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Nocturnal blood pressure and cardiovascular disease: a review of recent advances

La reanudación del Diplomado  Atención al Paciente Hipertenso se efectuará  el día viernes 4 de Septiembre, a las 9 am.  y que se efectuará, como está programado,  en el Anfiteatro del Hospital Calixto García. La coordinadora de este módulo de " HTA y cerebro" es la Profesora Dra.  Yamilé Valdés   con la que  puden comunicarse  por: 

Teléfono  7838 2205    o  por Email:  yamile.valdes@infomed.sld.cu

Nocturnal blood pressure and cardiovascular disease: a review of recent advances

Revisiones-sistematicasPor: Yuichiro Yano y Kazuomi Kario. Hypertension Research (2012) 35, 695–701.

The accurate measurement, prediction and treatment of high blood pressure (BP) are essential issues in the management of hypertension. Ambulatory blood pressure monitoring (ABPM) has been shown to be superior
to clinic BP measurements as ABPM can provide the following important information: (i) the mean BP levels, (ii) the diurnal variation in BP and (iii) the short-term BP variability. Among these parameters, there is increasing evidence that the mean nocturnal BP level is the most sensitive predictor of cardiovascular morbidity and mortality. Furthermore, several studies have shown that less nocturnal BP dipping, defined as less nocturnal BP decline relative to daytime BP, or a high night–day BP ratio was associated with poor prognosis irrespective of the 24-hour BP levels.