Blood pressure variability assessed by semiautomatic and ambulatorily functional devices for home use

K. Otsuka, Germaine G Cornelissen-Guillaume, M. Shinagawa, F. Halberg

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

As a basis for chronobiologic analyses and thereby for screening deviant blood pressure, measurements are advocated, preferably with ambulatorily functional instrumentation at half-hour intervals around-the-clock for an initial span of 7 days. When only manual instrumentation is available, 3- hourly measurements during waking and one measurement, preferably by a companion, around mid-sleep is recommended to detect a blood pressure disorder. Such screening is warranted for a reasonably reliable diagnosis, particularly in order to recognize circadian blood pressure overswinging (Circadian Hyper-Amplitude-Tension, CHAT) and to separate this new disease risk syndrome from an elevation of the time structure (chronome)-adjusted average (MESOR), that is MESOR-hypertension, and from the coexistence of the two foregoing conditions.

Original languageEnglish (US)
Pages (from-to)729-740
Number of pages12
JournalClinical and Experimental Hypertension
Volume21
Issue number5-6
DOIs
StatePublished - Jan 1 1999

Keywords

  • Blood pressure variability
  • Chrono-ecology
  • Semi-automated devices

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