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Review
. 2025 Sep;32(5):511-521.
doi: 10.1007/s40292-025-00737-6. Epub 2025 Sep 10.

Blood Pressure Variability (BPV): What Clinicians Need to Know a 2025 Expert Consensus Report Endorsed by the Egyptian Society of Cardiology

Nabil Farag  1 , Ahmed Bendary  2 , Ahmed Shawky Elserafy  1 , Ahmed Tageldien Abdellah  3 , Bassem Zarif  4 , Khaled Y Elnady  5 , Mohamed Seleem Mohamed  4 , Sameh Elkaffas  6 , Marina Tadros  7 , Omar Salem  7 , Sameh Nessim  7 , Sameh M Shaheen  1   5   8
Affiliations
Review

Blood Pressure Variability (BPV): What Clinicians Need to Know a 2025 Expert Consensus Report Endorsed by the Egyptian Society of Cardiology

Nabil Farag et al. High Blood Press Cardiovasc Prev. 2025 Sep.

Abstract

Blood pressure variability (BPV), independent of mean BP, is an emerging predictor of cardiovascular risk and hypertension-mediated organ damage. However, its clinical utility remains limited due to the lack of clear guideline recommendations, leading to variability in physician practices. Using the modified Delphi method, this is the first Egyptian consensus to provide expert recommendations for integrating BPV in Egypt's resource-limited settings.

Keywords: Blood pressure variability; Cardiology; Consensus; Egyptian society; Hypertension.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare absence of any competing interests.

References

    1. McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C, et al. 2024 Guidelines for the management of elevated blood pressure and hypertension. Eur Heart J. 2024;45:3912–4018. - PubMed - DOI
    1. Kreutz R, Brunström M, Burnier M, Grassi G, Januszewicz A, Muiesan ML, et al. 2024 European Society of Hypertension clinical practice guidelines for the management of arterial hypertension. Eur J Intern Med. 2024;126:1–15. - PubMed - DOI
    1. Dolan E, Stanton AV, Thom S, Caulfield M, Atkins N, McInnes G, et al. Ambulatory blood pressure monitoring predicts cardiovascular events in treated hypertensive patients—an Anglo-Scandinavian cardiac outcomes trial substudy. J Hypertens. 2009;27:876–85. - PubMed - DOI
    1. Rothwell PM, Howard SC, Dolan E, O’Brien E, Dobson J, Dahlöf B, et al. Effects of β blockers and calcium-channel blockers on within-individual variability in blood pressure and risk of stroke. Lancet Neurol. 2010;9:469. - PubMed - DOI
    1. Rothwell PM, Howard SC, Dolan E, O’Brien E, Dobson JE, Dahlöf B, et al. Prognostic significance of visit-to-visit variability, maximum systolic blood pressure, and episodic hypertension. Lancet. 2010;375:895–905. - PubMed - DOI

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