Circadian Variation of the Blood Pressure in the Population at Large

  • Hilde Celis
  • Jan A. Staessen
Part of the Contemporary Cardiology book series (CONCARD)


Ambulatory blood pressure (ABP) measurement has several advantages. ABP readings are obtained outside the medical environment and are free of the so-called “white coat” effect (1,2), often seen when the BP is conventionally measured. Therefore, the average BP level on ABP measurement provides a better estimate of a subject’s usual BP than conventional readings (3). In addition, the BP is recorded during the habitual daily activities, both working and resting periods, and during episodes of emotional stress and sleep. The way in which a subject’s BP is modulated throughout the day to cope with these various levels of physical and emotional activity and so forth may provide meaningful pathophysiological information (4). Some investigators have also speculated that the amplitude of the diurnal BP profile is characteristic for an individual (5), or that a blunted or absent nocturnal fall in BP is correlated with a worse cardiovascular prognosis (4). These views explain the growing interest in methods to describe the diurnal BP profile and its determinants.


Ambulatory Blood Pressure Ambulatory Blood Pressure Monitoring Circadian Variation Ambulatory Blood Pressure Measurement Diurnal Blood Pressure 
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© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Hilde Celis
  • Jan A. Staessen

There are no affiliations available

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