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Ambulatory Monitoring of Blood Pressure

Devices, Analysis, and Clinical Utility

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Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

Ambulatory blood pressure (ABP) monitoring has been available for over 30 yr but has been utilized primarily in research trials. Recently though, ambulatory blood pressure monitors have become increasingly popular in clinical medicine. Among the numerous benefits include the avoidance of potential BP measurement errors such as observer bias and terminal digit preference (1) and provision of more comprehensive information on BP behavior than is possible with office or home BP.

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References

  1. Prisant LM. Ambulatory blood pressure monitoring in the diagnosis of hypertension. Cardiol Clin 1995;13:479–490.

    PubMed  CAS  Google Scholar 

  2. Synder F, Hobson JA, Morrison DF, et al. Changes in respirations, heart rate, and systolic pressure in human sleep. J Appl Physiol 1964;19:417–422.

    Google Scholar 

  3. Kario K, Matsua T, Kobayashi H, et al. Nocturnal fall of blood pressure and silent cerebrovascular damage in elderly hypertensive patients: advanced silent cerebrovascular damage in extreme dippers. Hypertension 1996;27:130–135.

    Article  PubMed  CAS  Google Scholar 

  4. O’Brien E, Scheridan J, O’Malley K. Dippers and nondippers [letter]. Lancet 1988;2:397.

    Article  PubMed  Google Scholar 

  5. Pickering TG. The clinical significance of diurnal blood pressure variation: dippers and nondippers. Circulation 1990;81:700–702.

    Article  PubMed  CAS  Google Scholar 

  6. Hany S, Baumgart P, Frielingsdorf F, Vetter H, Vetter W. Circadian blood pressure variability in secondary and essential hypertension. J Hypertens 1987;5(Suppl 5):487–489.

    Google Scholar 

  7. Ohkubo T, Imai Y, Tsuji I, Nagai K, Watanabe N, Minami N, et al. Relation between nocturnal decline in blood pressure and mortality. Am J Hypertens 1997;10:1201–1207.

    Article  PubMed  CAS  Google Scholar 

  8. Mancia G, Bertinieri G, Grassi G, et al. Effects of blood pressure measurement by the doctor on patient’s blood pressure and heart rate. Lancet 1983;2:695–697.

    Article  PubMed  CAS  Google Scholar 

  9. Devereux RB, Pickering TG. Ambulatory blood pressure in assessing the cardiac impact and prognosis of hypertension. In: O’Brien E, O’Malley K, eds. Blood Pressure Measurement. Handbook of Hypertension, vol 14. Elsevier, Amsterdam, 1991, pp. 261–285.

    Google Scholar 

  10. Lui JE, Roman MJ, Pini R, Schwartz JE, Pickering T, Devereux RB. Cardiac and arterial organ damage in adults with elevated ambulatory and normal office blood pressures. Ann Intern Med 1999;131:564–572.

    Google Scholar 

  11. White WB, Schulman P, McCabe EJ, Nardone MB. Clinical Validation of the Accutracker, a novel ambulatory blood pressure monitor using R-wave gating for korotkoff sounds. J Clin Hypertens 1987;3:500–509.

    PubMed  CAS  Google Scholar 

  12. Anis Anwar Y, Giacco S, McCabe EJ, Tendler BE, White WB. Evaluation of the efficacy of the Omron HEM-737 Intellisense in adults according to the recommendations of the association for the advancement of medical instrumentation (AAMI). Blood Pressure Monit 1998; 3(4):261–265.

    Google Scholar 

  13. White WB, Lund-Johansen P, McCabe EJ, Omvik P. Assessment of four ambulatory blood pressure monitors and measurements by clinicians versus intraarterial blood pressure at rest and during exercise. Am J Cardiol 1990;65:60–66.

    Article  PubMed  CAS  Google Scholar 

  14. Devereux RB, Pickering TG, Harshfield GA, Kleinert HD, Denby L, Clark L, et al. Left ventricular hypertrophy in patients with hypertension: importance of blood pressure response to regularly recurring stress. Circulation 1983;3:470–476.

    Article  Google Scholar 

  15. American National Standard for Electronic or Automated Sphygmomanometers. ANSI/AAMI SP10–1987. Association for the Advancement of Medical Instrumentation, Arlington, VA, 1987.

