The clinical value of ambulatory blood pressure monitoring

Similar findings were obtained in the Allied Irish Bank studies. 7 There are more than 30 cross sectional studies that have linked ambulatory blood pressure to target organ damage using the parameters of left ventricular hypertrophy, 8 9 microalbuminuria, 10 retinal hypertensive changes, and cerebro...

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Bibliographic Details
Published in:Heart (British Cardiac Society) 1998-02, Vol.79 (2), p.115-117
Main Authors: GIBBS, C R, MURRAY, S, BEEVERS, D G
Format: Article
Language:English
Subjects:
Blood pressure
Blood Pressure Monitoring, Ambulatory
Circadian Rhythm
Hospitals
Humans
Hypertension
Hypertension - diagnosis
Hypertension - etiology
Measurement techniques
Morbidity
Mortality
Physicians
Prognosis
Reference Values
Stress, Psychological - complications
Studies
Citations: Items that cite this one
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Summary:Similar findings were obtained in the Allied Irish Bank studies. 7 There are more than 30 cross sectional studies that have linked ambulatory blood pressure to target organ damage using the parameters of left ventricular hypertrophy, 8 9 microalbuminuria, 10 retinal hypertensive changes, and cerebrovascular disease. 11 These studies have revealed ambulatory blood pressure to be a more sensitive predictor of target organ damage than single casual office measurements, and it has been assumed that these surrogate end points of target organ involvement can be extrapolated to the ultimate end points of cardiac or cerebrovascular death and morbidity. In two studies the hospital based nurse blood pressure readings more closely resembled the daytime average ambulatory measurements than the readings by the doctors. 14 15 There is longitudinal evidence that the cardiovascular complications of hypertension may also depend on the degree of 24 hour blood pressure variability. 16 In addition, the results of a recently published long term study do suggest that ambulatory blood pressure stratifies cardiovascular risk in essential hypertension, independently of clinic blood pressure and other traditional risk markers. 17 This study also examined the significance of a blunted or absent reduction in nocturnal blood pressure (non-dipper status) and a raised pressor response in the clinic environment (white coat hypertension).
ISSN:1355-6037
1468-201X
DOI:10.1136/hrt.79.2.115