Importance Long-term blood pressure (BP) variability has emerged as a reproducible
measure that is associated with heart failure independent of systemic BP. Visit-to-visit BP
variability may be associated with the risk of heart failure early in the life course and thus
may be reflected in subclinical alterations in cardiac structure and function. Objective To
evaluate the association between visit-to-visit BP variability in early adulthood and
myocardial structure and function in middle age. Design, Setting, and Participants This …