Document Detail

Canadian hypertension society guidelines for ambulatory blood pressure monitoring.
MedLine Citation:
PMID:  10604495     Owner:  NLM     Status:  MEDLINE    
The Canadian Hypertension Society has developed guidelines for the use of ambulatory blood pressure (BP) monitoring in clinical practice. Published articles with the best available levels of evidence were used to support the following recommendations: Physicians should only use ambulatory BP monitoring devices that have been validated independently using established protocols. A decision to withhold drug therapy based upon the ambulatory BP should take into account normal values for 24-h and awake ambulatory BP. Based upon studies on prognosis and a clinical trial based upon BP control as an outcome, ambulatory BP monitoring should be considered for untreated patients whenever an office-induced increase in BP is suspected. Ambulatory BP monitoring should be considered for treated patients suspected of having an office-induced increase in BP, including individuals with apparent resistance to drug therapy, symptoms suggestive of hypotension, and fluctuating office BP readings. Based upon studies on prognosis, changes in nocturnal BP should be taken into account in any decision to withhold drug therapy based upon the ambulatory BP. Further studies are required to determine whether the clinical benefit of antihypertensive therapy is more closely related to ambulatory or office BP.
M G Myers; R B Haynes; S W Rabkin
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Publication Detail:
Type:  Consensus Development Conference; Guideline; Journal Article; Practice Guideline; Review    
Journal Detail:
Title:  American journal of hypertension     Volume:  12     ISSN:  0895-7061     ISO Abbreviation:  Am. J. Hypertens.     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-01-06     Completed Date:  2000-01-06     Revised Date:  2009-02-24    
Medline Journal Info:
Nlm Unique ID:  8803676     Medline TA:  Am J Hypertens     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1149-57     Citation Subset:  IM    
Division of Cardiology, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.
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MeSH Terms
Blood Pressure*
Blood Pressure Monitoring, Ambulatory / standards*
Hypertension / diagnosis*
Reference Standards
Erratum In:
Am J Hypertens 2000 Feb;13(2):219

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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