Ambulatory blood pressure monitoring provides a better prediction of clinical outcomes and end-organ damage than conventional office-based blood pressure measurements.
Does ambulatory blood pressure monitoring improve the prediction of clinical outcomes and end-organ damage compared to conventional office-based blood pressure readings in patients with hypertension?
Ambulatory blood pressure monitoring is superior to conventional office-based measurements for predicting clinical outcomes and assessing end-organ damage in hypertension.
Accurate blood pressure (BP) measurement is essential for the diagnosis, monitoring and management of hypertension. However, conventional office-based BP readings have several limitations that include a low reproducibility, the white-coat effect and the existence of masked hypertension. These limitations can be addressed through the use of ambulatory BP monitoring. Because ambulatory monitoring provides measurements at specific time intervals throughout a 24-hour period, this technique represents a better picture of the normal fluctuations in BP levels associated with daily activities and sleep. In addition, end-organ damage associated with hypertension is more closely related to ambulatory BP than office BP measurements and ambulatory BP profile give better prediction of clinical outcome than conventional BP measurements.
Angeli et al. (Sat,) conducted a review in Hypertension. Ambulatory blood pressure monitoring vs. Conventional office-based blood pressure readings was evaluated. Ambulatory blood pressure monitoring provides a better prediction of clinical outcomes and end-organ damage than conventional office-based blood pressure measurements.
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