Table A7.
24‐h BP characteristics of specific diseases
| Recommendation | Class of recommendation | Level of evidence |
|---|---|---|
| 1. Obstructive sleep apnea is characterized by non‐dipper pattern and nocturnal hypertension with increased BPV, which may trigger sleep‐onset cardiovascular events | I | B |
| 2. Diabetes mellitus is characterized by non‐dipper pattern and nocturnal hypertension, and exaggerates the cardiovascular risk associated with nocturnal hypertension, especially when accompanied by orthostatic hypotension | I | B |
| 3. CKD is characterized by shortened dipping time, non‐dipper pattern and nocturnal hypertension, proportional to CKD stage | I | A |
| 4. Renovascular hypertension and endocrine disorders (primary aldosteronism, Cushing syndrome, pheochromocytoma, etc) are likely to have non‐dipper pattern and nocturnal hypertension | I | B |
| 5. Specific drugs (NSAIDs, Kanzo [licorice], etc) are likely to induce a non‐dipper pattern and nocturnal hypertension | IIa | B |
Abbreviations: ABPM, ambulatory blood pressure monitoring; BP, blood pressure; BPV, blood pressure variability; CKD, chronic kidney disease, NSAIDs, nonsteroidal anti‐inflammatories.