ArticleAmerican journal of hypertension2019
Circadian Blood Pressure Variations Computed From 1.7 Million Measurements in an Acute Hospital Setting.
Article in American journal of hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Circadian Rhythm Disruptions and Cardiovascular Disease Risk: The Special Role of Melatonin.Current issues in molecular biology · 2025Review
- Pulse oximetry values from 33,080 participants in the Apple Heart & Movement Study.NPJ digital medicine · 2023Article
- Diagnosing hypertension in primary care: a retrospective cohort study to investigate the importance of night-time blood pressure assessment.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Timing of diuretic administration effects on urine volume in hospitalized patients.Frontiers in physiology · 2023Article
- Estimated Prevalence of Hypertension and Undiagnosed Hypertension in a Large Inpatient Population: A Cross-sectional Observational Study.American journal of hypertension · 2021Observational
- Day-to-day progression of vital-sign circadian rhythms in the intensive care unit.Critical care (London, England) · 2021Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundKnowledge of the circadian blood pressure (BP) variations in the acute hospital setting is very limited.
methodsThis is a retrospective analysis of BP data for in-hospital patients stratified by age and sex. We used data collected with the help of a standardized electronic health record system between March 2014 and April 2018 on the adult general wards in 4 acute hospitals in Oxford, UK.
resultsA total of 41,455 unique patient admissions with 1.7 million sets of vital-sign measurements have been included in the study. The typical 24-hour systolic BP profile (dipping pattern during sleep followed by a gradual increase during the day) was only seen in the younger age groups (up to 40-49 for men and 30-39 for women). For older age groups, there was a late nocturnal rise in systolic BP, the amplitude of which increased with age. The late nocturnal BP rise above the age of 50 was seen whether or not the patient was treated for or previously identified with hypertension.
conclusionHospitalized patients' circadian patterns of BP largely mirror those found in the community. High-quality hospital data may allow for the identification of patients at significant cardiovascular risk through either opportunistic screening or systematic screening.
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