Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
To the Editor: We agree with the conclusion
of Dr Staessen and colleagues1 indicating
the importance of ambulatory BP monitoring for predicting cardiovascular risk
in patients with isolated systolic hypertension. In addition, we would like
to stress that an excessive nocturnal BP decrease is clinically important
information in elderly hypertensive patients. As the threshold of BP needed
to maintain blood flow shifts to a higher level in elderly hypertensive subjects,
antihypertensive therapy might trigger ischemic episodes in some patients.
Kario K. Predicting Cardiovascular Risk Using Ambulatory Blood Pressure. JAMA. 2000;283(4):475–476. doi:10.1001/jama.283.4.475
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