[Current clinical aspects of ambulatory blood pressure monitoring].

Autor: Sauza-Sosa JC; Servicio de Cardiología, Centro Médico American British Cowdray, Campus Santa Fe, México Distrito Federal, México. Electronic address: sauzamd@hotmail.com., Cuéllar-Álvarez J; Servicio de Hemodinámica, Instituto Nacional de Cardiología, México Distrito Federal, México., Villegas-Herrera KM; Universidad La Salle, Facultad Mexicana de Medicina, México Distrito Federal, México., Sierra-Galán LM; Servicio de Cardiología, Centro Médico American British Cowdray, Campus Santa Fe, México Distrito Federal, México.
Jazyk: Spanish; Castilian
Zdroj: Archivos de cardiologia de Mexico [Arch Cardiol Mex] 2016 Jul-Sep; Vol. 86 (3), pp. 255-9. Date of Electronic Publication: 2016 Jan 12.
DOI: 10.1016/j.acmx.2015.12.004
Abstrakt: Systemic arterial hypertension is the prevalentest disease worldwide that significantly increases cardiovascular risk. An early diagnosis together to achieve goals decreases the risk of complications significatly. Recently have been updated the diagnostic criteria for hypertension and the introduction of ambulatory blood pressure monitoring. The introduction into clinical practice of ambulatory blood pressure monitoring was to assist the diagnosis of «white coat hypertension» and «masked hypertension». Today has also shown that ambulatory blood pressure monitoring is better than the traditional method of recording blood pressure in the office, to the diagnosis and to adequate control and adjustment of drug treatment. Also there have been introduced important new concepts such as isloted nocturnal hypertension, morning blood pressure elevation altered and altered patterns of nocturnal dip in blood pressure; which have been associated with increased cardiovascular risk. Several studies have shown significant prognostic value in some stocks. There are still other concepts on which further study is needed to properly establish their introduction to clinical practice as hypertensive load variability, pulse pressure and arterial stiffness. In addition to setting values according to further clinical studies in populations such as elderly and children.
(Copyright © 2016 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.)
Databáze: MEDLINE