Challenges in monitoring nighttime blood pressure

Affiliations

Editorial

Naoko Tomitani. Hypertens Res. 2025 Apr.

. 2025 Apr;48(4):1649-1651.

doi: 10.1038/s41440-025-02132-z. Epub 2025 Feb 3.

¹ Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan. tomitani.n@jichi.ac.jp.

No abstract available

Keywords: Ambulatory blood pressure monitoring; Nighttime blood pressure monitoring; Nighttime dipping.

Conflict of interest statement

Compliance with ethical standards. Conflict of interest: The author declares no competing interests.

Blood pressure measurement and nocturnal dipping patterns are heavily affected by body posture through changes in hydrostatic pressure between the arm and the heart.
Pilz N, Narkiewicz K, Wolf J, Kario K, Visser T, Opatz OS, Reuter A, Dippel LJ, Fesseler L, Heinz V, Patzak A, Bothe TL. Pilz N, et al. Hypertens Res. 2025 Mar;48(3):1144-1154. doi: 10.1038/s41440-024-02056-0. Epub 2024 Dec 6. Hypertens Res. 2025. PMID: 39639129 Free PMC article.

1. Verdecchia P, Porcellati C, Schillaci G, Borgioni C, Ciucci A, Battistelli M, et al. Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension. Hypertension. 1994;24:793–801. - DOI - PubMed
1. Boggia J, Li Y, Thijs L, Hansen TW, Kikuya M, Bjorklund-Bodegard K, et al. Prognostic accuracy of day versus night ambulatory blood pressure: a cohort study. Lancet. 2007;370:1219–29. - DOI - PubMed
1. Kario K, Hoshide S, Mizuno H, Kabutoya T, Nishizawa M, Yoshida T, et al. Nighttime blood pressure phenotype and cardiovascular prognosis: practitioner-based nationwide JAMP study. Circulation. 2020;142:1810–20. - DOI - PubMed - PMC
1. Mancia G, Kreutz R, Brunstrom M, Burnier M, Grassi G, Januszewicz A, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023;41:1874–2071. - DOI - PubMed
1. Pilz N, Narkiewicz K, Wolf J, Kario K, Visser T, Opatz OS, et al. Blood pressure measurement and nocturnal dipping patterns are heavily affected by body posture through changes in hydrostatic pressure between the arm and the heart. Hypertens Res. 2025. https://doi.org/10.1038/s41440-024-02056-0 .