title: [Ambulatory blood pressure monitoring (ABPM) and its usefulness in occupational medicine].
abstract: The application of long-term blood pressure monitoring (ABPM) in the occupational medicine practice, its advantages and disadvantages and the diagnostic and prognostic values of the parameters determined during the test were reviewed. The circumstances (e.g., social meeting, phone call) in which blood pressure value significantly differs from its resting value were identified. The methodology and reference values of systolic and diastolic blood pressure proposed by the European Society of Hypertension and the European Society of Cardiology were discussed as well as the recommended values of the blood pressure load. Ihe use of ABPM in the assessment of circadian blood pressure rhythm and the prognostic value of insufficient nocturnal drop (in non-dippers) or excessive nocturnal drop of ABP (in extreme dippers), and inverted circadian ABP variation (in reverse-dippers) was discussed. Attention was paid to the prognostic value of BP variability over short periods of time, which is specified in terms of standard deviation or coefficient of variance. This variability is considered as a factor capable of modifying the course, complications and prognosis of the hypertensive disease. The phenomena of "white coat hypertension" and masked hypertension were also described. It was demonstrated that the use of ABPM in occupational medicine is feasible, especially for preventive purposes, in workers exposed to different adverse work-related factors (noise, electromagnetic fields, shift work).
authors: Non-Public Health Care Institution Family Practice, My Doctor, Brodnica, Poland.
authors: Izabela
authors: I
authors: Czaja-Mitura
authors: Alicja
authors: A
authors: Bortkiewicz
mesh_terms: D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods*; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis* / Q000517:prevention & control; D059468:Masked Hypertension / Q000175:diagnosis; D009784:Occupational Diseases / Q000150:complications / Q000175:diagnosis* / Q000517:prevention & control; D016273:Occupational Exposure / Q000517:prevention & control*; D016272:Occupational Health; D009787:Occupational Medicine / Q000379:methods*; D059466:White Coat Hypertension / Q000175:diagnosis