Cardiovascular Risk Stratification and Blood Pressure Variability on Ambulatory and Home Blood Pressure Measurement

Variability is a phenomenon attributed to most biological processes and is a particular feature of blood pressure (BP) that concerns many physicians regarding the clinical meaning and the impact on their clinical practice. In this review, we assessed the role of different indices of BP variability i...

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Bibliographic Details
Published in:Current hypertension reports Vol. 16; no. 9; p. 470
Main Authors: Boggia, José, Asayama, Kei, Li, Yan, Hansen, Tine Willum, Mena, Luis, Schutte, Rudolph
Format: Journal Article
Language:English
Published: Boston Springer US 01.09.2014
Springer Nature B.V
Subjects:
Blood Pressure - physiology
Blood Pressure Determination - methods
Blood Pressure Monitoring and Management (G Ogedegbe and JA Staessen
Blood Pressure Monitoring, Ambulatory - methods
Cardiology
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - physiopathology
Cardiovascular System - physiopathology
Circadian Rhythm - physiology
Family Medicine
General Practice
Global Health
Humans
Hypertension
Incidence
Internal Medicine
Medicine
Medicine & Public Health
Metabolic Diseases
Nephrology
Primary Care Medicine
Risk Factors
Section Editors
Topical Collection on Blood Pressure Monitoring and Management
Hypertension
Blood pressure variability
Population science
Blood pressure monitoring
Epidemiology
ISSN:1522-6417, 1534-3111, 1534-3111
Online Access:Get full text
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Summary:Variability is a phenomenon attributed to most biological processes and is a particular feature of blood pressure (BP) that concerns many physicians regarding the clinical meaning and the impact on their clinical practice. In this review, we assessed the role of different indices of BP variability in cardiovascular risk stratification. We reviewed the indices of BP variability derived from ambulatory BP monitoring (day-to-night ratio, morning surge of BP, and short-term BP variability) and home BP measurement (standardized conventional BP measurement and self-BP measurement), and summarized our recent results with the intention to provide a clear message for clinical practice. Conclusion: BP variability, either derived from ambulatory BP measurement or home BP measurement does not substantially refine cardiovascular risk prediction over and beyond the BP level. Practitioners should be aware that BP level remains the main modifiable risk factor derived from BP measurement and contributes to improving the control of hypertension and adverse health outcomes.
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ISSN:1522-6417
1534-3111
1534-3111
DOI:10.1007/s11906-014-0470-8