Blutdruck-Selbstmessung vs. ambulantes 24-h-Blutdruckmonitoring: Welches ist die bessere Methode?

  • D. Holm
  • J. Steurer
  • W. Vetter

Zusammenfassung

Sowohl beim Normotensiven als auch beim Hypertoniker ist der Blutdruck starken Schwankungen unterworfen. Es ist deshalb eine alte Erkenntnis, daß eine einzige Messung nur eine ungenügende Aussage über den wahren Blutdruckwert erlaubt.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Bättig B, Steiner A, Jeck T, Vetter W(1989) Blood pressure self-measurement in normotensive und hypertensive patients. J Hypertension 7 (Suppl 3 ): S59–S63CrossRefGoogle Scholar
  2. 2.
    Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1: 307–310PubMedCrossRefGoogle Scholar
  3. 3.
    Edmonds D, Foerster E, Groth H, Greminger P, Siegenthaler W, Vetter W(1985) Does self-measurement of blood pressure improve patient compliance in hypertension? J Hypertension 3 (suppl 1 ): 31–34CrossRefGoogle Scholar
  4. 4.
    Floras J, Hassa MO, Sever PS, Sleigh P (1981) Cuff and ambulatory blood–pressure in subjects with essential hypertension. Lancet II: 107–109Google Scholar
  5. 5.
    Grüne S, Weisser B, Kraft K, Del Buffalo A, Binswanger B, Mengden T, Spühler T, Greminger P, Moccetti T, Vetter H, Vetter W (1993) Comparison of casual, ambulatory and selfmeasured blood pressure in a long term study with cilazapril and atenolol. Amer J Med 94 (suppl 4A): 71S–74SPubMedGoogle Scholar
  6. 6.
    Hany S, Baumgart P, Bättig B, Walger P, Vetter W, Vetter H (1987) Diagnostische Aspekte der 24-Stunden- Blutdruckmessung. Schweiz Rundschau Med (PRAXIS) 76: 450–454Google Scholar
  7. 7.
    Hany S, Baumgart P, Frielingsdorf J, Vetter H, Vetter W (1987) Circadian blood pressure variability in secondary and essential hypertension. J Hypertension 5 (suppl 5): S487–S489Google Scholar
  8. 8.
    Holm D, Suter P, Vetter W (1994) Neue Blutdruckmeßmethoden in der Diagnose der Hypertonie. Nieren- Hochdruckkrankh 23: 233–235Google Scholar
  9. 9.
    James GD, Pickering TG, Yee LS, Harshfield GA, Riva S, Laragh JH (1988) The reproducibility of average ambulatory, home, and clinical pressures. Hypertension 11: 545–549PubMedGoogle Scholar
  10. 10.
    Marolf AP, Hany S, Bättig B, Vetter W (1987) Comparison of casual, ambulatory and self–determined blood pressure measurement. Nephron 47 (suppl 1): 142–145PubMedCrossRefGoogle Scholar
  11. 11.
    Mengden T, Jeck Th, Schubert M, Steiner A, Edmonds D, Vetter W (1989) Therapeutische Aspekte der Heimblutdruckmessung. Schweiz Rundschau Med (PRAXIS) 78: 1357–1360Google Scholar
  12. 12.
    Mengden T, Bättig B, Vetter W (1991) Self–measurement of blood pressure improves the accuracy and reduces the number of subjects in clinical trials. J Hypertension 9 (suppl 6): S336–S337CrossRefGoogle Scholar
  13. 13.
    Mengden T, Binswanger B, Weisser B, Vetter W (1992) An evaluation of self–measured blood pressure in a study with a calcium-channel antagonist versus β-blocker. Am J Hypertension 5: 154–160Google Scholar
  14. 14.
    Mengden T, Bättig B, Schubert M, Jeck T, Weisser B, Buddeberg C, Vetter W (1992) Comparison of casual, ambulatory and self-measured blood pressure in a study of nitrendipine vs. bisoprolol. Eur J Clin Pharmacol 42: 569–576PubMedCrossRefGoogle Scholar
  15. 15.
    MengdenT, Binswanger B, Spühler T, Weisser B, Vetter W (1993) The use of self-measured blood pressure determinations in assessing dynamics of drug compliance in a study with amlodipine once a day, morning versus evening. J Hypertension 11: 1403–1411CrossRefGoogle Scholar
  16. 16.
    Mengden T, Weisser B, Vetter W (1994) Ambulatory 24-hour blood pressure versus self–measured blood pressure in pharmacological trials. J Cardiovasc Pharmacol 24 (suppl 2): S20–S25PubMedGoogle Scholar
  17. 17.
    Pickering TG (1992) The ninth Sir George Pickering memorial lecture. Ambulatory monitoring and definition of hypertension. J Hypertension 10: 401–109CrossRefGoogle Scholar
  18. 18.
    Pickering TG (1994) Blood pressure measurement and detection of hypertension. Lancet II: 31–35Google Scholar
  19. 19.
    Schubiger JL, Wohler, Grüne S, Weisser B, Kraft K, Del Buffalo A, Binswanger B, Mengden Th, Spühler Th, Greminger P, Moccetti T, Vetter H, Vetter W (1993) Sind die Messungen zu Hause und die ambulante 24-Std.-Blutdruckmessung der Messung in der Praxis überlegen. Schweiz Rundschau Med (PRAXIS) 82, 587–592Google Scholar
  20. 20.
    Verdecchia P, Schillaci G, Guerrieri M, Gattechi C, Benemio G, Boldrini F, Porcellati C (1990) Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation 81: 528–536PubMedCrossRefGoogle Scholar
  21. 21.
    Verdecchia P, Schillaci G, Gatteschi C, Zampi I, Battistelli M, Bartoccini C, Porcellati C (1993) Blunted nocturnal fall in blood pressure in hypertensive women with future cardiovascular morbid events. Circulation 88: 986–992PubMedGoogle Scholar
  22. 22.
    Weisser B, Grüne S, Burger R, Blickensdorfer H, Iseli J, Michelsen SH, Opravil R, Rageth S, Sturzenegger ER, Walker P, Widmer W, Vetter W (1994) The Dübendorf Study: a population-based investigation on normal values of blood pressure self-measurement. J Hum Hypertension 8: 227–231Google Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1994

Authors and Affiliations

  • D. Holm
    • 1
  • J. Steurer
    • 1
  • W. Vetter
    • 1
    • 2
  1. 1.Departement für Innere Medizin, Medizinische PoliklinikUniversitätsspital ZürichGermany
  2. 2.Medizinische PoliklinikUniversitätsspital ZürichZürichGermany

Personalised recommendations