Morning Hypertension and Home Monitoring of Blood Pressure

Morning hypertension is a syndrome about which there is an increasing understanding but ambiguity remains (see:Management of morning hypertension: a consensus statement of an Asian expert panel). Below is a quote from an article on the topic:Morning hypertension refers to high BP in the morning period, regardless of BP during the rest of the hours of the day. Morning hypertension is defined as morning BP ≥135/85 mm Hg for both ABPM [ambulatory blood pressure monitoring] and home BP monitoring. Clinic BP measurement can be used for screening morning hypertension.The diagnostic threshold is a BP ≥140/90 mm Hg. Morning hypertension in this consensus document includes but is not limited to masked morning hypertension, which was defined in the 2014 Japanese Society of Hypertension Guidelines for the Management of Hypertension as an elevated ABPM or home BP in the morning (≥135/85 mm Hg) an d a normal clinic BP (<140/90 mm Hg).As a subject in a research study called MIPACT (see:U-M launches health study using Apple Watch), I was given anApple Watch and anOmron IntelliSense blood pressure monitor to generate data for the study at home. Because if was convenient for me, I routinely took my blood pressure in the morning as part of the study. I then discovered that my systolic pressure in the morning was occasionally in the range of 130-135 mm. It thus occurred to me my that I perhaps was a candidate for morning hypertension which would have been missed had I only relied on BP...
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