Nighttime blood pressure levels and phenotypes: prognostic value and reproducibility
Francesca Coccina, Sante D Pierdomenico · 2026
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Description
Francesca Coccina and Sante Pierdomenico checked in 2026 what the night reveals about blood pressure. A full day of ambulatory monitoring beats a single clinic reading at predicting cardiovascular results, and its distinctive gift is the nighttime pattern. Healthy sleepers are dippers, whose pressure falls by a tenth to a fifth overnight. Nondippers fall less, reverse dippers rise, and extreme dippers fall by more than a fifth, and each pattern carries its own prognosis.
Studies across several countries agree that nighttime levels and these phenotypes shape risk, with nondippers, reverse dippers. And extreme dippers all faring worse than normal dippers over years of follow-up, even after other risk factors are counted. The review weighs that prognostic evidence and the separate question of reproducibility, whether a patient's pattern tonight is the same pattern a second recording would show. This decides how much weight one night can bear.
Catalog record
| CREATOR | Francesca Coccina, Sante D Pierdomenico |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 6 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |