341
3554147819011156112
meals,8515960128109170233272327362
and1248596012874143214
other1496596012882120190253300
factors.1831596012858119182221290338392428
The2292596012898167230
lowest2557596012849119221283337376
pressure2968596012881128190244299369416478
is3481596012850105
normally3620596012882152199308368407446517
observed4170596012882153207269316385448517
at4723596012874111
rest,4870596012858121174213249
before5153596012881144190260306367
breakfast,851839012870117180242311358421474514549
in1434839012847116
the1586839012846116179
morning,18078390128109177224295334404473509
i.e.235183901284782145180
in2565839012846116
conditions2716839012871140210280318358396466537591
under3342839012877148217280327
which37128390128101170209271341
basal4088839012878141194257295
metabolism44258390128109170209272342412451490545655
occurs.5112839012878141204273320374409
This8511080012886155195249
pressure11351080012877124186241295364411474
is16441080012844100
therefore17781080012846115178225289334405452514
called23271080012868131170208271340
basal.27031080012875138193254294329
When307410800128132201262333
pressure34421080012876123186239294364411473
is3950108001284599
taken40851080012845107177240309
for44301080012853122170
the46351080012844115178
first4847108001285392138193232
time,5114108001284684194254289
it5438108001284684
may85113210128109170242
appear11261321012865136206269332378
slightly1539132101285897136206276315353424
higher19961321012874113184254316363
than23941321012842112175244
actual26731321012866128166237299338
which304913210128102171210272342
is3426132101284397
explained35581321012866136206245307346416478547
by41411321012873144
the43181321012843113175
patient's45281321012874136175214277346385411464
response50281321012850112167236306376431493
to8511563012839110
the9951563012847117180
procedure.12091563012878125194257318388458505567602
It1845156301285594
is19731563012848102
therefore21091563012847117180226289335405452514
recommended26571563012855117178249358466526597667730799
that34921563012845116179217
pressure37431563012878126187241296366412475
be42531563012877140
taken44271563012847108179241311
several47731563012861124193256303365403
times5212156301284584194254308
at8511805012862101
a9881805012875
run10971805012860129199
without134418050128101139178248318388427
taking18061805012852114183222291362
off22041805012883129176
the24151805012851121183
cuff26331805012875144192238
but29071805012881151190
only31321805012883153192263
deflating34281805012883146192230293331370440510
it3973180501285190
completely.40981805012875145255323362425464526565635669
The48021805012898168230
last50681805012850113168206
and53101805012873143212
the8512046012839110172
least10572046012858120182237276
value13682046012888151189259321
should17242046012873143213283322391
be21512046012888150
considered23372046012881150219274313384445492554624
the29962046012857127190
closest32202046012880119190244306360399
to36542046012858127
the38172046012857126189
true40412046012857104174236
pressure.43122046012888135196251306376423485520
A486620460128120
transient50212046012858105166236290330391462500
increase8512288012839110172218280343396459
in13452288012863132
the15132288012861132195
arterial17432288012885131170233279318380419
pressure21972288012894140203257311381428490
may272322880128132192264
occur30202288012894157219289336
during33922288012893163210248319388
heavy38162288012892155217287357
exercise42062288012886157219266329368422485
(especially47262288012870132186256318381420481520559629
in53892288012862132
persons8512529012870133180233304373428
who132325290128102171242
are16002529012872119181
unaccustomed18162529012878149211272334404459498568677737808
to26592529012848119
it),2816252901284887134169
in30202529012848118
excitation31732529012872142205244282345383422492562
after37702529012872118157219266
taking40712529012848111180220289359
alcohol,44642529012872111174244314383423458
strong49572529012864102149218289359
tea53512529012848111172
or8512771012870117
coffee,10032771012863132179226288350385
in14232771012839109
heavy15662771012870133195264335
smoking19342771012855164232302342413483
or24512771012870118
during26022771012870141188226296366
attacks30042771012862100138201262333388
of34262771012870117
intense35782771012838108147210279334396
pain.40082771012870133171242277
Many120530120128125187257328
diseases15663012012899138193255318372434489
are20903012012891138200
attended23253012012891129168231300370433502
by28623012012899169
changes30653012012890161224294363426480
in35803012012868138
arterial37543012012890137175238285322385423
pressure.42133012012898145208261315386433494529
Elevation477730120128114153216286349387425496565
of53783012012897143
systolic8513254012855125178217288327366429
pressure13153254012884131194247302372419480
over18303254012886155218264
14021293254012885156225
mm240532540128109217
and26563254012878148219
of29103254012885133
diastolic30783254012884123186240279349388427489
over36033254012884154216263
9039013254012886155
mm410732540128109217
Hg437332540128101172
is45813254012854108
called47243254012878140186224287356
arterial51153254012878125163225272310373411
hypertension.8513495012870141209272319358421490545584653724759
The16453495012886155217
ESC/ESH18973495012886163257296382460561
guidelines24923495012871141180249312350389459522575
defined31033495012871134181218289352421
Hypertension355934950128102171240302349388451520575614683754
as43483495012863116
under:44983495012870141210273320358
•12053737012849
Grade128937370128160206269339402
117263737012877
hypertension:18383737012877148216279326365428497551590660731769
SBP26433737012886179257
14029343737012878148219
to31873737012847117
15933393737012877147218
mm359937370128109217
Hg385837370128102171
and/or40653737012870140210249319366
DBP447437370128102195273
9047813737012878147
to49633737012847117
9951153737012878148
mm530737370128109217
Hg85139790128101171
•12054220012849
Grade128942200128160206269339402
217264220012887
hypertension:18484220012887157226288335373436506560599669739778
SBP26624220012894188266
16029634220012886156226
to32244220012856126
17933864220012885156225
mm366342200128110219
Hg393242200128102171
and/or41394220012878149219259328376
DBP455042200128118211289
10048744220012886157227
to51364220012856125
10952974220012885155224
mm85144610128109218
Hg110344610128102171
•12054702012849
Grade128947020128160206269339402
317264702012888
hypertension:18494702012888159227290337374437506561600670740780
SBP26644702012896189267
greater29664702012888134199261299362409
than34104702012857126189258
or37044702012887135
equal38744702012880150219282320
to42304702012856127
18043924702012887158227
mm467247020128109217
Hg492347020128120190
and/or51494702012879150220259329375
DBP85149450128101194273
greater11594945012870117179241279342389
than15834945012839108171240
or18594945012870116
equal20104945012862131202264303
to23484945012838108
11024904945012870141211
mm273649450128109217
Hg298749450128101171
•12055186012849
Isolated128951860128106160231269332370433502
systolic18265186012869139192232301340379442
hypertension:23025186012884155223286333372434504559597667737776
SBP31135186012892186264
greater34115186012884131192255294355402
than38485186012853123186255
or41385186012883130
equal43045186012876145216277316
to46565186012852121
14048135186012884154224
mm508651860128109217
Hg535151860128101169
and8515427012862133202
DBP108954270128127220298
less14225427012864127180235
than16925427012864134197266
9019935427012895165
mm219354270128135243
Hg246954270128128198
(further27025427012873120189236275345407454
classified31905427012887126189242297336383421484554
into37785427012865135174244
Grades405754270128127173236305367421
as45135427012889142
per46915427012895157204
the49295427012865135198
above51615427012888157228297360
ranges8515669012847109179249312366
of12525669012870117
SBP).14045669012878172250295330
A120559110128101
drop13415911012872119189259
in16365911012841110
the17825911012841111174
systolic19925911012856127180219289328367429
pressure24555911012872120182237291360407470
below29605911012872134173243344
10033395911012872142212
mm358859110128109218
and38405911012864134205
of40815911012872119
diastolic42355911012871111173227265336374414476
below47465911012872135174243345
6051265911012872141
mm530559110128109217
Hg85161520128101171
is10586152012857111
known12046152012889159228330400
as16396152012880135
arterial18086152012881128166229274313376414
hypotension.22586152012887158226297336399468522562631701737
Longstanding303061520128104174243314368406469539609647718788
elevation38536152012880119182251314352391461530
of44186152012889136
arterial45886152012881128166229275313376415
pressure50386152012887135197250305375422483
occurs8516393012870133195264312366
in12526393012841110
essential13986393012864118173235305343382444483
hypertension,19176393012871141211274320358421491545584654724760
many271363930128110170240311
renal30576393012849111181244283
diseases33766393012870110164227289343405459
(glomerulonephritis,387063930128491191582273373974445145536246957568278969449811021105911141150
vascular50556393012871133187250319358420466
nephrosclerosis),8516635012870133202273320389443506545607653723778816871918953
in18406635012880150
certain202666350128104166213252315353422
endocrinological248466350128107176247317379426464535604643713783821884947984
diseases,350466350128113151206268331385447502537
and407666350128105174244
heart435566350128113175238284323
diseases,471466350128112151205268330384447500536
etc.528566350128105144205239
Systolic8516877012878148201241311351389452
pressure13386877012880128190244298368415477
alone18506877012874112182252315
is22006877012849104
sometimes23396877012866135245305344384493553608
elevated,29826877012874113176245307346409478513
whereas354268770128101171233279341404457
diastolic40356877012880120183236275345384422485
pressure45556877012881128190244299368415478
remains50676877012858120230290329399453
normal8517118012870141188297357396
or12837118012892139
decreased.14587118012891154216263325386441504573609
This210071180128108178217272
causes24087118012885146216270333386
a28307118012884
marked295071180128131191238308371441
increase34277118012861131194240302364419481
in39437118012861131
the41097118012862131194
pulse43387118012893162202256319
pressure.46927118012891138201255309379426489524
This525171180128108177216270
condition8517360012862133202273311351389459529
occurs14157360012887148211281327382
in18317360012856126
aortic19927360012879148195234273335
incompetence,23617360012856125188257367435497536599669732794829
thyrotoxicosis,32257360012854123196241311351422491530592663717755810846
less41067360012854117170225
markedly438273600128109170217287350419459529
in49457360012855125
anemia51057360012879148211320357419
of8517601012870117
any10037601012863132202
etiology12397601012862101140211249320390460
and17327601012863133203
atherosclerotic19717601012862100170232279348403466504567614683721761823
affections28297601012861108155217279318357427496551
of34147601012870118
the35677601012839108171
vessels.37727601012870133187241304342397432