[Variations in blood pressure at rest and during the day in 40 ambulatory hypertensive patients]. 1986

B Letac, and P Behar

Forty patients considered to be hypertensive on the basis of occasional blood pressure recordings obtained during three out-patient consultations (BP-C) underwent hourly blood pressure recordings throughout the day under standardized conditions at rest and lying down, but with normal daily activities between measurements. The average of the hourly measurements provides a basal blood pressure profile independent on non-standardizable factors of everyday life such as physical exercise and emotion without being artificially influenced by prolonged rest. The average ambulatory blood pressure (BP-A) is much lower than the BP-C. In particular, practically normal values (148-90) were observed in the group of patients with moderate but undiscutable hypertension (165/98) on the BP-C readings. During the same day, variations of 10 to more than 30% of systolic and diastolic pressures were observed in over 3/4 of the patients; the highest values were recorded between 8 and 12 o'clock in about 70% of cases, most commonly at the first reading at 8 or 9 o'clock in the morning. This study shows that large variations of blood pressure are observed during the daytime even when repeated recordings are made under standardised conditions. This method of determining the day time blood pressure profile is a different approach to the study of hypertension than that based on ambulatory measurements made with a portable blood pressure recorder.

UI MeSH Term Description Entries
D006973 Hypertension Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more. Blood Pressure, High,Blood Pressures, High,High Blood Pressure,High Blood Pressures
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010044 Outpatient Clinics, Hospital Organized services in a hospital which provide medical care on an outpatient basis. Ambulatory Care Facilities, Hospital,Hospital Outpatient Clinics,Clinic, Hospital Outpatient,Clinics, Hospital Outpatient,Hospital Outpatient Clinic,Outpatient Clinic, Hospital
D012146 Rest Freedom from activity. Rests
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D001795 Blood Pressure Determination Techniques used for measuring BLOOD PRESSURE. Blood Pressure Determinations,Determination, Blood Pressure
D005082 Physical Exertion Expenditure of energy during PHYSICAL ACTIVITY. Intensity of exertion may be measured by rate of OXYGEN CONSUMPTION; HEAT produced, or HEART RATE. Perceived exertion, a psychological measure of exertion, is included. Physical Effort,Effort, Physical,Efforts, Physical,Exertion, Physical,Exertions, Physical,Physical Efforts,Physical Exertions
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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