Key result
Ambulatory blood pressure monitoring in diabetic patients may provide better cardiovascular risk stratification compared to isolated office measurements by detecting 24-hour blood pressure alterations.
Why the study?
Does 24-h ambulatory blood pressure monitoring improve cardiovascular risk stratification compared with isolated office measurements in patients with diabetes?
Does 24-h ambulatory blood pressure monitoring improve cardiovascular risk stratification compared with isolated office measurements in patients with diabetes?
24-h ABPM may offer superior cardiovascular risk stratification in diabetic patients compared to office measurements by detecting daily life BP alterations.
Hypothesis-generating for ABPM in diabetic risk stratification; does not support practice change without prospective outcome trials.
ambulatory blood pressure monitoring (ABPM) is a method widely used in hypertension diagnosis and management. Also in diabetic subjects, it may be a powerful tool for a better stratification of cardiovascular risk related to elevated blood pressure (BP), one of the most important causes of morbidity and mortality in this population. This is due to its capacity, as compared with isolated office measurements, to more precisely diagnose and quantify a high BP condition in daily life and to detect alterations of 24-h BP profiles such as absence of nocturnal BP fall, postprandial hypotension, or an increased
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Parati et al. (2009) conducted a review in Diabetes and hypertension. 24-h Ambulatory Blood Pressure Monitoring (ABPM) vs. Isolated office measurements was evaluated. Ambulatory blood pressure monitoring in diabetic patients may provide better cardiovascular risk stratification compared to isolated office measurements by detecting 24-hour blood pressure alterations.
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