Clinical value of ambulatory blood pressure: Is it time to recommend for all patients with hypertension?

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• 作者：Yalcin Solak ; Kazuomi Kario ; Adrian Covic…
• 关键词：Ambulatory blood pressure monitoring ; Hypertension ; Cardiovascular disease
• 刊名：Clinical and Experimental Nephrology
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：20
• 期：1
• 页码：14-22
• 全文大小：818 KB
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• 作者单位：Yalcin Solak (1)
  Kazuomi Kario (2)
  Adrian Covic (3)
  Nathan Bertelsen (4)
  Baris Afsar (5)
  Abdullah Ozkok (6)
  Andrzej Wiecek (7)
  Mehmet Kanbay (4)
  
  1. Division of Nephrology, Department of Internal Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
  2. Department of Cardiovascular Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan
  3. Nephrology Clinic, Dialysis and Renal Transplant Center, ‘C.I. PARHON’ University Hospital, ‘Grigore T. Popa’ University of Medicine, Iasi, Romania
  4. Division of Nephrology, Department of Medicine, Koc University School of Medicine, Sariyer, Istanbul, Turkey
  5. Division of Nephrology, Department of Medicine, Konya Numune State Hospital, Konya, Turkey
  6. Division of Nephrology, Department of Medicine, Istanbul Medeniyet University School of Medicine, Istanbul, Turkey
  7. Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Nephrology
  Internal Medicine
  Urology and Andrology
  
• 出版者：Springer Japan
• ISSN：1437-7799

文摘

Hypertension is a very common disease, and office measurements of blood pressure are frequently inaccurate. Ambulatory Blood Pressure Monitoring (ABPM) offers a more accurate diagnosis, more detailed readings of average blood pressures, better blood pressure measurement during sleep, fewer false positives by detecting more white-coat hypertension, and fewer false negatives by detecting more masked hypertension. ABPM offers better management of clinical outcomes. For example, based on more accurate measurements of blood pressure variability, ABPM demonstrates that taking antihypertensive medication at night leads to better controlled nocturnal blood pressure, which translates into less end organ damage and fewer clinical complications of hypertension. For these reasons, albeit some shortcomings which were discussed, ABPM should be considered as a first-line tool for diagnosing and managing hypertension.