Orthostatic Hypertension : A Measure of Blood Pressure Variation for Predicting Cardiovascular Risk
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- KARIO Kazuomi
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine
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Author(s)
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- KARIO Kazuomi
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine
Abstract
Orthostatic hypertension, a measure of blood pressure (BP) variability, is a clinically important pathologic condition associated with the progression of target organ damage and subsequent cardiovascular risk. Orthostatic hypertension precedes hypertension and could be considered as prehypertension if a patient has seated clinic BP <140/90 mmHg. The simple examination of orthostatic BP changes using a self-measured home BP monitoring, through which abnormal pathological conditions can be detected with high reproducibility without the white-coat effect. Orthostatic hypertension is associated with morning hypertension and increased neurohumoral activation; however, the precise mechanism of orthostatic hypertension remains unclear, and accumulation of further clinical evidence is necessary. (<i>Circ J</i> 2009; <b>73:</b> 1002-1007)<br>
Journal
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- Circulation Journal
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Circulation Journal 73(6), 1002-1007, 2009-05-20
The Japanese Circulation Society
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