24-Hour blood pressure measurements

Methodological and clinical problems

G. Parati, G. Pomidossi, D. Malaspina, C. Camesasca, [No Value] G.Mancia

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Awareness that sphygmomanometry is encompassed with serious limitations has led to the development of techniques that allow blood pressure (BP) to be monitored intraarterially or noninvasively during the day or over a 24-hour period. Although intraarterial BP monitoring allows an accurate evaluation of 24-hour BP mean and variability, its invasiveness prevents routine use in the clinical practice. This use can be more easily foreseen for non-invasive ambulatory BP monitoring, provided that the questions posed by this approach are answered. In the present study we show that the intermittent cuff inflations which allow BP to be measured noninvasively do not induce an alerting reaction and a BP rise in the patients, which means that this approach does not disrupt the daily BP profile. We also show that noninvasive BP monitoring does not alter the nocturnal hypotension, thus, preserving the day and night BP rhythm. Finally, we present evidence from a cross-sectional study that 24-hour BP monitoring reflects more closely the hypertension-related target organ damage than sphygmomanometric BP measurement and that target organ damage is related not only to average BP regimens but also to the degree of BP variability. Although support from prospective studies is necessary, this suggests that the diagnosis of hypertension and the prediction of its risk may be improved by ambulatory BP monitoring.

Original languageEnglish
Pages (from-to)55-60
Number of pages6
JournalAmerican Journal of Nephrology
Volume6
DOIs
Publication statusPublished - 1986

Fingerprint

Blood Pressure
Ambulatory Blood Pressure Monitoring
Hypertension
Economic Inflation
Hypotension
Cross-Sectional Studies
Prospective Studies

Keywords

  • Alarm reaction
  • Cardiovascular morbidity
  • Hypertension
  • Intraarterial blood pressure monitoring
  • Noninvasive blood pressure monitoring

ASJC Scopus subject areas

  • Nephrology

Cite this

24-Hour blood pressure measurements : Methodological and clinical problems. / Parati, G.; Pomidossi, G.; Malaspina, D.; Camesasca, C.; G.Mancia, [No Value].

In: American Journal of Nephrology, Vol. 6, 1986, p. 55-60.

Research output: Contribution to journalArticle

Parati, G. ; Pomidossi, G. ; Malaspina, D. ; Camesasca, C. ; G.Mancia, [No Value]. / 24-Hour blood pressure measurements : Methodological and clinical problems. In: American Journal of Nephrology. 1986 ; Vol. 6. pp. 55-60.
@article{2fa47310d52043e8be4f1dfef1b49562,
title = "24-Hour blood pressure measurements: Methodological and clinical problems",
abstract = "Awareness that sphygmomanometry is encompassed with serious limitations has led to the development of techniques that allow blood pressure (BP) to be monitored intraarterially or noninvasively during the day or over a 24-hour period. Although intraarterial BP monitoring allows an accurate evaluation of 24-hour BP mean and variability, its invasiveness prevents routine use in the clinical practice. This use can be more easily foreseen for non-invasive ambulatory BP monitoring, provided that the questions posed by this approach are answered. In the present study we show that the intermittent cuff inflations which allow BP to be measured noninvasively do not induce an alerting reaction and a BP rise in the patients, which means that this approach does not disrupt the daily BP profile. We also show that noninvasive BP monitoring does not alter the nocturnal hypotension, thus, preserving the day and night BP rhythm. Finally, we present evidence from a cross-sectional study that 24-hour BP monitoring reflects more closely the hypertension-related target organ damage than sphygmomanometric BP measurement and that target organ damage is related not only to average BP regimens but also to the degree of BP variability. Although support from prospective studies is necessary, this suggests that the diagnosis of hypertension and the prediction of its risk may be improved by ambulatory BP monitoring.",
keywords = "Alarm reaction, Cardiovascular morbidity, Hypertension, Intraarterial blood pressure monitoring, Noninvasive blood pressure monitoring",
author = "G. Parati and G. Pomidossi and D. Malaspina and C. Camesasca and G.Mancia, {[No Value]}",
year = "1986",
doi = "10.1159/000167335",
language = "English",
volume = "6",
pages = "55--60",
journal = "American Journal of Nephrology",
issn = "0250-8095",
publisher = "S. Karger AG",

}

TY - JOUR

T1 - 24-Hour blood pressure measurements

T2 - Methodological and clinical problems

AU - Parati, G.

AU - Pomidossi, G.

AU - Malaspina, D.

AU - Camesasca, C.

AU - G.Mancia, [No Value]

PY - 1986

Y1 - 1986

N2 - Awareness that sphygmomanometry is encompassed with serious limitations has led to the development of techniques that allow blood pressure (BP) to be monitored intraarterially or noninvasively during the day or over a 24-hour period. Although intraarterial BP monitoring allows an accurate evaluation of 24-hour BP mean and variability, its invasiveness prevents routine use in the clinical practice. This use can be more easily foreseen for non-invasive ambulatory BP monitoring, provided that the questions posed by this approach are answered. In the present study we show that the intermittent cuff inflations which allow BP to be measured noninvasively do not induce an alerting reaction and a BP rise in the patients, which means that this approach does not disrupt the daily BP profile. We also show that noninvasive BP monitoring does not alter the nocturnal hypotension, thus, preserving the day and night BP rhythm. Finally, we present evidence from a cross-sectional study that 24-hour BP monitoring reflects more closely the hypertension-related target organ damage than sphygmomanometric BP measurement and that target organ damage is related not only to average BP regimens but also to the degree of BP variability. Although support from prospective studies is necessary, this suggests that the diagnosis of hypertension and the prediction of its risk may be improved by ambulatory BP monitoring.

AB - Awareness that sphygmomanometry is encompassed with serious limitations has led to the development of techniques that allow blood pressure (BP) to be monitored intraarterially or noninvasively during the day or over a 24-hour period. Although intraarterial BP monitoring allows an accurate evaluation of 24-hour BP mean and variability, its invasiveness prevents routine use in the clinical practice. This use can be more easily foreseen for non-invasive ambulatory BP monitoring, provided that the questions posed by this approach are answered. In the present study we show that the intermittent cuff inflations which allow BP to be measured noninvasively do not induce an alerting reaction and a BP rise in the patients, which means that this approach does not disrupt the daily BP profile. We also show that noninvasive BP monitoring does not alter the nocturnal hypotension, thus, preserving the day and night BP rhythm. Finally, we present evidence from a cross-sectional study that 24-hour BP monitoring reflects more closely the hypertension-related target organ damage than sphygmomanometric BP measurement and that target organ damage is related not only to average BP regimens but also to the degree of BP variability. Although support from prospective studies is necessary, this suggests that the diagnosis of hypertension and the prediction of its risk may be improved by ambulatory BP monitoring.

KW - Alarm reaction

KW - Cardiovascular morbidity

KW - Hypertension

KW - Intraarterial blood pressure monitoring

KW - Noninvasive blood pressure monitoring

UR - http://www.scopus.com/inward/record.url?scp=0023032218&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023032218&partnerID=8YFLogxK

U2 - 10.1159/000167335

DO - 10.1159/000167335

M3 - Article

VL - 6

SP - 55

EP - 60

JO - American Journal of Nephrology

JF - American Journal of Nephrology

SN - 0250-8095

ER -