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January 26, 2000

Predicting Cardiovascular Risk Using Ambulatory Blood Pressure

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(4):475-476. doi:10.1001/jama.283.4.475

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.