Ambulatory blood pressure monitoring provides comprehensive evaluation of hypertension, identifying white-coat and masked hypertension to improve blood pressure control and reduce cardiovascular risk.
Does ambulatory blood pressure monitoring improve hypertension management and cardiovascular risk prediction compared to office blood pressure measurements?
Ambulatory blood pressure monitoring provides a comprehensive evaluation of hypertension, enabling the identification of specific blood pressure phenotypes to improve control and reduce cardiovascular events.
PURPOSE OF REVIEW: Hypertension is a leading cause of cardiovascular morbidity and mortality, affecting nearly 80 million individuals in the United States alone. Accurate measurement of blood pressure (BP) is the crucial first step to reduce the associated cardiovascular risk of hypertension. For decades, clinicians have relied on office BP measurements for the diagnosis and subsequent management of hypertension. However, it has been clearly demonstrated that ambulatory BP measurements are a better predictor of cardiovascular risk and can provide clinicians with important additional information to improve BP control and reduce cardiovascular risk. This article reviews the available data and provides clinical insights into the use of ambulatory BP monitoring for the management of hypertension. RECENT FINDINGS: Ambulatory BP monitoring is uniquely capable of identifying patients with white-coat hypertension (WCH), masked hypertension and abnormal nocturnal BP profiles. Recently, ambulatory BP data have demonstrated the negative impact of WCH on right ventricular function, a greater prevalence of masked hypertension than previously recognized and the detrimental impact of nocturnal hypertension even in controlled hypertension. SUMMARY: Ambulatory BP monitoring provides clinicians with the most comprehensive evaluation of hypertension and the ability to define individual BP phenotypes. Hence, these out-of-office measurements can be utilized to improve hypertension control, translating into a reduction of cardiovascular events.
Campbell et al. (Fri,) conducted a review in Hypertension. Ambulatory blood pressure monitoring vs. Office blood pressure measurements was evaluated. Ambulatory blood pressure monitoring provides comprehensive evaluation of hypertension, identifying white-coat and masked hypertension to improve blood pressure control and reduce cardiovascular risk.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: