いわゆるdipper型。
夜間睡眠中の血圧の平均値が昼間覚醒時の血圧の平均値より10～20%下降しているもの。
正常血圧者や軽・中等症本態性高血圧(WHO病期分類の1期と2期)患者の大多数でみられる。
夜間血圧下降型の高血圧患者では、脳・心・腎の高血圧性臓器障害はないか軽い。

参考

1.

http://blog.m3.com/reed/categories/635?page=6

2. 高血圧治療ガイドライン2009(JSH2009)

http://www.jpnsh.org/manuscript080920.html

WordNet

a ladle that has a cup with a long handle

PrepTutorEJDIC

ひしゃく,しゃもじ / 《the 『D』‐》北斗七星(the Big Dipper);小北斗七星(the Little Dipper)

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1. 脳卒中評価の概要overview of the evaluation of stroke [show details]
… and a possible decline in neurologic functioning when blood pressure is lowered. Patients with increased intracranial pressure (ICP) due to hemorrhage, vertebrobasilar ischemia, or bihemispheric ischemia … abrupt and may continue over a longer period of time. Symptoms of SAH begin abruptly, occurring at night in 30 percent of cases. The primary symptom is a sudden, severe headache (97 percent of cases) classically … should be used to distinguish between other disorders in the differential diagnosis of stroke As examples, seizures, syncope, migraine, and hypoglycemia can mimic acute ischemia. The most difficult cases …
2. 高血圧の成人の目標血圧goal blood pressure in adults with hypertension [show details]
… from other trials also suggest that lower blood pressures are associated with better outcomes. As an example, the Prevention After Stroke-Blood Pressure (PAST-BP) trial assigned 529 patients with a history …
3. 成人における高血圧症の診断およびマネージメントのための血圧測定blood pressure measurement in the diagnosis and management of hypertension in adults [show details]
… AOBP values were 10/4 mmHg lower than routine office measurements obtained by clinicians and 7/4 mmHg lower than routine office measurements… Ambulatory blood pressure monitoring (ABPM) is determined using a device (worn by the patient) that takes blood pressure (BP) measurements over a… and the average day (diurnal) and night (nocturnal) BPs are determined from the data by a computer.…
4. 成人における24時間携帯血圧および家庭血圧測定ならびに白衣高血圧症ambulatory and home blood pressure monitoring and white coat hypertension in adults [show details]
… elevated blood pressure by ABPM correlated more strongly with progression to end-stage renal disease (ESRD) than clinic systolic blood pressure . In addition, night ambulatory blood pressure was a strong… respectively; the former is lower since the blood pressure normally falls with sleep . Most experts agree that 24-hour blood pressure <115/75 mmHg is probably normal,… the efficacy of home blood pressure self-monitoring on blood pressure reduction and control is less clear in patients with socioeconomic health barriers. For example,…
5. 小児における高血圧緊急症および高血圧性急迫症に対するアプローチapproach to hypertensive emergencies and urgencies in children [show details]
… populations: Patients for whom rapid BP lowering is contraindicated – These patients have conditions in which rapid lowering of BP may cause organ ischemia: Patients… Proper management of children with elevated blood pressure (BP) requires working knowledge of pediatric BP standards… symptoms and/or damage are present and associated with an acute change in mean arterial pressure. For example, a child with chronic hypertension may have very high BP measurements with no symptoms. Another child …

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高血圧症

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関連記事	「血圧」「夜間血圧」「血圧下降」「下降」「例」

「血圧」

　　[★]

英: blood pressure, BP
同: 動脈圧 arterial pressure AP
関: 血圧測定

成人の血圧

至適血圧：＜120mmHg　かつ　＜80mmHg
正常血圧：130mmHg　かつ　85mmHg
正常高値血圧：130～139mmHg　または　85～89mmHg
I度高血圧(軽症)：140～159mmHg　または　90～99mmHg
II度高血圧(中等症)：160～179mmHg　または　100～109mmHg
III度高血圧(重症)：≧180mmHg　または　≧110mmHg
収縮期高血圧：≧140mmHg　かつ　＜90mmHg

糖尿病性腎症

管理目標： 130/80 mmHg
尿蛋白1g/日以上：125/75 mmHg

冠血管と血圧

In the normal state, autoregulatory mechanisms adjust coronary tone tomatch myocardial oxygen supply with oxygen requirements. In the absence of obstructive coronary disease, thesemechanisms maintain fairly constant rate of coronary flow, as long as the aortic perfusion pressure is approximately 60 mmHg or greater.