Improving patient outcomes with ambulatory blood pressure monitoring in elderly with hypertension.
OBJECTIVE
The purpose of this article is to review the current knowledge regarding ambulatory blood pressure monitoring (ABPM) use in clinical practice and to provide example cases for its use in a hypertension (HTN) specialty clinic.


METHODS
Published research trials, medical literature, and cases from the Center for Senior Hypertension.


CONCLUSIONS
The knowledge of ABPM benefits to using ABPM are substantial and improves the care and management of many conditions, including white coat HTN, white coat normotension, resistant, borderline, episodic, paroxysmal HTN, and finally orthostatic hypotension. Third-party payers only cover ABPM for "white coat" HTN.


CONCLUSIONS
This article reviews previous studies and explains the benefit to changing our current practice to match the knowledge we have gained through research through case studies.
Frost
Brandy K
BK
Center for Senior Hypertension, Palmetto Health Richland, University of South Carolina School of Medicine, Columbia, SC 29203, USA. brandy.frost@palmettohealth.org
Hajjar
Ihab M
IM
D000367:Age Factors; D000368:Aged; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods / Q000592:standards; D017281:Cost of Illness; D019317:Evidence-Based Medicine; D005260:Female; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D006973:Hypertension / Q000145:classification / Q000175:diagnosis* / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control; D008019:Life Style; D008297:Male; D009722:Nurse Practitioners; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards; D012307:Risk Factors; D012720:Severity of Illness Index; D017749:Total Quality Management; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology