Why the study?
Does ambulatory blood pressure monitoring improve the management of hypertension in elderly patients?
Does ambulatory blood pressure monitoring improve the management of hypertension in elderly patients?
ABPM is highly beneficial for managing various complex presentations of hypertension in the elderly, though its clinical adoption is hindered by limited insurance coverage.
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May improve hypertension management in elderly patients with complex presentations; leaves open effects of limited payer coverage on adoption.
PURPOSE: The purpose of this article is to review the current knowledge regarding ambulatory blood pressure monitoring (ABPM) use in clinical practice and to provide example cases for its use in a hypertension (HTN) specialty clinic. DATA SOURCES: Published research trials, medical literature, and cases from the Center for Senior Hypertension. CONCLUSIONS: The knowledge of ABPM benefits to using ABPM are substantial and improves the care and management of many conditions, including white coat HTN, white coat normotension, resistant, borderline, episodic, paroxysmal HTN, and finally orthostatic hypotension. Third-party payers only cover ABPM for "white coat" HTN. IMPLICATIONS FOR PRACTICE: This article reviews previous studies and explains the benefit to changing our current practice to match the knowledge we have gained through research through case studies.
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Frost et al. (2006) studied this question.
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