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Page: << Prev | 1 | 2 "Since a non-dipping blood pressure pattern is not very common in the population -- approximately 6 percent in our population -- the importance on a population level obviously is lower than some of the main risk factors of heart failure," he said.
Dr. Deepak L. Bhatt, associate director of the Cleveland Clinic Cardiovascular Coordinating Center, said that, "from a research point of view [the study results] are fascinating. But it is important to see if we could identify people who had this pattern, then try to do something to fix it and see if it makes a difference."
Devices are available for 24-hour blood pressure monitoring, Bhatt said, adding, "I wore one of them myself for a couple of days." But they do involve "some degree of cost and some degree of inconvenience," he said. Studies are needed to determine whether that cost and inconvenience would be justified, he said.
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Ingelsson agreed, in virtually the same language. "There already are several reasons for using 24-hour blood pressure monitoring, and this study adds to that. However, cost-effectiveness and interventional studies need to be done before starting to screen patients on a large scale."
Dr. Margaret Redfield, director of the Mayo Clinic Heart Failure Clinic in Rochester, Minn., added that the study "is important and is consistent with the growing awareness that what happens at night matters. I'm not sure whether we are moving to 24-hour monitoring for all patients. Perhaps this study will lead to recommendations about how important it is to measure blood pressure at night. It certainly indicates that it is."
Meanwhile, the American Heart Association and the American Diabetes Association are calling for greater prevention and treatment efforts for those respective diseases, focusing on such risk factors as high blood pressure and high blood cholesterol.
"It is long past time to start getting these risk factors under control through lifestyle changes and medication," Dr. Robert H. Eckel, president of the heart association, said in a statement.
More information
The importance of nighttime blood pressure is described by the American Heart Association (www.americanheart.org ).
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