Table A9.
ABPM parameters and prediction of cardiovascular outcomes
| Recommendation | Class of recommendation | Level of evidence |
|---|---|---|
| 1. The risk of cardiovascular disease (stroke, coronary artery disease, and/or heart failure) is more closely associated with elevated 24‐h, daytime, nighttime and/or morning BP on ABPM than with clinic BP | I | A |
| 2. Masked hypertension is associated with a higher risk of cardiovascular disease than normotension or white‐coat hypertension | I | A |
| 3. Uncomplicated white‐coat hypertension does not increase cardiovascular risk, but white‐coat hypertension in the presence of risk factors and/or target organ damage may be associated with greater risk of cardiovascular events compared with normotension | I | A |
| 4. Nocturnal hypertension and non‐dipper/riser patterns are associated with increased risk of cardiovascular disease, including heart failure, while exaggerated morning surge and extreme dipping are likely to be associated with atherosclerotic cardiovascular disease | I | A |
| 5. Short‐term ambulatory BPV is associated with increased cardiovascular risk | IIa | B |
Abbreviations: ABPM, ambulatory blood pressure monitoring; BP, blood pressure; BPV, blood pressure variability.