Meal-induced blood pressure fall in patients with isolated morning hypertension

Abstract

We aimed to determine a possible association between isolated morning hypertension (IMH) and meal-induced blood pressure (BP) fall in adult treated hypertensive patients who underwent home BP measurements. A total of 230 patients were included, median age 73.6, 65.2% women. After adjusting for age, sex, number of antihypertensive drugs, office and home BP levels, the association between IMH and meal-induced BP fall was statistically significant. In conclusion, meal-induced BP fall and IMH detected through home blood pressure monitoring (HBPM) are independently associated in hypertensive patients. The therapeutic implications of such observation need to be clarified in large-scale prospective studies.

• Home blood pressure
• hypertension
• isolated morning hypertension
• postprandial blood pressure
• postprandial hypotension

Acknowledgements

We are grateful to Ms Erika Barochiner for language editing.

Declaration of interest

The authors declare no conflict of interest.