Is Arterial Pressure Self-Measurement Better Than Ambulatory 24-Hour Pressure Monitoring?

  • Carlo Fernandez
Conference paper


Hypertension is an important risk factor for cardiovascular disease, which is the second leading cause of death in the world. The overall reduction of absolute risk factors for cardiovascular disease is the therapeutic goal, with blood pressure (BP) management being a key component. Thus, accurate diagnosis and treatment of hypertension are necessary to improve a patient’s prognosis [1]. The bulk of our knowledge about the risks of hypertension and the benefits of treatment has been based on the traditional method of taking a small number of BP readings with the auscultatory technique in medical setting. However, such measurements, which are of enormous value on a population basis, often provide a poor estimate of risk in an individual patient for various reasons, such as poor technique of the observer, the “white-coat” effect (the transient but variable elevation of BP in a medical setting), and the inherent variability of BP [1, 2].


Ambulatory Blood Pressure Home Blood Pressure Office Blood Pressure Ambulatory Monitoring Masked Hypertension 
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  1. 1.
    Pickering TG, Phil D, Shimbo D, Haa SD (2006) Ambulatory blood-pressure monitoring. N Engl J Med 354:2368–2374PubMedCrossRefGoogle Scholar
  2. 2.
    Armitage P, Rose GA (1966) The variability of measurements of causal blood pressure. I.A. Laboratory study. Clin Sci 30:325–335PubMedGoogle Scholar
  3. 3.
    Wite WB (2003) Ambulatory blood-pressure monitoring in clinical practice. N Engl J Med 348:2377–2378CrossRefGoogle Scholar
  4. 4.
    Staessen JA, Wang J, Bianca G (2003) Essential hypertension. Lancet 361:1269–1641CrossRefGoogle Scholar
  5. 5.
    Staessen JA, Dean Hond E, Celis H et al (2004) Antihypertensive treatment based on blood pressure measurement at home or in the physician’s office: a randomized controlled trial. Treatment of Hypertension Based on Home or Office Blood Pressure (THOP) Trial Investigators. JAMA 291:995–964Google Scholar
  6. 6.
    O’Brien E, Asnear R, Beilin L et al (2003) European Society of Hypertension recommendation for conventional, ambulatory and home blood pressure measurement. J Hypertens 21:821–848PubMedCrossRefGoogle Scholar
  7. 7.
    Parati G, Stergiou G (2004) Self blood pressure measurement at home: how many times. J Hypertens 22:1075–1079PubMedCrossRefGoogle Scholar
  8. 8.
    Brook RK (2000) Home blood pressure: accuracy is independent of monitoring schedules. Am J Hypertens 13:625–631PubMedCrossRefGoogle Scholar
  9. 9.
    Little P, Barnet J, Barnsley L et al (2002) Comparison of agreement between different measures of blood pressure in primary care and daytime ambulatory blood pressure. BMJ 325:254–254PubMedCrossRefGoogle Scholar
  10. 10.
    Verdecchia P (2000) Prognostic value of ambulatory blood pressure: current evidence and clinical implications. Hypertension 35:844–851PubMedGoogle Scholar
  11. 11.
    Pickering TG, Harshfield GA, Kleinert HD et al (1982) Blood pressure during normal daily activities, sleep, and exercise: comparison of values in normal and hypertension subjects. JAMA 247:992–996PubMedCrossRefGoogle Scholar
  12. 12.
    Parati G, Valentini M (2006) Prognostic relevance of blood pressure variability. Hypertension 47:138–138Google Scholar
  13. 13.
    Clement DL, De Buyzere ML, De Bacquere DA et al (2003) Prognostic value of ambulatory blood-pressure recordings in patients with treated hypertension. N Engl J Med 348:2407–2415PubMedCrossRefGoogle Scholar
  14. 14.
    Sega R, Facchetti R, Bombelli M et al (2005) Prognostic value of ambulatory and home blood pressure compared with office blood pressure in the general population: follow-up results from the Pression Arteriose Monitorate e Loro Associazioni (PAMELA) study. Circulation 111:1777–1783PubMedCrossRefGoogle Scholar
  15. 15.
    Dolan E, Stanton A, Thijs L et al (2005) Superiority of ambulatory over clinic blood pressure measurement in predicting mortality: the Dublin outcome study. Hypertension 46:156–161PubMedCrossRefGoogle Scholar
  16. 16.
    Pickering T (2005) Future developments in ambulatory blood pressure monitoring and self-blood pressure monitoring in clinical practice. Blood Press Monit 7:21–25CrossRefGoogle Scholar
  17. 17.
    Pierdomenico SD, Lapenna D, Bucci A et al (2005) Cardiovascular outcome in treated hypertensive patients with responders, masked, false resistant, and true resistant hypertension. Am J Hypertens 18:1422–1428PubMedCrossRefGoogle Scholar
  18. 18.
    Man S, Altman DG, Raftery EB, Bannister R (1983) Circadian variation of blood pressure in autonomic failure. Circulation 68:477–483Google Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Carlo Fernandez
    • 1
  1. 1.College of Practice Cardiology ANCEPalermoItaly

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