Importance of blood pressure variability. Review article. Cardiology.

Authors

  • Damaris Hernández Veliz
  • Johanna Díaz Landeira
  • Jorge Enrique Aguiar Pérez
  • Isis Betancourt
  • Nizahel Estévez Álvarez
  • Amaury Flores Sánchez

Keywords:

ABPM, circadian rhythm, white coat hypertension, non-dippers, dippers, morning surge

Abstract

A topic review about circadian rhythm and variability of blood pressure (BP), the association with target organ damage in essential hypertension and mechanisms involved in BP variability was done. The most significant circadian variation of the blood pressure describe was the morning surge of blood pressure, a morning increase of the BP and its variability greater than in the rest of the day, the white coat hypertension, a term used to describe blood pressure that only seems to be high when someone comes in to the doctor's office and the changes in the patron of BP lowering during the nocturnal rest. The nocturnal BP decline patients are classified as dippers or non-dippers. Dividing the patients into four possible groups has extended this classification: extreme-dippers (sleep-time relative BP decline more than 20%), dippers (decline between 10% and 20%), non-dippers (decline less than10%), and inverse dippers or risers (decline 0%, indicating sleep-time BP greater than awake BP mean). The association between target organ damage, cardiovascular disease and the BP variability is describe. The most important conclusion was that the adverse effect of the hypertension over the cardiovascular system is not only determined by the severity either by the variability of the BP.
Key words: ABPM, circadian rhythm, white coat hypertension, non-dippers, dippers, morning surge.

Downloads

Download data is not yet available.

Author Biographies

Damaris Hernández Veliz

Profesor asistente

Johanna Díaz Landeira

Especialista en Cardiología

Jorge Enrique Aguiar Pérez

Residente de Cardiología

Isis Betancourt

Especialista en Medicina Interna. Ms Aterosclerosis

Nizahel Estévez Álvarez

Especialista de Cirugía Cardiovascular

How to Cite

1.
Hernández Veliz D, Díaz Landeira J, Aguiar Pérez JE, Betancourt I, Estévez Álvarez N, Flores Sánchez A. Importance of blood pressure variability. Review article. Cardiology. Rev. cuba. cardiol. cir. cardiovasc. [Internet]. 2016 Jun. 16 [cited 2025 Mar. 9];22(1):54-61. Available from: https://revcardiologia.sld.cu/index.php/revcardiologia/article/view/632

Issue

Section

Literature Review