Document Detail


Using out of office blood pressure monitoring in the management of hypertension.
MedLine Citation:
PMID:  11551374     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Self-measurement of blood pressure (BP) and 24-hour ambulatory BP monitoring (ABPM) are increasingly used in order to improve cardiovascular risk stratification over and beyond traditional methods, including sphygmomanometric BP measurement. Self-measured BP has the advantage of being cheap, quite representative of the usual BP over long periods of time, and devoid of the "white coat" effect. Only a few data exist on the prognostic value of self-measured BP. Most of the outcome studies with 24-hour ABPM have been conducted in patients with essential hypertension who were untreated at the time of execution of ABPM. Cardiovascular risk showed a direct association with ambulatory BP and an inverse association with the degree of BP reduction from day to night. White coat hypertension versus ambulatory hypertension and dippers versus nondippers are two classifications based on arbitrary operational risk categories. ABPM may be valuable for refining cardiovascular risk stratification in untreated subjects with office hypertension, as well as those with resistant hypertension.
Authors:
P Verdecchia
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current hypertension reports     Volume:  3     ISSN:  1522-6417     ISO Abbreviation:  Curr. Hypertens. Rep.     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-09-11     Completed Date:  2001-10-25     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  100888982     Medline TA:  Curr Hypertens Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  400-5     Citation Subset:  IM    
Affiliation:
Cardiologia e Fisiopatologia Cardiovascolare, Università di Perugia, Policlinico Monteluce, Via Brunamonti 51, 06122 Perugia PG, Italy. verdec@tin.it
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure / physiology
Blood Pressure Monitoring, Ambulatory / utilization*
Circadian Rhythm / physiology
Humans
Hypertension / diagnosis,  therapy*
Prognosis

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


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