Steven J. Rosansky, MD
To the Editors: Most hypertensive and nonhypertensive subjects studied with 24-hour ambulatory blood pressure monitoring have a reproducible decrease in blood pressure during sleep. This normal diurnal pattern may be absent in one of three elderly subjects (1); pregnant subjects with pre-eclampsia; patients with malignant hypertension, sleep apnea, the Cushing syndrome, diabetes mellitus, orthostatic hypotension, or congestive heart failure; and cardiac transplant recipients (2). Patients with autonomic nervous system dysfunction may also lack a normal nocturnal decline in blood pressure (3).
We compared 24-hour ambulatory blood pressure data recorded from Spacelabs 90202 monitors (Redmond, Washington) in 11 patients with hypertension
Steven J. Rosansky. Nocturnal Hypertension in Patients Receiving Chronic Hemodialysis. Ann Intern Med. 1991;114:96. doi: 10.7326/0003-4819-114-1-96_1
Download citation file:
Published: Ann Intern Med. 1991;114(1):96.
Cardiology, Coronary Risk Factors, Hypertension, Nephrology, Renal Replacement Therapy.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use