Clinical Value of Non-Invasive Ambulatory Blood Pressure Measurements and Comparison with Other Methods

  • D. L. Clement
  • M. Bobelyn
  • L. Packet
  • G. O. Van Maele
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 37)


For years, the diagnosis of arterial hypertension has been largely based on the level of blood pressure measured in the doctor’s office. Studies with either continuous or semi-continuous blood pressure recordings have shown that variability of blood pressure is so large that casual pressure only is a tiny part of the spectrum of the blood pressure profile. Ambulatory blood pressure recordings are very helpful in this respect ; most of the information can be obtained by non-invasive means. Besides a more correct diagnosis of the hypertensive disease as made in normal life, ambulatory blood pressure recordings permit a better definition of the effect of hypotensive drugs on blood pressure and its variations.


Ambulatory Blood Pressure Blood Pressure Variability Blood Pressure Recording Ambulatory Blood Pressure Measurement Korotkoff Sound 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Bachmann, K. and Bauerlein, G. 1981. Ambulatory monitoring of arterial blood pressure. Comparison between blood pressure measurements obtained with the Remler M-2000 portable recorder and by radiotelemetry under laboratory conditions and during everyday activities. Biotelemetry Patient Monitg., 8, 47–55.Google Scholar
  2. Clement, D.L. 1977. Blood pressure variability in hospitalized patients. Acta Clin. Belg., 32, 163–167.PubMedGoogle Scholar
  3. Clement, D.L., Bogaert, M.G. and Pannier, R. 1977. Effect of beta-adrenergic blockade on blood pressure variation in patients with moderate hypertension. Europ. J. Clin. Pharmacol., 11, 325–327.CrossRefGoogle Scholar
  4. Clement, D.L., Mussche, M.M., Vanhoutte, G. and Pannier, R. 1979. Is blood pressure variability related to activity of the sympathetic system ? Clinical Science, 57, 217–219s.Google Scholar
  5. Clement, D.L. 1979. Blood Pressure Variability, MTP Press.Google Scholar
  6. Clement, D.L. 1979. Effect of sympathetic nervous activity on blood pressure variability. In: Blood Pressure Variability, MTP Press, 43–48.Google Scholar
  7. Clement, D.L., Cardon, E., Castro, M., De Pue, N., Packet, L. and Van Maele, G.O. 1983. Effect of metoprolol and of guanfacine on ambulatory blood pressure and its variations. Brit. J. Clin. Pharmacol. In press.Google Scholar
  8. Cowan, R.M., Sokolow, M. and Perloff, D. 1979. Methodological consideration in determining the accuracy of an indirect blood pressure recorder in: ISAM. Ed. F.D. Stott, E.B. Raftery, L. Gould, 241–245.Google Scholar
  9. Heyndrickx, G.R., Nellens, P. and Clement, D.L. 1979. Autonomic nervous control of blood pressure variability in conscious dogs. In: Blood Pressure Variability, Ed. D.L. Clement, MTP Press, 49–54.Google Scholar
  10. Hinman, A.T., Engel, B.T., Bickford, A.F. 1962. Portable blood pressure recorder: accuracy and preliminary use in evaluating intradaily variations in pressure. Am. Heart J., 63, 663.PubMedCrossRefGoogle Scholar
  11. Hypertension Detection and Follow-Up Program Cooperative Study (HFDP): five year findings of the hypertension detection and follow-up program. I. Reduction in mortality of persons with high blood pressure, including mild hypertension. 1979. JAMA, 242, 2562–71.CrossRefGoogle Scholar
  12. Kain, H., Hinman, A.T., Sokolow, M. 1964. Arterial blood pressure measurements with a portable recorder in hypertensive patients: I. Variability and correlation with “casual” pressures. Circulation, 30, 882.PubMedGoogle Scholar
  13. Kannel, W.B. 1974. Role of blood pressure in cardiovascular morbiditiy and mortality. Prog. Cardiovasc. Dis., 17, 5.PubMedCrossRefGoogle Scholar
  14. Mancia, G. 1983. Blood pressure variability at normal and high blood pressure. Chest, 83, supplement february, 317–319.PubMedGoogle Scholar
  15. Mann, S., Millar Craig, M.W., Altman, D.G., Melville, D.I. and Raftery, E.B. 1979. The effects of metoprolol on ambulatory blood pressure. Clinical Science, 57, 375–377s.Google Scholar
  16. Perloff, D. and Sokolow, M. 1978. The representative blood pressure: usefulness of office, basal, home, and ambulatory readings. Cardiovascular Medicine, 3, 655–668.Google Scholar
  17. Perloff, D., Sokolow, M. and Cowan, R. 1981. Clinical relevance of ambulatory blood pressure measurements. Biotelemetry Patient Monitg., 8, 67–80.Google Scholar
  18. Sokolow, M., Werdegar, D., Kain, H.K. et al. 1966. Relationship between level of blood pressure measured casually and by portable recorders and severity of complications in essential hypertension. Circulation, 34, 279.PubMedGoogle Scholar
  19. Sokolow, M., Perloff, D., Cowan, R. 1973. The value of portably recorded blood pressures in the initiation of treatment of moderate hypertension. Clin. Sci. Mol. Med., 45, 195s.Google Scholar
  20. Stott, F.D., Raftery, E.G., Clement, D.L. and Wright S.L. (Editors) 1982. ISAM Gent, Academic Press.Google Scholar
  21. The Australian therapeutic trial in mild hypertension. Report by the management Committee. 1980. Lancet, i, 1261–7.Google Scholar
  22. Van Maele, G.O. and Clement, D.L. 1981. Methods of processing semi-continuous blood pressure recordings. Proceedings of 2nd Gent Workshop on Blood Pressure Variability. Academic Press. Ed. Clement D.L., Stott, F.D., Wright, S.L., Raftery, E.B., 607–619.Google Scholar
  23. Van Maele, G.O. and Clement, D.L. 1982, How shall we define blood pressure variability ? In: Proceedings of the 2e International Symposium on Blood Pressure Variability, 608-611.Google Scholar
  24. Veterans Cooperative Study Group on Antihypertensive Agents Effects of treatment on morbidity in hypertension: results in patients with diastolic blood pressures averaging 115 through 129 mmHg. 1967. JAMA, 202, 1028.Google Scholar
  25. Watson, R.D.S., Stallard, T.J. and Littler, W.A. 1979a. Influence of once-daily administration of beta-adrenoceptor antagonists on arterial pressure and its variability. Lancet, 1, 1210–1213.PubMedCrossRefGoogle Scholar
  26. Watson, R.D.S., Stallard, T.J. and Littler, W.A. 1979b. Factors determining the variability of arterial pressure in hypertension. Clinical Science, 57, 283–285s.Google Scholar

Copyright information

© ECSC, EEC, EAEC, Brussels-Luxembourg 1984

Authors and Affiliations

  • D. L. Clement
    • 1
  • M. Bobelyn
    • 1
  • L. Packet
    • 1
  • G. O. Van Maele
    • 1
  1. 1.Department of CardiologyUniversity HospitalGentBelgium

Personalised recommendations