Nocturnal blood pressure measured by home devices: evidence and perspective for clinical application
Open accessAbstract
: Studies using ambulatory blood pressure (BP) monitoring have shown that BP during night-time sleep is a stronger predictor of cardiovascular outcomes than daytime ambulatory or conventional office BP. However, night-time ambulatory BP recordings may interfere with sleep quality because of the device cuff inflation and frequency of measurements. Hence, there is an unmet need for obtaining high quality BP values during sleep. In the last two decades, technological development of home BP devices enabled automated BP measurements during night-time. Preliminary data suggest that nocturnal home BP measurements yield similar BP values and show good agreement in detecting nondippers when compared with ambulatory BP monitoring. Thus, nocturnal home BP measurements might be a reliable and practical alternative to ambulatory BP monitoring to evaluate BP during sleep. As the use of home BP devices is widespread, well accepted by users and has relatively low cost, it may prove to be more feasible and widely available for routine clinical assessment of nocturnal BP. At present, however, data on the prognostic relevance of nocturnal BP measured by home devices, the optimal measurement schedule, and other methodological issues are lacking and await further investigation. This article offers a systematic review of the current evidence on nocturnal home BP, highlights the remaining research questions, and provides preliminary recommendations for application of this novel approach in BP management.
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Even though several automated wrist devices have passed international validation protocols in a laboratory setting, they are considered more prone to errors than upper arm devices in real-life conditions.
“Even though several automated wrist devices have successfully passed international validation protocols in a laboratory setting, they are considered more prone to errors than the upper arm devices in real-life conditions [79].”
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Nocturnal dipping is reproducible in the long term
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Self-citationObjective sleep quality and night-time blood pressure in the general elderly population
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Self-citationThe Microsoft Research Aurora Project: Important Findings on Cuffless Blood Pressure Measurement
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Self-citationLatest hypertension research to inform clinical practice in Asia
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Anxiety is associated with higher blood pressure rise induced by cuff inflation
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Self-citation
- Authors
- Asayama, K., Fujiwara, T., Hoshide, S., Ohkubo, T., Kario, K., Stergiou, G. S., Parati, G., White, W. B., Weber, M. A., & Imai, Y.
- Affiliations
- Tohoku Institute for Management of Blood Pressure (JP)
- Jichi Medical University (JP)
- National and Kapodistrian University of Athens (GR)
- IRCCS Istituto Auxologico Italiano (IT)
- University of Connecticut (US)
- SUNY Downstate Health Sciences University (US)
- Corresponding author
- Imai, Yutaka
- ORCID
- Venue
- Journal of Hypertension
- Published
- 2019-05
- Volume
- 37
- Issue
- 5
- Pages
- 905-916
- ISSN
- 0263-6352 (ISSN-L)
- OpenAlex
- W2921362417
- Cited by
- 120
- References
- 108
- Citations by year
- 2026: 9 · 2025: 11 · 2024: 18 · 2023: 15 · 2022: 25 · 2021: 13 · 2020: 12 · 2019: 17
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Journal of Hypertension (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Lirias (submittedVersion, other-oa)
- Funders
- Omron Healthcare
- Japan Society for the Promotion of Science (26293192)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- nocturnal blood pressure, home blood pressure monitoring, ambulatory blood pressure monitoring, non-dippers, sleep, cardiovascular risk prediction, antihypertensive therapy
- MeSH terms
- Blood Pressure, Circadian Rhythm, Humans, Hypertension, Sleep, Blood Pressure Monitoring, Ambulatory, Sphygmomanometers
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