Does Ambulatory Blood Pressure Monitoring (ABPM) identify masked uncontrolled hypertension in patients with treated and well-controlled clinic blood pressure?
Clinic BP monitoring alone is inadequate to optimize BP control due to a high prevalence of masked uncontrolled hypertension, suggesting ABPM should be used more routinely, especially in higher-risk groups.
The prevalence of masked suboptimal BP control in patients with treated and well-controlled clinic BP is high. Clinic BP monitoring alone is thus inadequate to optimize BP control because many patients have an elevated nocturnal BP. These findings suggest that ABPM should become more routine to confirm BP control, especially in higher risk groups and/or those with borderline control of clinic BP.
Banegas et al. (2014) studied this question.