    Google Scholar 

  16. O’Brien E, Petrie J, Littler W, De Sweit M, Padfield PL, O’Malley K, et al. The British Hypertension Society protocol for the evaluation of automated and semiautomated blood pressure measuring devices with special reference to ambulatory systems. J Hypertens 1990;8:607–619.

    Article  PubMed  Google Scholar 

  17. White WB, Berson AS, Robbins C, Jamieson MJ, Prisant M, Roccella E, et al. National standard for measurement of resting and ambulatory blood pressures with automated sphygmomanometers. Hypertension 1993;21:504–509.

    Article  PubMed  CAS  Google Scholar 

  18. O’Brien E, Petrie J, Littler W, de Swiet M, Padfiield PL, Altman DG, et al. The British Hypertension Society protocol for the evaluation of blood pressure measuring devices. J Hypertens 1993;1 1 (Suppl 2): S43–S62.

    Google Scholar 

  19. O’Brien E, Atkins N, Staessen J. State of the market. A review of ambulatory blood pressure monitoring devices. Hypertension 1995;26:835–842.

    Article  PubMed  Google Scholar 

  20. Pickering T, for the American Society of Hypertension Ad Hoc Panel. Recommendations for the use of home (self) and ambulatory blood pressure monitoring. Am J Hypertens 1996;9(1):1–11.

    Article  PubMed  CAS  Google Scholar 

  21. Parati G, Pomidossi G, Albini F, Malaspina D, Mancia G. Relationship of 24-hour blood pressure mean and variability to severity of target organ damage in hypertension. J Hypertens 1987;5:93–98

    Article  PubMed  CAS  Google Scholar 

  22. Frattola A, Parati G, Cuspidi C, Albini F, Mancia G. Prognostic value of 24-hour blood pressure variability. J Hypertens 1993;11:1133–1137.

    Article  PubMed  CAS  Google Scholar 

  23. White WB, Dey HM, Schulman P. Assessment of the daily blood pressure load as a determinant of cardiac function in patients with mild to moderate hypertension. Am Heart J l 989;1 l 8: 782–795.

    Article  Google Scholar 

  24. White WB. Accuracy and analysis of ambulatory blood pressure monitoring data. Clin Cardiol 1992;15:II-10-II-13.

    Google Scholar 

  25. James GD, Pickering TG, Yee LS, Harshfield GA, Riva S, Laragh JH. The reproducibility of average ambulatory, home and clinic pressure. Hypertension 1988;11:545–549

    Article  PubMed  CAS  Google Scholar 

  26. Fotherby MD, Potter JF. Reproducibility of ambulatory and clinic blood pressure measurements in elderly hypertensive subjects. J Hypertens 1993;1:573–579.

    Article  Google Scholar 

  27. Staessen JA, Thijs L, Clement D, Davidson C, Fagard R, Lehtonen A, et al. Ambulatory blood pressure decreases on long-term placebo in older patients with isolated systolic hypertension. J Hypertens 1994;12:1035–1039.

    PubMed  CAS  Google Scholar 

  28. Palatini P, Mormino P, Canali C, Santonastaso M, De Vento G, Zanata G, et al. Factors affecting ambulatory blood pressure reproducibility. Results of the HARVEST trial. Hypertension 1994;23:211–216.

    Article  PubMed  CAS  Google Scholar 

  29. Mansoor GA, McCabe EJ, White WB. Long-term reproducibility of ambulatory blood pressure. J Hypertens 1994;12:703–708.

    Article  PubMed  CAS  Google Scholar 

  30. Mochizuki Y, Okutani M, Donfeng Y, Iwasaki H, Takusagawa M, Kohno I, et al. Limited reproducibility of circadian variation in blood pressure dippers and nondippers. Am J Hypertens 1998;11:403–409.

    Article  PubMed  CAS  Google Scholar 

  31. Tamura K, Ishii H, Mukaiyama S, Halberg F. Clinical significance of ABPM monitoring for 48h rather than 24h. The Statistician 1990;39:301–306.

