Document Detail


Prognostic value of ambulatory blood pressure monitoring.
MedLine Citation:
PMID:  1797996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ambulatory blood pressure monitoring has both advantages and disadvantages in clinical practice. The structural and functional organ abnormalities associated with hypertension are more closely correlated to 24-h blood pressure mean values than to clinic or other conventional sphygmomanometric blood pressures. Furthermore, an additional relationship can be seen between the incidence and severity of these abnormalities and the magnitude of day and night blood pressure changes or 24-h blood pressure variability. However, controlled prospective studies are still required to demonstrate that ambulatory blood pressure data are superior or add to the prognostic value of clinic blood pressure. Moreover, ambulatory blood pressure normalcy has not yet been properly defined. This suggests caution in the practical use of this technique, which should be limited to special groups of subjects (those with a possible alerting reaction to conventional blood pressure assessments, in whom home blood pressure measurements are unreliable) and should only be used by clinicians with expertise in the field.
Authors:
S Omboni; A Ravogli; G Parati; A Zanchetti; G Mancia
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of hypertension. Supplement : official journal of the International Society of Hypertension     Volume:  9     ISSN:  0952-1178     ISO Abbreviation:  J Hypertens Suppl     Publication Date:  1991 Dec 
Date Detail:
Created Date:  1992-04-15     Completed Date:  1992-04-15     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8501422     Medline TA:  J Hypertens Suppl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  S25-8     Citation Subset:  IM    
Affiliation:
Semeiotica Medica, University of Milan, Ospedale Maggiore, Italy.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure / physiology
Blood Pressure Monitors*
Circadian Rhythm / physiology
Cross-Sectional Studies
Humans
Hypertension / diagnosis,  epidemiology*
Prognosis
Prospective Studies
Reference Values

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


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