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Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics pp 191–218Cite as

Prognostic Value of Ambulatory Blood Pressure Monitoring

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

Abstract

High blood pressure (BP) is a potent risk factor for cardiovascular disease in the general population. Unfortunately, however, the standard sphygmomanometric measurements of BP, taken as an index of the average BP load, have a quite weak predictive power in the single individual. One possible reason for that is the high variability of BP, with consequent need of several measurements in order to provide a more representative estimate of the average BP load to which a given person is exposed over a given time interval. On this assumption, clinically hypertensive subjects may benefit from ambulatory BP monitoring (ABPM), a procedure which gathers several BP measurements over time, when a main condition is fulfilled: The difference in cardiovascular disease risk among different categories generated by ABPM should be greater than the difference among risk categories generated by the standard measurement of BP. As a result, statistical models including different measures of ABPM should lead, after adjustment for concomitant risk factors, to a lesser unexplained risk of cardiovascular disease than models including different measures of clinic BP.

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Authors
  1. Paolo Verdecchia MD
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  2. Giuseppe Schillaci MD
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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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Verdecchia, P., Schillaci, G. (2001). Prognostic Value of Ambulatory Blood Pressure Monitoring. 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_9

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  • DOI: https://doi.org/10.1007/978-1-59259-004-9_9

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-4654-9

  • Online ISBN: 978-1-59259-004-9

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