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Prognostic Value of Ambulatory Blood Pressure Monitoring

  • Chapter
Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

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Abstract

Diagnosis and management of hypertension are traditionally based on blood pressure (BP) measured in the physician’s office or in the hospital. Nevertheless, office-based BP readings are limited in the amount of information they provide, as they represent a single snapshot in time.

Conversely, ambulatory BP monitoring represents a better picture of the fluctuations in BP levels and enables clinicians to evaluate specific patterns occurring within the 24 h.

Moreover, end-organ damage associated with hypertension is more closely related to ambulatory BP than clinic or casual BP measurements and ambulatory BP measurements give better prediction of clinical outcomes compared with conventional office BP measurements.

Some components and summary measures of ambulatory BP (average BP, day–night change in BP, pulse pressure, and night-time BP variability) improve cardiovascular risk stratification over and beyond other traditional risk factors. Thus, ambulatory BP monitoring appears to be an indispensable diagnostic tool in patients with established or suspected hypertension in order to refine cardiovascular risk stratification and guide therapeutic strategies.

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Conflict of Interest

None of the authors of this study has financial or other reasons that could lead to a conflict of interest.

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Authors and Affiliations

  1. Division of Cardiology and Cardiovascular Pathophysiology, Hospital “S.M. della Misericordia”, Perugia, Italy

    Fabio Angeli M.D.

  2. Department of Internal Medicine, Hospital of Assisi, Via Valentin Muller 1, Assisi, 06081, Italy

    Paolo Verdecchia M.D.

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  1. Fabio Angeli M.D.
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  2. Paolo Verdecchia M.D.
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Correspondence to Paolo Verdecchia M.D. .

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Editors and Affiliations

  1. Calhoun Cardiology Center, University of Connecticut School of Medicine, Farmington, Connecticut, USA

    William B. White

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Angeli, F., Verdecchia, P. (2016). Prognostic Value of Ambulatory Blood Pressure Monitoring. In: White, W. (eds) Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. Clinical Hypertension and Vascular Diseases. Humana Press, Cham. https://doi.org/10.1007/978-3-319-22771-9_9

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  • DOI: https://doi.org/10.1007/978-3-319-22771-9_9

  • Publisher Name: Humana Press, Cham

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