Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jul 26, 2015; 7(7): 373-376
Published online Jul 26, 2015. doi: 10.4330/wjc.v7.i7.373
Published online Jul 26, 2015. doi: 10.4330/wjc.v7.i7.373
Night time blood pressure dip
Dennis Bloomfield, Alex Park, Department of Medicine, Richmond University Medical Center, Staten Island, NY 10310, United States
Author contributions: Both authors contributed to this manuscript.
Conflict-of-interest statement: Neither Dr. Dennis Bloomfield or Alex Park has any conflict of interest with this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dennis Bloomfield, MD, Director of Clinical Research, Department of Medicine, Richmond University Medical Center, 366 Bard Avenue, Staten Island, NY 10310, United States. dbloomfieldmd@aol.com
Telephone: +1-718-8182707 Fax: +1-718-8161780
Received: January 24, 2015
Peer-review started: January 27, 2015
First decision: February 7, 2015
Revised: April 13, 2015
Accepted: May 7, 2015
Article in press: May 8, 2015
Published online: July 26, 2015
Processing time: 192 Days and 10.3 Hours
Peer-review started: January 27, 2015
First decision: February 7, 2015
Revised: April 13, 2015
Accepted: May 7, 2015
Article in press: May 8, 2015
Published online: July 26, 2015
Processing time: 192 Days and 10.3 Hours
Core Tip
Core tip: While the blunted or absent nighttime pressure dip in nonmedicated white coat hypertensives is generally believed to be a predictor of adverse cardiovascular events, it does not appear to present the same risk in medicated white coat patients. Of the many measurable pressure issues, including pulse pressure and morning surge, during sleep and with awakening, only the mean systolic pressure appears to be the predictor of risk.