Stroke Prognosis and Abnormal Nocturnal Blood Pressure Falls in Older Hypertensives

By K. Kario, T. Pickering, T. Matsuo, S. Hoshide, J. Schwartz, K. Shimada. HYPERTENSION, 2001

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The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension. (2013, background): “Extreme dippers may have an increased risk for stroke [97].”
2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC) (2007, background): “Extreme dippers may have an increased risk for stroke [97].”
ESH / ESC Guidelines for the management of arterial hypertension (2013, background): “Extreme dippers may have an increased risk for stroke.(97) However, data on the increased CV risk in extreme dippers are inconsistent and thus the clinical significance of this phenomenon is uncertain.”
The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019) (2019, background): “Asymptomatic ischemic stroke is an index of target organ damage along with white matter lesions, and non-dipper, riser and morning surges observed by 24-h blood pressure monitoring are its risk factors [166, 180, 181, 928].”