Table 1.
Type of BPV | Methods for assessment | Main types of index | Determinants |
---|---|---|---|
Very short-term BPV (seconds or minutes, beat-to beat) | Continuous BP recordings |
SD CoV ARV Spectral analysis |
Neurohormonal factors (baroreceptor reflex, sympathetic drive) Emotion and stress |
Short-term BPV (within a day, 24-h) |
ABPM HBPM |
SD CoV 24-h weighted SD ARV 24-h VIM Spectral analysis |
Circadian rhythm Nocturnal dipping of BP; night/day ratio Obstructive sleep apnea Neurohormonal factors (glucocorticoids, RAAS system) Emotional and behavioural factors |
Mid-term BPV (between days, day-to-day) |
ABPM over 48 h HBPM |
SD CoV ARV VIM |
Choice of antihypertensive treatment Adherence to therapy Vascular factors (endothelial damage, arterial compliance) |
Long-term BPV (between seasons, visit-to visit) |
ABPM HBPM OBPM |
SD CoV ARV VIM |
Choice of antihypertensive treatment Adherence to therapy Vascular factors (endothelial damage, arterial compliance) Seasonal changes |
BPV blood pressure variability, SD standard deviation of BV values, CoV coefficient of variation, assessed by dividing SD by the corresponding mean BP and multiplied by 100, ARV average real variability, the average of the absolute differences between consecutive BP measurement, VIM variability independent of the mean, ABPM ambulatory blood pressure monitoring, HBPM home blood pressure monitoring, OBPM office blood pressure monitoring, RAAS renin–angiotensin–aldosterone system