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1. Ambulatory blood pressure, particularly night-time blood pressure, was found to be more informative about the risk of all-cause death and cardiovascular death than clinic blood pressure.
#MedTwitter #hypertension
doi.org/10.1016/S0140-…
#MedTwitter #hypertension
doi.org/10.1016/S0140-…
2. The conventional method of recording BP is at a clinic. However, that may not be the best way to assess the risk.
Ambulatory BP measurements (both day time and night time) are more valuable in predicting death, as compared to BP measured at a clinic.
Ambulatory BP measurements (both day time and night time) are more valuable in predicting death, as compared to BP measured at a clinic.
3. Night-time ambulatory systolic BP was six times more informative for death than clinic systolic BP and nearly twice as informative as daytime ambulatory systolic BP.
These findings were similar whether patients were treated for hypertension at baseline or not.
These findings were similar whether patients were treated for hypertension at baseline or not.
4. Take home message
The dominance of the association of night-time blood pressure with death highlights a need to both evaluate and control night-time blood pressure, particularly in higher risk patients.
The dominance of the association of night-time blood pressure with death highlights a need to both evaluate and control night-time blood pressure, particularly in higher risk patients.
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