Clinical value of ambulatory blood pressure: Is it time to recommend for all patients with hypertension?
Hypertension is a very common disease, and office measurements of blood pressure are frequently inaccurate. Ambulatory Blood Pressure Monitoring (ABPM) offers a more accurate diagnosis, more detailed readings of average blood pressures, better blood pressure measurement during sleep, fewer false positives by detecting more white-coat hypertension, and fewer false negatives by detecting more masked hypertension. ABPM offers better management of clinical outcomes. For example, based on more accurate measurements of blood pressure variability, ABPM demonstrates that taking antihypertensive medication at night leads to better controlled nocturnal blood pressure, which translates into less end organ damage and fewer clinical complications of hypertension. For these reasons, albeit some shortcomings which were discussed, ABPM should be considered as a first-line tool for diagnosing and managing hypertension.
Division of Nephrology, Department of Internal Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey.
Yalcin
Y
Solak
Department of Cardiovascular Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan.
Kazuomi
K
Kario
Nephrology Clinic, Dialysis and Renal Transplant Center, 'C.I. PARHON' University Hospital, 'Grigore T. Popa' University of Medicine, Iasi, Romania.
Adrian
A
Covic
Division of Nephrology, Department of Medicine, Koc University School of Medicine, Sariyer, Istanbul, Turkey.
Nathan
N
Bertelsen
Division of Nephrology, Department of Medicine, Konya Numune State Hospital, Konya, Turkey.
Baris
B
Afsar
Division of Nephrology, Department of Medicine, Istanbul Medeniyet University School of Medicine, Istanbul, Turkey.
Abdullah
A
Ozkok
Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland.
Andrzej
A
Wiecek
Division of Nephrology, Department of Medicine, Koc University School of Medicine, Sariyer, Istanbul, Turkey. drkanbay@yahoo.com.
Mehmet
M
Kanbay
D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000187:drug effects; D018660:Blood Pressure Monitoring, Ambulatory; D018450:Disease Progression; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D016896:Treatment Outcome
D000959:Antihypertensive Agents
Ambulatory blood pressure monitoring; Cardiovascular disease; Hypertension