Cor Vasa 2024, 66(3):345-348 | DOI: 10.33678/cor.2023.087

(Ambulatory blood pressure monitoring, sleep quality, and reliability of night hypertension)

Samuel Genzora, b, c, Eva Kociánovád, Ladislav Stankeb, c, Michal Štýbnarb, Jan Mizeraa, Martin Vykopala
a Klinika plicních nemocí a tuberkulózy, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc, Olomouc, Česká republika
b Centrum digitálního zdravotnictví, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc, Olomouc, Česká republika
c Národní telemedicínské centrum, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc, Olomouc, Česká republika
d I. interní klinika kardiologická, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc, Olomouc, Česká republika

Nocturnal hypertension is a significant risk factor for cardiovascular mortality and morbidity. Its determination requires the use of 24-hour blood pressure monitoring (ABPM). However, the examination results can be less reliable in patients with insomnia, habitual short sleep or other sleep disorders. In these patients, it is possible to detect falsely high values of blood pressure in the night interval. At the same time, the treatment of sleep disorders itself could adjust the nighttime values of blood pressure and thus prevent unreasonably intensive treatment of high blood pressure. The article summarizes current knowledge about the effect of sleep quality on the accuracy of diagnosis using ABMP. At the same time, we present the study "How to diagnose true nocturnal hypertension?", which will analyze this clinical problem.

Keywords: ABPM, False positivity, Nocturnal hypertension, Sleep quality

Received: October 23, 2023; Revised: November 26, 2023; Accepted: December 1, 2023; Prepublished online: June 2, 2012; Published: June 28, 2024  Show citation

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Genzor S, Kociánová E, Stanke L, Štýbnar M, Mizera J, Vykopal M. (Ambulatory blood pressure monitoring, sleep quality, and reliability of night hypertension). Cor Vasa. 2024;66(3):345-348. doi: 10.33678/cor.2023.087.
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