CLINICAL USES OF AMBULATORY BLOOD-PRESSURE MONITORING

被引：36

作者：

PORTMAN, RJ

YETMAN, RJ

机构：

[1] Division of Pediatric Nephrology and Hypertension, University of Texas-Houston Medical School, Houston, 77030, Texas

[2] Division of Community and General Pediatrics, University of Texas-Houston Medical School, Houston, 77030, Texas

来源：

PEDIATRIC NEPHROLOGY | 1994年 / 8卷 / 03期

关键词：

AMBULATORY BLOOD PRESSURE MONITOR; HYPERTENSION; CHRONOBIOLOGY; BLOOD PRESSURE;

D O I：

10.1007/BF00866367

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Traditional office measurements of blood pressure are commonly used to initiate and monitor therapy for hypertension, but these measurements are limited in their ability to provide information from the patient's normal work or play environment and do not include data from the overnight period when the patient is asleep. Thus, much potentially important information is lost. The ambulatory blood pressure monitor offers the attractive advantage of providing multiple blood pressure measurements from a subject's normal environment during his normal activities, thereby revealing important patterns of blood pressure in health and in illness. Further, the results of ambulatory monitoring have an excellent correlation with end-organ damage and these data can be obtained in a very short time period. This review will discuss the chronobiology of blood pressure, the clinical uses of the ambulatory blood pressure monitor in health and in disease, including the patterns of blood pressure identified, correlation with end-organ damage and its uses in clinical trials of antihypertensive medications; the experience in children with this technology will also be discussed.

引用

页码：367 / 376

页数：10

共 94 条

[1]

Reinberg A., Smolensky M., Biologic rhythms and medicine, (1983)

[2]

Smolensky M.H., D'Alonzo G.E., Chronobiology: concepts and applications, American Review of Respiratory Disease, 147, pp. S2-S19, (1993)

[3]

Pickering T.G., Blood pressure monitors and their evaluation, Ambulatory monitoring and blood pressure variability, pp. 1-14, (1991)

[4]

O'Brien E., O'Malley K., Twenty-four-hour ambulatory blood pressure mouitoring: a review of validation data, J Hypertens, 8, pp. S11-S16, (1990)

[5]

Parati G., Groppelli A., Omboni S., Trattola A., Mancia G., Testing the accuracy of blood pressure monitoring devices in ambulatory conditions, J Hypertens, 9, pp. S7-S9, (1991)

[6]

Loirat C., Azancot-Benisty A., Bossu C., Durand I., Value of ambulatory blood pressure monitoring in borderline hypertension in the child, Ann Pediatr (Paris), 38, pp. 381-386, (1991)

[7]

Koury A.F., Sunderajan P., Kaplan N.M., The early morning rise in blood pressure is related mainly to ambulation, American Journal of Hypertension, 5, pp. 339-344, (1992)

[8]

Van Egeren L.F., Computer-based monitoring of physical activity, Clinical evaluation and physiological monitoring, (1991)

[9]

Halberg F., Halberg E., Halberg J., Halberg F., Chronobiologic assessment of human blood pressure variation in health and disease, Ambulatory blood pressure monitoring, pp. 137-156, (1984)

[10]

Chau N.P., Mallion J.M., de Gaudemaris R., Ruche E., Siche J.P., Pelen O., Mathern G., Twenty four hour ambulatory blood pressure in shift workers, Circulation, 80, pp. 341-347, (1989)

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