Ambulatory blood pressure monitoring in daily clinical practice - the Spanish ABPM Registry experience.
| Autor: | Gorostidi M; Department of Nephrology, Hospital Universitario Central de Asturias, RedinRen, Oviedo, Asturias, Spain., Banegas JR; Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, IdiPAZ-CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain., de la Sierra A; Department of Internal Medicine, Hospital Mutua Terrassa, University of Barcelona, Terrassa, Spain., Vinyoles E; La Mina Primary Care Center, University of Barcelona, Barcelona, Spain., Segura J; Hypertension Unit, Hospital Universitario 12 de Octubre, RedinRen, Madrid, Spain., Ruilope LM; Hypertension Unit, Hospital Universitario 12 de Octubre, RedinRen, Madrid, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | European journal of clinical investigation [Eur J Clin Invest] 2016 Jan; Vol. 46 (1), pp. 92-8. Date of Electronic Publication: 2015 Dec 23. |
| DOI: | 10.1111/eci.12565 |
| Abstrakt: | 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. (© 2015 Stichting European Society for Clinical Investigation Journal Foundation.) |
| Databáze: | MEDLINE |
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