Morning rise of blood pressure in patients with hypertension and differentvariants of 24-hour blood pressure profile

Relationship between blood pressure rise in the morning hours and 24-hour b lood pressure profile was studied in 165 patients (78 men, mean age 56,4+/- 2,7 years) with stage II mild and moderate essential hypertension (duration of the disease 13+/-1,2 years). Morning blood pressure rise was maximal in patients with normal or excessive nocturnal decline in blood pressure and minimal in patients with nocturnal hypertension. Thus a conclusion was made that analysis of supplementary characteristics of blood pressure during mo rning hours (its magnitude and velocity) is necessary for augmentation of i nformative power of evaluation of the morning blood pressure peak. Some cli nically important correlations of parameters of the morning blood pressure rise with variability, nocturnal decline in blood pressure and characterist ics of carbohydrate and lipid metabolism were also established.