Ambulatory blood pressure monitoring in clinical practice.

Authors:
Apaar Dadlani
Apaar Dadlani
Tufts Medical Center and Tufts University School of Medicine
Kushal Madan
Kushal Madan
All India Institute of Medical Sciences
India

Indian Heart J 2019 Jan - Feb;71(1):91-97. Epub 2018 Nov 27.

Dharma Vira Heart Center, Sir Ganga Ram Hospital, New Delhi 110060, India. Electronic address:

Being one of the most widely prevalent diseases throughout the world, hypertension has emerged as one of the leading causes of global premature morbidity and mortality. Hence, blood pressure (BP) measurements are essential for physicians in the diagnosis and management of hypertension. Current American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend initiating antihypertensive medications on the basis of office BP readings. However, office BP readings provide a snapshot evaluation of the patient's BP, which might not reflect patient's true BP, with the possibility of being falsely elevated or falsely low. Recently, there is ample evidence to show that ambulatory blood pressure monitoring (ABPM) is a better predictor of major cardiovascular events than BP measurements at clinic settings. ABPM helps in reducing the number of possible false readings, along with the added benefit of understanding the dynamic variability of BP. This article will focus on the significance of ambulatory BP, its advantages and limitations compared with the standard office BP measurement and a brief outlook on its use and interpretation to diagnose and treat hypertension.

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Source
https://linkinghub.elsevier.com/retrieve/pii/S00194832183057
Publisher Site
http://dx.doi.org/10.1016/j.ihj.2018.11.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6477132PMC
November 2018
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