Nocturnal BP Dipping Pattern

Twenty four hour monitors split blood pressure into day and night averages. The percentage drop overnight classifies you into one of four dipping patterns.

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Scientific references

    Why night pressure matters

    Healthy physiology drops pressure ten to twenty percent during sleep, giving vessels a maintenance window. When the dip disappears, nighttime pressure quietly becomes the strongest predictor of organ damage and events.

    Understanding your result

    • A negative number means pressure rises at night, the reverse pattern
    • 0 to 9 percent is non dipping
    • 10 to 19 percent is the normal dipper pattern
    • 20 percent or more is extreme dipping, linked to morning surges

    What disrupts dipping

    Sleep apnea, kidney disease, salt sensitivity, shift work and poorly timed medication all blunt the night fall.

    Action

    Non dippers often benefit from moving at least one blood pressure medication to bedtime, a strategy shown to cut events in the Hygia trial.

    References