Key result
Ambulatory blood pressure monitoring may supplement clinic measurements to prevent misdiagnosis and improve prediction of hypertensive complications in high-risk groups such as African Americans.
Ambulatory blood pressure monitoring and behavioral stress testing may improve risk stratification and guide personalized antihypertensive therapy, particularly in high-risk groups such as African Americans.
African Americans have a higher prevalence of hypertension than white Americans. Morbid consequences of hypertensive disease are greater in blacks than whites. For members of high-risk groups such as blacks, ambulatory blood pressure monitoring may be useful in supplementing casual clinic measurements to prevent misdiagnosis, better characterize the temporal topography of blood pressure responses, and improve prediction of left ventricular hypertrophy, hypertensive complications, morbidity, and mortality. In conjunction with other data, laboratory experiments showing that African Americans as a group show greater peripheral resistance and slowed natriuretic responses to behavioral stressors than whites, appear to provide insights as to why blacks generally respond better to diuretics and calcium channel blockers than to beta-adrenergic antagonists or angiotensin-converting enzyme inhibitors. It is suggested that ambulatory blood pressure monitoring and behavioral tasks in the laboratory may help predict individual responsiveness to antihypertensive agents.
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Neil Schneiderman (1992) conducted a review in Hypertension. Ambulatory blood pressure monitoring vs. Clinic measurements was evaluated. Ambulatory blood pressure monitoring may supplement clinic measurements to prevent misdiagnosis and improve prediction of hypertensive complications in high-risk groups such as African Americans.
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