It is well known that cardiovascular events occur more frequently
in the morning as blood pressure (BP) levels have been shown to
increase during the period from night to early morning. In recent
years, clinical research using ambulatory blood pressure monitoring
(ABPM) or home BP monitoring has clarified that morning BP and BP
surge are more closely related to the cardiovascular risk than
clinical BP. This practical manual from field leading expert, Dr.
Kazuomi Kario, reviews recent evidence on "morning" and "nocturnal"
hypertension and the IT technologies physicians can use to support
patients in home monitoring BP. Guidance on management via
antihypertensive drugs is also discussed and with the aim of
promoting "perfect 24 hour BP control".
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