Letter by Pengo et al Regarding Article, “Nighttime Blood Pressure Phenotype and Cardiovascular Prognosis: Practitioner-Based Nationwide JAMP Study”

Abstract

CORRESPONDENCEnighttime BP dipping status and cardiovascular outcomes. Thus, we strongly suggest that patients with nighttime hypertension or nocturnal riser patterns undergo sleep assessment to rule out OSA or other sleep-related disorders that can affect their overall cardiovascular risk before being started on additional antihypertensive pills.

Response by Kario et al to Letter Regarding Article, “Nighttime Blood Pressure Phenotype and Cardiovascular Prognosis: Practitioner-Based Nationwide JAMP Study”

“…We appreciate comments of Pengo and colleagues. 2 According to their comments, we studied the sleep duration in the JAMP study (Japan Ambulatory Blood Pressure Monitoring Prospective) database. The mean sleep duration was 417.3 minutes in the subjects overall, 410.7 minutes in extreme dippers, 416.8 minutes in dippers, 420.7 minutes in nondippers, and 418.4 minutes in risers.…”