort. However, the research literature is currently limited to handgrip protocol designs predominantly prescribing sustained grip contractions, with little assessment of alternative option...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000313

    authors: Bentley DC,Nguyen CHP,Thomas SG

    更新日期:2018-04-01 00:00:00

  • Validation of the A&D UA-774 (UA-767Plus) device for self-measurement of blood pressure.

    abstract:OBJECTIVES:To determine the accuracy of the UA-774 (UA-767Plus) blood pressure monitor developed by the A&D Company. METHODS:Device evaluation was performed according to the modified British Hypertension Society (BHS) protocol released in 1993. Eighty-five subjects with characteristics outlined in the BHS protocol wer...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/00126097-200408000-00008

    authors: Verdecchia P,Angeli F,Poeta F,Reboldi GP,Borgioni C,Pittavini L,Porcellati C

    更新日期:2004-08-01 00:00:00

  • Blood pressure monitoring in sleep: time to wake up.

    abstract::Hypertension is a highly common condition with well-established adverse consequences. Ambulatory blood pressure monitoring has repeatedly been shown to better predict cardiovascular outcomes and mortality, compared to single office visit blood pressure. Non-dipping of sleep-time blood pressure is an independent marker...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,评审

    doi:10.1097/MBP.0000000000000426

    authors: Kwon Y,Stafford PL,Lim DC,Park S,Kim SH,Berry RB,Calhoun DA

    更新日期:2020-04-01 00:00:00

  • Relationship between noninvasive and invasive blood pressure values in end-stage renal disease patients on dialysis.

    abstract:BACKGROUND:End-stage renal disease (ESRD) is complicated by high blood pressure (BP) and severe atherosclerosis, which may lead to different values of BP measured by invasive and noninvasive methods. However, the differences in BP values between these two methods and their possible mechanisms in ESRD have not been inve...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000026

    authors: Chen Y,Zhu Y,Chen C,Chen X,Pan H,Chen S,Tan X

    更新日期:2014-04-01 00:00:00

  • Quality of blood pressure phenotype in the Nigerian Population Research on Environment Gene and Health.

    abstract:OBJECTIVE:In the ongoing Nigerian Population Research on Environment Gene and Health (NIPREGH), we are applying standardized epidemiologic methods to determine cardiovascular phenotypes including blood pressure (BP) among adult Black Africans of Nigerian origin. We present the quality control of the conventionally meas...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0000000000000053

    authors: Odili AN,Ameh VO,Ogedengbe JO,Staessen JA

    更新日期:2014-08-01 00:00:00

  • Effect of fasting on 24-h blood pressure values of individuals with no previous history of hypertension.

    abstract:OBJECTIVE:We aimed to analyze the difference in 24-h blood pressure values during Ramadan of fasting and nonfasting individuals with no previous history of hypertension. PATIENTS AND METHODS:This study was planned as a multicenter research study in the cities of Izmit, Zonguldak, Sivas, and Adana. The percentage chang...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MBP.0000000000000244

    authors: Seker A,Demirci H,Ocakoglu G,Aydin U,Ucar H,Yildiz G,Yaman O

    更新日期:2017-10-01 00:00:00

  • An extended validation of the ScottCare 320 ambulatory blood pressure monitor: recommendations for clinical application.

    abstract:OBJECTIVES:The purpose of this study was to validate the ScottCare 320 ambulatory blood pressure monitor (ABPM) using both group-level and individual-level validation procedures. The group-level validation followed a modified protocol of the European Hypertension Society's validation protocol. The individual-level vali...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0b013e32835f4fc7

    authors: Zawadzki MJ,Vandekar L,Smyth JM,Haas D,Gerin W

    更新日期:2013-06-01 00:00:00

  • Canadian valsartan study in patients with mild-to-moderate hypertension.

    abstract:OBJECTIVE:This study was designed mainly to establish the rates of response to valsartan 80mg once daily (qd) and to valsartan 160mg qd given to non-responders to 80mg qd, as well as to determine the safety of valsartan and the blood pressure control achieved using valsartan over a period of 24 h or more, using ambulat...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/00126097-200104000-00005

    authors: Lasko BH,Laplante A,Hébert D,Bonnefis-Boyer S

    更新日期:2001-04-01 00:00:00