Hypertension, Vol 7, 171-177, Copyright © 1985 by American Heart Association
TG Pickering, GA Harshfield, RB Devereux and JH Laragh
Noninvasive ambulatory blood pressure (BP) recording is now clinically
available for the evaluation of hypertensive patients. It is well known
that pressures measured in the office or clinic are unreliable and that
repeated measurements are better at predicting outcome than are single
measurements. Several studies have compared the correlation between target
organ damage and different measures of BP, and in every instance ambulatory
BP measurements have given better correlations than clinic readings. In one
prospective study the ambulatory BP readings were more predictive of
BP-related morbidity than were clinic readings. Data are now being obtained
that will establish normal ranges of BP during ambulatory monitoring,
against which values from patients being evaluated for hypertension can be
compared. It is concluded that ambulatory BP monitoring is of clinical
value for the evaluation of patients with mild hypertension.
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What is the role of ambulatory blood pressure monitoring in the management of hypertensive patients?
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