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Assessment of blood pressure variability: characteristics and comparison of blood pressure measurement methods

Hypertension Research volume 47, pages 3345–3355 (2024)Cite this article

Abstract

Previous studies have reported that blood pressure variability (BPV) is associated with the risk of cardiovascular events independent of blood pressure (BP) levels. While there is little evidence from intervention trials examining whether suppressing BPV is useful in preventing cardiovascular disease, it is suggested that detection of abnormally elevated BPV may be useful in reducing cardiovascular events adding by complementing management of appropriate BP levels. Cuffless BP devices can assess beat-to-beat BPV. Although cuffless BP monitoring devices have measurement accuracy issues that need to be resolved, this is an area of research where the evidence is accumulating rapidly, with many publications on beat-to-beat BPV over several decades. Ambulatory BP monitoring (ABPM) can assess 24-hour BPV and nocturnal dipping patterns. Day-to-day BPV and visit-to-visit BPV are assessed by self-measured BP monitoring at home and office BP measurement, respectively. 24 h, day-to-day, and visit-to-visit BPV have been reported to be associated with cardiovascular prognosis. Although there have been several studies comparing whether ABPM and self-measured BP monitoring at home is the superior measurement method of BPV, no strong evidence has been accumulated that indicates whether ABPM or self-measured home BP is superior. ABPM and self-measured BP monitoring have their own advantages and complement each other in the assessment of BPV.

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Authors and Affiliations

  1. Columbia Hypertension Laboratory, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA

    Keisuke Narita & Daichi Shimbo

  2. Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan

    Keisuke Narita & Kazuomi Kario

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  1. Keisuke Narita
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K. Narita has received the grant from International Medical Research Foundation. K. Kario has received research funding from Omron Healthcare Co., Fukuda Denshi, and A&D Co. D. Shimbo reports no potential conflicts of interest.

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Narita, K., Shimbo, D. & Kario, K. Assessment of blood pressure variability: characteristics and comparison of blood pressure measurement methods. Hypertens Res 47, 3345–3355 (2024). https://doi.org/10.1038/s41440-024-01844-y

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