Ambulatory blood pressure monitoring and circadian variation of cardiovascular disease; clinical and research applications.
Ambulatory blood pressure monitoring is an evolving technology. It has an established role in the diagnosis of hypertension, the clinical management of selected patients, and in the evaluation of new medication. From continuous recording much has been learned about the circadian nature of blood pressure and heart rate. Future research holds promise for a greater understanding of the mechanisms and treatment of cardiovascular disease. The purpose of this short review is to describe the development of ambulatory blood pressure monitoring, and outline some of its important contributions to date; and also to explore the research potential and clinical utility of advanced intravascular monitoring techniques, such as the continuous recording of pulmonary artery pressure in ambulant patients.
Purcell
H J
HJ
Dept. of Cardiology, Royal Brompton National Heart and Lung Hospital, London, UK.
Gibbs
J S
JS
Coats
A J
AJ
Fox
K M
KM
D000293:Adolescent; D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure; D015924:Blood Pressure Monitors; D002318:Cardiovascular Diseases / Q000401:mortality / Q000503:physiopathology; D002561:Cerebrovascular Disorders / Q000401:mortality; D002648:Child; D002940:Circadian Rhythm; D003327:Coronary Disease / Q000401:mortality; D005260:Female; D006339:Heart Rate; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000503:physiopathology; D008297:Male; D005082:Physical Exertion; D011651:Pulmonary Artery / Q000502:physiology; D012106:Research; D012621:Seasons; D012727:Sex Characteristics; D012890:Sleep; D013997:Time Factors
D000959:Antihypertensive Agents