The Hypo-Hyper pattern (orthostatic hypotension with supine hypertension) is present in 5.5% of hypertensive patients and is associated with adverse prognostic features such as myocardial hypertrophy when night-time blood pressure is elevated.
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May flag higher-risk hypertensives for nocturnal BP review; leaves open whether intervention alters hypertrophy or pacing outcomes.
Lagi et al. (2003) studied this question.
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