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Extreme dipping: More complex than it looks
Cesare Cuspidi1,2, Marijana Tadic3, Guido Grassi1
1Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy.
Abstract:
Information on clinical and prognostic implications of the extreme dipping (ED) pattern is scanty and findings provided by studies are controversial. Increasing evidence suggests than mean night-time blood pressure (BP), a powerful predictor of cardiovascular outcomes, in ED can be markedly different between patients and distributed over a wide range of values ranging from hypotension to hypertension. On the whole, these findings emphasize the need to know that the ED pattern is a heterogeneous phenotype that deserve to be evaluated more in detail in future studies.
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