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 language | English |
|---|---|
| Pages (from-to) | 55-60 |
| Number of pages | 6 |
| Journal | American Journal of Nephrology |
| Volume | 6 |
| DOIs | |
| Publication status | Published - 1986 |
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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 journal › Article
}
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 -