Blood pressure (BP) variation is particularly pronounced in those who suffer from hypertension.
Single measurements should therefore be regarded as no more than'snapshots'out of a large number of BP values occurring during the course of a day.
Indirect ambulatory blood pressure monitoring (ABPM), a method which is becoming increasingly common, provides the best information on daily BP using automatic measuring and recording equipment.
This results in improved diagnosis, better treatment indications and better evaluation of the outcome of treatment and of prognosis.
Compared with ABPM occasional BP measurement by the GP overestimates the diagnosis of hypertension and underestimates the anti-hypertensive effect of drugs.
ABPM allows the following to be picked up :
average BP level ;
circadian BP rhythm ;
increases in BP which occur only at the doctor's office (white coat hypertension) ;
absence of, or reduced, fall in BP during sleep ;
unusual rises or falls in BP ;
side-effects of anti-hypertensive treatment thought to be dependent on the BP level.
ABPM is especially suitable for evaluating the success of treatment and provides real information on the effectiveness of medication.
ABPM has a closer correlation with left ventricular hypertrophy and with other cardiovascular complications than do BP measurements by the GP.
Mots-clés Pascal : Hypertension artérielle, Exploration clinique, Ambulatoire, Pression artérielle, Implémentation, Surveillance, Résultat, Homme, Allemagne, Europe, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Hypertension, Clinical investigation, Ambulatory, Arterial pressure, Implementation, Surveillance, Result, Human, Germany, Europe, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0588603
Code Inist : 002B12B05B. Création : 01/03/1996.