Strict control of awake blood pressures (BP), ie, clinic BP and home BP measured in the morning and evening, would be effective for reducing the risk of cardiovascular events associated with hypertension if it were not for one inconvenient fact: even after daytime BPs are controlled, hypertension management involves a residual risk in the form of masked uncontrolled nocturnal hypertension.
A comprehensive review article published in Hypertension summarizes the clinical implications of night-time BP control based on the pathophysiology and recent evidence. Try these 8 questions to test your knowledge of essential points about this dangerous phenotype.