Circadian rhythms of arterial blood pressure

We measured variations of blood pressure during the day in 46 untreated outpatients (25 hypertensives and 21 normotensives) to assess their circadian patterns. The self-measured blood pressures (autorhythmometry), determined at 08:00, 12:00, 16:00, 20:00 and 23:00 for 40 consecutive days were evaluated chronobiologically from single and population mean cosinors. On the basis of the results, we conclude that it is impossible to propose a common schedule of temporal therapy that will be effective for all hypertensive patients because of the unpredictable circadian behavior of blood pressure in this kind of subjects. Therefore, we suggest that individual circadian patterns of arterial pressure be studied when therapy is being established, so that the best therapeutic results can be achieved.