Abstract：Objective To discuss the clinical value of early morning blood pressure in disease diagnosis. Methods Statistical treatment was carried out on 24hour ambulatory blood pressure data collected in our ABPM Room during the latest three months. For patients with cardiocerebrovascular disease, their 24hour ambulatory blood pressure was analyzed and the conditions of morning blood pressure were studied. Results There were 202 patients who had poor control of blood pressure in the early morning among 308 ordinary hypertension patients , and the proportion was 70%-80% among the patients with cardiocerebrovascular disease. Conclusion The incidence of blood pressure increase in the early morning among hypertension patients is relatively high and risky, closely related to cardiocerebrovascular events. The early morning blood pressure proves to be clinically significant in diagnosing masked hypertension.
林贝贝, 于霞, 况国芳. 清晨血压及血压晨峰的临床诊断价值[J]. 实用心电学杂志, 2015, 24(3): 215-216.
LIN Bei-Bei, YU Xia, KUANG Guo-Fang. Clinical diagnostic value of early morning blood pressure and morning surge in blood pressure. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2015, 24(3): 215-216.
[1] 中华医学会心血管病学分会高血压学组.清晨血压临床管理的中国专家指导建议[J].中华心血管病杂志，2014，42（9）：721-725.[2] Kario K，Pickering TG，Umeda Y，et al. Morning surge in blood pressure as a predictor of silent and clinical cerebrovascular disease in elderly hypertensive: a prospective study[J].Circulation，2003，107(10):1401-1406.[3] Neutel JM，Schumacher H，Gosse P，et al. Magnitude of the early morning blood pressure surge in untreated hypertensive patients: a pooled analysis [J].Int J Clin Pract，2008，62（11）：1654-1663.[4] Kario K，Ishikawa J，Pickering TG，et al. Morning hypertension :the strongest independent risk factor for stroke in elderly hypertensive patients[J].Hypertens Res，2006，29(8):581-587.
2015, Vol. 24 
