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The advent of ambulatory blood pressure monitoring has led to an improved reliability
of blood pressure measurement. A consensus has emerged that such monitoring of blood
pressure more closely identifies hypertensive organ damage than does office blood
pressure. The application of this technology to various aspects of vascular disease
is increasing and cerebrovascular disease is no exception. There is preliminary evidence
that patients whose blood pressure does not drop at night are at added risk for cerebrovascular
disease. To complicate matters, patients with an exaggerated drop of blood pressure
during sleep may also be at increased risk. Finally, valid concern has been raised
that nocturnal hypotension may accelerate visual loss in certain subgroups of subjects
with eye disease. These preliminary findings will stimulate further work in this promising
and important area.
Key words
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Article info
Publication history
Accepted:
December 4,
1996
Received:
October 11,
1996
Identification
Copyright
© 1997 National Stroke Division. Published by Elsevier Inc.
