Advantages of Ambulatory Blood Pressure Monitoring in Assessing the Efficacy of Antihypertensive Therapy.

摘要: The cumulative evidence in the past three decades situates ambulatory blood pressure monitoring (ABPM) as a central element diagnosing and predicting prognosis of subjects with hypertension. However, for various reasons, this diagnostic prognostic importance has not been translated equal measure into making decisions or guiding antihypertensive treatment. Mean 24-h, daytime, night-time estimates, occurrence divergent phenotypes between clinic measurements, ABPM, well main elements that determine variability over 24 h, especially dipping, are all addition to providing patient prognosis, can be used guide treatment follow-up enabling greater precision defining effect drugs. In recent years, specific indices have developed using 24-h monitoring, evaluate duration action, homogeneity period, its possible effects on variability. future controlled clinical trials therapies it is necessary those treatments hard endpoints based therapy guided by ABPM.