Use and interpretation of ambulatory blood pressure monitoring: recommendations of the British Hypertension Society

作者: Eoin O'Brien , Andrew Coats , Patrick Owens , James Petrie , Paul L Padfield

DOI: 10.1136/BMJ.320.7242.1128

关键词: Risk profileWhite coat hypertensionSphygmomanometerIntensive care medicineAmbulatoryDay to dayAmbulatory blood pressureSelf measurementBlood pressureMedicineGeneral Medicine

摘要: Over the past 20 years or so, accuracy of using conventional Riva-Rocci sphygmomanometer and Korotkoff's sounds to measure blood pressure has been questioned, efforts have made improve measurements with automated devices.1 2 In same period, phenomenon white coat hypertension recognised—whereby some patients who apparently raised actually normal when measurement is repeated away from medical environment; this focused attention on methods that provide profiles rather than rely isolated under circumstances may influence pressure.3 These included traditional technique, self in home workplace, ambulatory devices.2 Ambulatory monitoring advantageous because it gives multiple throughout day night This paper considers only adults. Its purpose not make a case for against measurement; others already done so.4 5 Although results number ongoing, longitudinal studies are forthcoming, there now firm evidence more sensitive predictor cardiovascular outcome measurement.6 We considered complex issues health economics increasing use raises.7 realise technique being used often doctors find useful management high need recommendations those experience. However, regardless diagnose one factor determining patient's risk profile must be assessed relation concomitant disease, …

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