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(Hypertension. 2000;36:894.)
© 2000 American Heart Association, Inc.

Colin Johnston - A Celebration

Ambulatory Blood Pressure Monitoring and Organ Damage

Giuseppe Mancia; Gianfranco Parati

From the Clinica Medica and Department of Clinical Medicine, Research and Applied Biotechnology, University of Milan and Ospedale S.Gerardo (G.M.), Monza; and Department of Cardiology, Ospedale S.Luca, IRCCS-Istituto Auxologico Italiano (G.P.), Milano, Italy.

Correspondence to Prof Giuseppe Mancia, Clinica Medica, Ospedale S. Gerardo, via Donizetti 106, Monza, Italy. E-mail mancia.g{at}mailserver.unimib.it

Several papers have suggested that 24-hour average blood pressure (BP) is superior to office BP in relation to hypertension target organ damage. This review article will specifically address the evidence provided in this regard by either cross-sectional or longitudinal studies. It will also critically discuss the available data supporting the concept that not only 24-hour average BP values, but also specific BP patterns occurring within the 24 hours may have clinical relevance. This is the case for daytime versus nighttime BP, the day/night BP difference, the morning BP rise, and overall BP variability.

Key Words: ambulatory blood pressure • hypertension, white coat • blood pressure variability • organ damage

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