    Article  Google Scholar 

  32. The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Arch Intern Med 1997;157:2413–2446.

    Google Scholar 

  33. Sheps SG, Pickering TG, White WB, Weber MA, Clement DL, Krakoff LR, et al. American College of Cariology position statement; ambulatory blood pressure monitoring. J Am Coll Cardiol 1994;23:1511–1513.

    Article  PubMed  CAS  Google Scholar 

  34. Pickering TG, James GD, Boddie C, Harshfield GA, Blank S, Laragh JH. How common is white coat hypertension? JAMA 1988;259:225–228.

    Article  PubMed  CAS  Google Scholar 

  35. Verdecchia P, Porcellati C, Schillaci G, Borgioni C, Ciucci A, Battistelli M, et al. Ambulatory blood pressure: an independent predictor of prognosis in essential hypertension. Hypertension 1994;24:793–801.

    Article  PubMed  CAS  Google Scholar 

  36. Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Porcellati C. White coat hypertension. Lancet 1996;348:1444–1445.

    Article  PubMed  CAS  Google Scholar 

  37. Palatini P, Mormino P, Santonastaso M, Mos L, Dal Follo M, Zanata G, et al. Target-organ damage in stage I hypertensive subjects with white coat and sustained hypertension. Hypertension 1998;31(Part 1):57–63.

    Article  PubMed  CAS  Google Scholar 

  38. Staessen JA, Byttebier G, Buntinx F, Celis H, O’Brien ET, Fagard R, et al. Antihypertensive treatment based on conventional or ambulatory blood pressure measurement. JAMA 1997; 278:1065–1072.

    Article  PubMed  CAS  Google Scholar 

  39. Gifford RW Jr. Resistant hypertension: introduction and defiinitions. Hypertension 1988;11: I165–II66.

    Google Scholar 

  40. Mezzetti A, Pierdomenico SD, Costantimi F, Romano F, Bucci A, Gioacchino MD, et al. White-coat resistant hypertension. Am J Hypertens 1997;10:1302–1307.

    Article  PubMed  CAS  Google Scholar 

  41. Redon J, Campos C, Narciso ML, Rodicio JL, Pascual JM, Ruilope LM. Prognostic value of ambulatory blood pressure monitoring in refractory hypertension: a prospective study. Hypertension 1998;31:712–718.

    Article  PubMed  CAS  Google Scholar 

  42. Gosse P, Ansoborlo P, Lemetayer P, Clementy J. Left ventricular mass is better correlated with arising blood pressure than with office or occasional blood pressure. Am J Hypertens 1997;10: 505–510.

    Article  PubMed  CAS  Google Scholar 

  43. Kuwajima I, Mitani K, Miyao M, Suzuki Y, Kuramoto K, Ozawa T. Cardiac implications of the morning surge in blood pressure in elderly hypertensive patients: relation to arising time. Am J Hypertens 1995;8:29–33.

    Article  PubMed  CAS  Google Scholar 

  44. Moser M. Hypertension can be teated effectively without increasing the cost of care. J Hum Hypertens 1996;10(Suppl 2):S33–S38.

    Google Scholar 

  45. Yarows SA, Khoury S, Sowers JR. Cost-effectiveness of 24-hour ambulatory blood pressure monitoring in evaluation and treatment of essential hypertension. Am J Hypertens 1994;7:464–468.

    PubMed  CAS  Google Scholar 

  46. Khoury S, Yarows SA, O’Brien TK, Sowers JR. Ambulatory blood pressure monitoring in a nonacademic setting—effects of age and sex. Am J Hypertens 1992;5:616–623.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Yusra Anis Anwar MD
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  2. William B. White MD
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Editor information

Editors and Affiliations

  1. Section of Hypertension and Clinical Pharmacology, University of Connecticut School of Medicine, Farmington, CT, USA

    William B. White MD (Professor of Medicine) (Professor of Medicine)

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© 2001 Springer Science+Business Media New York

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Anwar, Y.A., White, W.B. (2001). Ambulatory Monitoring of Blood Pressure. In: White, W.B. (eds) Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-004-9_4

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  • DOI: https://doi.org/10.1007/978-1-59259-004-9_4

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-4654-9

  • Online ISBN: 978-1-59259-004-9

  • eBook Packages: Springer Book Archive

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