Key result
Ambulatory and home blood pressure monitoring offer comparable diagnostic and prognostic value, and are superior to conventional measurement for predicting cardiovascular events.
Why the study?
Do ambulatory or home blood pressure monitoring improve diagnostic performance and prognostic value compared to conventional measurement in hypertensive patients?
Do ambulatory or home blood pressure monitoring improve diagnostic performance and prognostic value compared to conventional measurement in hypertensive patients?
Both ABPM and HBPM offer superior prognostic and diagnostic value over conventional blood pressure measurement, with HBPM being increasingly practical for routine clinical management.
Supports out-of-office BP monitoring for better risk prediction in hypertension; leaves open whether adoption improves outcomes in prospective trials.
Ambulatory blood pressure monitoring (ABPM) and home blood pressure (HBPM) monitoring have been shown to be superior to conventional measurement of blood pressure in terms of reproducibility, relationship to the impact of high blood pressure on target organs, and the prediction of cardiovascular events. Nevertheless, these 2 techniques have yet to find their place in the diagnosis of hypertension and during evaluation of the efficacy of antihypertensive treatment. Although these 2 methods do not give identical results in approximately 20% of cases, their diagnostic performance and prognostic value are quite comparable. Although ABPM remains a valuable tool in clinical research, its utilization in routine clinical practice is limited by cost and availability. HBPM is increasingly employed for informed and well-managed patients, and it can help to improve control of the patient's blood pressure. Physicians involved in the management of hypertensive patients should be aware of its value in order to assist patients in their care.
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Gosse et al. (2009) conducted a review in Hypertension. Ambulatory blood pressure monitoring (ABPM) and home blood pressure (HBPM) monitoring vs. Conventional measurement of blood pressure was evaluated. Ambulatory and home blood pressure monitoring offer comparable diagnostic and prognostic value, and are superior to conventional measurement for predicting cardiovascular events.
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