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Labile hypertension: a new disease or a variability phenomenon?
Elias Sanidas1, Charalampos Grassos2, Dimitrios P Papadopoulos3
1Department of Cardiology, Hypertension Excellence Centre - ESH, LAIKO General Hospital, Athens, Greece. easanidas@yahoo.gr.
Blood pressure variability (BPV) and labile hypertension (HTN) are linked to cardiovascular events. This review explores their prognostic significance beyond average blood pressure readings.
Area of Science:
- Cardiology
- Physiology
- Hypertension Research
Background:
- Blood pressure (BP) exhibits short- and long-term variability due to cardiovascular mechanisms and external factors.
- Both mean BP and BP variability (BPV) are implicated in cardiovascular (CV) events.
- Labile hypertension (HTN), characterized by sudden BP surges, is associated with adverse outcomes.
Purpose of the Study:
- To review and synthesize current research on BP variability (BPV).
- To elucidate the concept of labile hypertension (HTN).
- To assess the prognostic implications of BPV and labile HTN.
Main Methods:
- Literature review of recent evidence on BP variability and labile hypertension.
- Synthesis of findings related to the phenomenon of BPV.
- Analysis of studies investigating the prognostic value of these conditions.
Main Results:
- BPV is a significant factor contributing to cardiovascular events, independent of mean BP.
- Labile hypertension is increasingly recognized as a marker for increased CV risk.
- Evidence supports the prognostic importance of monitoring BP fluctuations.
Conclusions:
- BPV and labile HTN represent critical areas in cardiovascular risk assessment.
- Understanding these phenomena is crucial for predicting and potentially preventing CV events.
- Further research into the mechanisms and management of BPV and labile HTN is warranted.
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