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Ambulatory Blood Pressure Monitoring: Five Decades of More Light andLess Shadows

View Article: PubMed Central - PubMed

ABSTRACT

Casual blood pressure measurements have been extensively questioned over the lastfive decades. A significant percentage of patients have different blood pressurereadings when examined in the office or outside it. For this reason, a change inthe paradigm of the best manner to assess blood pressure has been observed. Themethod that has been most widely used is the Ambulatory Blood PressureMonitoring - ABPM. The method allows recording blood pressure measures in 24hours and evaluating various parameters such as mean BP, pressure loads, areasunder the curve, variations between daytime and nighttime, pulse pressurevariability etc. Blood pressure measurements obtained by ABPM are bettercorrelated, for example, with the risks of hypertension. The main indicationsfor ABPM are: suspected white coat hypertension and masked hypertension,evaluation of the efficacy of the antihypertensive therapy in 24 hours, andevaluation of symptoms. There is increasing evidence that the use of ABPM hascontributed to the assessment of blood pressure behaviors, establishment ofdiagnoses, prognosis and the efficacy of antihypertensive therapy. There is nodoubt that the study of 24-hour blood pressure behavior and its variations byABPM has brought more light and less darkness to the field, which justifies thetitle of this review.

No MeSH data available.


Algorithm suggesting the rational application of ambulatory bloodpressure monitoring to evaluate blood pressure behaviors. OBP:office blood pressure; ABPM: ambulatory blood pressure monitoring;HBPM: home blood pressure monitoring; SBP: systolic blood pressure/DBP: diastolic blood pressure.
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f5: Algorithm suggesting the rational application of ambulatory bloodpressure monitoring to evaluate blood pressure behaviors. OBP:office blood pressure; ABPM: ambulatory blood pressure monitoring;HBPM: home blood pressure monitoring; SBP: systolic blood pressure/DBP: diastolic blood pressure.

Mentions: To answer this question, we suggest a number of evaluations, based on thealgorithm of the Canadian guidelines69 for the use of ABPM to identify blood pressurebehaviors (Figure 5).


Ambulatory Blood Pressure Monitoring: Five Decades of More Light andLess Shadows
Algorithm suggesting the rational application of ambulatory bloodpressure monitoring to evaluate blood pressure behaviors. OBP:office blood pressure; ABPM: ambulatory blood pressure monitoring;HBPM: home blood pressure monitoring; SBP: systolic blood pressure/DBP: diastolic blood pressure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4940152&req=5

f5: Algorithm suggesting the rational application of ambulatory bloodpressure monitoring to evaluate blood pressure behaviors. OBP:office blood pressure; ABPM: ambulatory blood pressure monitoring;HBPM: home blood pressure monitoring; SBP: systolic blood pressure/DBP: diastolic blood pressure.
Mentions: To answer this question, we suggest a number of evaluations, based on thealgorithm of the Canadian guidelines69 for the use of ABPM to identify blood pressurebehaviors (Figure 5).

View Article: PubMed Central - PubMed

ABSTRACT

Casual blood pressure measurements have been extensively questioned over the lastfive decades. A significant percentage of patients have different blood pressurereadings when examined in the office or outside it. For this reason, a change inthe paradigm of the best manner to assess blood pressure has been observed. Themethod that has been most widely used is the Ambulatory Blood PressureMonitoring - ABPM. The method allows recording blood pressure measures in 24hours and evaluating various parameters such as mean BP, pressure loads, areasunder the curve, variations between daytime and nighttime, pulse pressurevariability etc. Blood pressure measurements obtained by ABPM are bettercorrelated, for example, with the risks of hypertension. The main indicationsfor ABPM are: suspected white coat hypertension and masked hypertension,evaluation of the efficacy of the antihypertensive therapy in 24 hours, andevaluation of symptoms. There is increasing evidence that the use of ABPM hascontributed to the assessment of blood pressure behaviors, establishment ofdiagnoses, prognosis and the efficacy of antihypertensive therapy. There is nodoubt that the study of 24-hour blood pressure behavior and its variations byABPM has brought more light and less darkness to the field, which justifies thetitle of this review.

No MeSH data available.