4.3 Article

Chronotherapy of hypertension: advantages of 48-h ambulatory blood pressure monitoring assessments in MAPEC and Hygia Chronotherapy Trial

Journal

CHRONOBIOLOGY INTERNATIONAL
Volume 37, Issue 5, Pages 739-750

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/07420528.2020.1771355

Keywords

Ambulatory blood pressure monitoring; sleep-time blood pressure; bedtime hypertension chronotherapy; cardiovascular risk; Hygia Chronotherapy Trial; MAPEC study; Hygia Project; dipper; non-dipper; extreme-dipper; glaucoma; abpm-effect

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The specific purpose of this communication is to summarize the relevant details of the methods utilized to conduct, analyze, and interpret the ambulatory blood pressure (BP) monitoring (ABPM)-obtained patient data in both MAPEC and Hygia Chronotherapy Trial, including details of the sampling requirements in terms of duration and frequency, proper calculation of ABPM-derived mean values, prognostic and therapeutic implications of BP dipping, and limitations of the 24 h BP mean as diagnostic/prognostic parameter still mistakenly recommended by some hypertension guidelines.

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