Blood pressure dysregulation syndrome is characterized by abnormal swings i
n blood pressure following postural changes, meals, exercise, and during sl
eep. Although the syndrome may occur in normotensive individuals, a growing
body of evidence suggests an association between blood pressure dysregulat
ion and hypertension. Diagnosis can be aided using 24-hour ambulatory blood
pressure monitoring. Improved understanding of the syndrome and heightened
awareness of its existence in older persons can help clinicians provide mo
re effective management of hypertension. Adequate control of blood pressure
throughout the circadian cycle should be a treatment objective.