Document Detail


Role of ambulatory and home blood pressure recording in clinical practice.
MedLine Citation:
PMID:  19863865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Because of shortcomings of the office blood pressure (BP) measurement in individuals with hypertension (eg, white coat and masked hypertension effects, terminal digit bias, and large variability in BP among a small number of readings), use of out-of-office blood pressure measurements has become more common in clinical practice. The presence of the syndromes of white-coat and masked hypertension creates the concern that the office BP measurements are not reflective of an individual patient's true BP values. Home (or self) and ambulatory BP assessments have been used in numerous types of clinical trials and have demonstrated their usefulness as reliable research and clinical tools. In this article, we review the recent literature on the benefits and limitations of home (self) and ambulatory monitoring of the BP in clinical practice. In particular, how it relates to the diagnosis of patients with various presentations of hypertension and to cardio-vascular outcomes with long-term follow-ups of population cohorts.
Authors:
Nimrta Ghuman; Patrick Campbell; William B White
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review    
Journal Detail:
Title:  Current cardiology reports     Volume:  11     ISSN:  1534-3170     ISO Abbreviation:  Curr Cardiol Rep     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-29     Completed Date:  2010-03-04     Revised Date:  2011-06-14    
Medline Journal Info:
Nlm Unique ID:  100888969     Medline TA:  Curr Cardiol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  414-21     Citation Subset:  IM    
Affiliation:
Division of Hypertension and Clinical Pharmacology, Pat and Jim Calhoun Cardiology Center, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT 06030-3940, USA.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure / physiology*
Blood Pressure Monitoring, Ambulatory* / instrumentation
Circadian Rhythm
Humans
Hypertension / diagnosis*
Grant Support
ID/Acronym/Agency:
R01 DA024667-01/DA/NIDA NIH HHS; R01 DA024667-02/DA/NIDA NIH HHS; R01 DA024667-03/DA/NIDA NIH HHS; R01DA024667/DA/NIDA NIH HHS
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