title: Ambulatory blood pressure monitoring in daily clinical practice - the Spanish ABPM Registry experience.
abstract: Many patients are hypertensive at the medical settings but show normal blood pressure out of the doctor's office, and are classified as white-coat hypertensives. On the other hand, many patients with controlled hypertension at the clinic show ambulatory blood pressure levels above the thresholds considered for an adequate blood pressure control, known as having masked hypertension. Using data from the Spanish Ambulatory Blood Pressure Monitoring Registry (Spanish ABPM Registry), a national program developed to promote the use of the ambulatory technique for hypertension management in daily practice, we have reviewed the main strengths of this approach, that is the ability to detect discrepancies of blood pressure status with respect to office blood pressure measurement, and to better assess accurate rates of hypertension control. White-coat hypertension within patients with elevated office blood pressure, and masked hypertension within office-controlled patients affected one of three patients in each office status. On the other hand, rates of ambulatory blood pressure control (50%) doubled those of office blood pressure control (25%), still remaining half the patients uncontrolled. We think that a systematic use of ambulatory blood pressure monitoring, and strategies to improve blood pressure control constitute key priorities in hypertension management.
authors.affiliation: Department of Nephrology, Hospital Universitario Central de Asturias, RedinRen, Oviedo, Asturias, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Gorostidi
authors.affiliation: Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, IdiPAZ-CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
authors.forename: José R
authors.initials: JR
authors.lastname: Banegas
authors.affiliation: Department of Internal Medicine, Hospital Mutua Terrassa, University of Barcelona, Terrassa, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: de la Sierra
authors.affiliation: La Mina Primary Care Center, University of Barcelona, Barcelona, Spain.
authors.forename: Ernest
authors.initials: E
authors.lastname: Vinyoles
authors.affiliation: Hypertension Unit, Hospital Universitario 12 de Octubre, RedinRen, Madrid, Spain.
authors.forename: Julián
authors.initials: J
authors.lastname: Segura
authors.affiliation: Hypertension Unit, Hospital Universitario 12 de Octubre, RedinRen, Madrid, Spain.
authors.forename: Luis M
authors.initials: LM
authors.lastname: Ruilope
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use; D018660:Blood Pressure Monitoring, Ambulatory; D006801:Humans; D059468:Masked Hypertension / Q000175:diagnosis* / Q000188:drug therapy; D012042:Registries; D013030:Spain; D059466:White Coat Hypertension / Q000175:diagnosis*
chemical_list: D000959:Antihypertensive Agents
keywords: Ambulatory blood pressure measurement; blood pressure; blood pressure measurement; hypertension; masked hypertension; white-coat hypertension