Integrating Out-of-Office Blood Pressure in the Diagnosis and Management of Hypertension

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• 作者：Jordana B. Cohen ; Debbie L. Cohen
• 关键词：White ; coat hypertension ; Masked hypertension ; Hypertension screening ; Ambulatory blood pressure monitoring ; Home blood pressure monitoring
• 刊名：Current Cardiology Reports
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：18
• 期：11
• 全文大小：392 KB
• 刊物主题：Cardiology;
• 出版者：Springer US
• ISSN：1534-3170
• 卷排序：18

文摘

Guidelines for the diagnosis and monitoring of hypertension were historically based on in-office blood pressure measurements. However, the US Preventive Services Task Force recently expanded their recommendations on screening for hypertension to include out-of-office blood pressure measurements to confirm the diagnosis of hypertension. Out-of-office blood pressure monitoring modalities, including ambulatory blood pressure monitoring and home blood pressure monitoring, are important tools in distinguishing between normotension, masked hypertension, white-coat hypertension, and sustained (including uncontrolled or drug-resistant) hypertension. Compared to in-office readings, out-of-office blood pressures are a greater predictor of renal and cardiac morbidity and mortality. There are multiple barriers to the implementation of out-of-office blood pressure monitoring which need to be overcome in order to promote more widespread use of these modalities.