Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy.
IRCCS, Istituto Auxologico Italiano, Milano, Italy.
J Clin Hypertens (Greenwich). 2019 Sep;21(9):1284-1285. doi: 10.1111/jch.13656. Epub 2019 Aug 26.
Information on clinical and prognostic implications of the extreme dipping (ED) pattern is scanty and findings provided by studies are controversial. Increasing evidence suggests than mean night-time blood pressure (BP), a powerful predictor of cardiovascular outcomes, in ED can be markedly different between patients and distributed over a wide range of values ranging from hypotension to hypertension. On the whole, these findings emphasize the need to know that the ED pattern is a heterogeneous phenotype that deserve to be evaluated more in detail in future studies.
关于极度杓型（ED）模式的临床和预后意义的信息很少，而且研究结果存在争议。越来越多的证据表明，ED 患者的夜间平均血压（BP）作为心血管结局的有力预测指标，在患者之间差异显著，分布范围很广，从低血压到高血压不等。总的来说，这些发现强调了需要了解 ED 模式是一种异质性表型，值得在未来的研究中更详细地评估。
