Abbildung 28: Morgendlicher Blutdruck
Even when patients have controlled office blood pressure, their blood pressure in the early morning hours often is not controlled. Shown here are data from two studies: Analysis of the control of blood pressure using ambulatory blood pressure monitoring (ACAMPA) study in Spain in 290 treated hypertensives.1 Jichi Morning-Hypertension Research (J-MORE) study in 1027 treated hypertensives.2 Both studies found that 60% of treated and apparently well-controlled hypertensive patients still show high blood pressure levels in the morning hours. 1. Redón J, et al. Uncontrolled early morning blood pressure in medicated patients: the ACAMPA study. Blood Press Monit 2002; 7: 111–116. 2. Kario K et al. Morning Surge in Blood Pressure as a Predictor of Silent and Clinical Cerebrovascular Disease in Elderly Hypertensives. Circulation 2003; 108: 72e–73e.