Key result
Ambulatory blood pressure monitoring improves measurement precision, eliminates observer bias, and identifies white coat hypertension, though its prognostic superiority over clinic pressures remains untested in outcome trials.
Ambulatory blood pressure monitoring is a valuable tool for assessing selected patients with high blood pressure, despite uncertainties regarding its prognostic value and cost-effectiveness.
Answers are grounded in this paper and cite their sources.
May warrant selective ambulatory monitoring in hypertension; leaves open outcome superiority over clinic pressures.
Summary points Ambulatory blood pressure monitoring is an increasingly popular method of recording blood pressure It improves the precision and reproducibility of blood pressure measurement, eliminates observer errors and bias, and allows assessment of white coat hypertension and white coat responses It is indicated particularly in the evaluation of patients with borderline hypertension, resistant hypertension, or variable blood pressure None of the major trials of treatment in hypertension has been conducted using ambula- tory blood pressure recordings; because of this the prognostic value of such monitoring remains uncertain The optimal method of data analysis, the importance of day and night time readings and of white coat responses, cost effectiveness, and the fact that few marketed devices have been fully vali- dated also need addressing Despite these issues, ambulatory monitoring is already making an important contribution to the assessment and management of selected patients with high blood pressure
No takes yet. Share an insight, caveat, or question.
Prasad et al. (1996) conducted a review in Hypertension. Ambulatory blood pressure monitoring vs. Clinic blood pressure measurement was evaluated. Ambulatory blood pressure monitoring improves measurement precision, eliminates observer bias, and identifies white coat hypertension, though its prognostic superiority over clinic pressures remains untested in outcome trials.
Synapse has enriched 10 related papers. Consider them for comparative context: