Document Detail

The role of ambulatory BP monitoring in clinical care.
MedLine Citation:
PMID:  17668959     Owner:  NLM     Status:  MEDLINE    
Hypertension (HTN) is a powerful predictor of cardiovascular disease and death, with treatment reducing these risks. Ambulatory BP is a better predictor of target-organ damage and cardiovascular events than office BP (OBP). Clinically, ambulatory BP monitoring (ABPM) can be used to detect white-coat hypertension (WCH) and masked HTN and to more accurately determine whether BP is appropriately controlled in patients with established HTN. This is particularly valuable in the elderly, in whom BP is more variable. ABPM can also identify abnormal circadian rhythm of BP, which is more common in the elderly and is associated with worsened cardiovascular outcomes. ABPM provides diagnostic and prognostic information that is superior to that of casual OBP readings and should be considered in the measurement and management of BP in the elderly.
Elizabeth S Ommen; Michael S Lipkowitz
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Geriatrics     Volume:  62     ISSN:  1936-5764     ISO Abbreviation:  Geriatrics     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-02     Completed Date:  2007-08-31     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  2985102R     Medline TA:  Geriatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-4     Citation Subset:  AIM; IM    
Department of Medicine, Division of Nephrology, Mount Sinai School of Medicine, New York, NY, USA.
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MeSH Terms
Blood Pressure Monitoring, Ambulatory* / methods
Circadian Rhythm
Diagnostic Errors / prevention & control
Geriatric Assessment
Hypertension / prevention & control*
Middle Aged
Reference Values
Risk Assessment

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