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Klinische Bedeutung der ambulanten Blutdrucklangzeitmessung

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Endorganschädigungen der arteriellen Hypertonie — Konsequenzen für Diagnostik und Therapie

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Zusammenfassung

Die Gültigkeit der Annahme, daß gelegentliche Blutdruckmessungen in der ärztlichen Praxis, die häufig weniger als 1 min dauern, die tatsächliche Blutdruckbelastung eines Patienten zum Ausdruck bringen können, wird immer häufiger in Frage gestellt. Die Zweifel erhoben sich aufgrund der klinischen Erfahrung, daß bei Patienten zwischen den in der Praxis gemessenen Blutdruckwerten und dem Schweregrad hypertonieassozüerter kardiovaskulärer Komplikationen eine Diskrepanz bestehen kann. Sie rühren auch von Ergebnissen derselben klinischen Studien her, in denen ein Zusammenhang zwischen Gelegenheitsblutdruck und kardiovaskulärer Morbidität und Mortalität aufgezeigt wurde [1–7]. Tatsächlich lagen die Korrelationskoeffizienten dieser Zusammenhänge in manchen Fällen nicht höher als 0, 4–0, 5; das bedeutet, daß gelegentliche Blutdruckmessungen mit der Armmanschette nur 16–25% der Varianz bezüglich der Inzidenz kardiovaskulärer Komplikationen erklären konnten. Dies gilt v. a. für die häufigste Form, also für die milde Hypertonie [7].

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Authors
  1. G. Parati
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  2. A. Villani
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  3. S. Trazzi
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  4. E. Mutti
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  5. G. Mancia
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Editor information

Editors and Affiliations

  1. 4. Med. Klinik, Universität Erlangen-Nürnberg, Kontumazgarten 14-18, D-8500, Nürnberg 80, Germany

    Roland E. Schmieder

  2. Nibelungenstraße 9a, D-8000, München 19, Germany

    Hans-Michael Müller

  3. Section of Hypertension, Ochsner Clinic, 1514 Jefferson Highway, 70121, New Orleans, LA, USA

    Franz H. Messerli

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© 1991 Springer-Verlag Berlin Heidelberg

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Parati, G., Villani, A., Trazzi, S., Mutti, E., Mancia, G. (1991). Klinische Bedeutung der ambulanten Blutdrucklangzeitmessung. In: Schmieder, R.E., Müller, HM., Messerli, F.H. (eds) Endorganschädigungen der arteriellen Hypertonie — Konsequenzen für Diagnostik und Therapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76361-8_3

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  • DOI: https://doi.org/10.1007/978-3-642-76361-8_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53581-2

  • Online ISBN: 978-3-642-76361-8

  • eBook Packages: Springer Book Archive

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