Why the study?
Hypertension diagnosis and treatment rely on accurate BP measurements during awake and sleep periods, prompting evaluation of whether an adapted HBPM protocol supports sleep BP assessment and improves diagnosis.
Does a five-day HBPM protocol with morning, afternoon, and evening measurements improve the diagnosis of hypertension compared to 24-h ABPM?
Population
40 patients (73% women, mean age 62.0 ± 13.2 years)
Comparison
Five-day HBPM across three time periods vs 24-h ABPM
Design
Cross-sectional study
Authors
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Nighttime-inclusive HBPM may aid ABPM abnormality detection; leaves open reliable dip assessment and requires prospective validation.
Does a five-day HBPM protocol with morning, afternoon, and evening measurements improve the diagnosis of hypertension compared to 24-h ABPM?
Including night-time measurements in HBPM improves hypertension diagnosis accuracy compared to ABPM, though it does not accurately capture the day-night BP dip.
Vitorino et al. (2025) studied this question.
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