Do we need out-of-office blood pressure in every patient?

Gianfranco Parati, Mariaconsuelo Valentini

Research output: Contribution to journalArticle

Abstract

PURPOSE OF REVIEW: The limitations affecting office blood pressure readings have spurred the development of techniques for measuring blood pressure out of a clinical environment. The increasing use of home and ambulatory blood pressure monitoring has allowed the identification of specific blood pressure patterns related either to a discrepancy between office and out-of-office blood pressure or to alterations in the 24-h blood pressure profiles. This review offers an update on the most recent data published on the above issues. RECENT FINDINGS: A critical overview is provided on recent data published on blood pressure patterns suggested to have clinical relevance. These include white coat hypertension, the so-called masked hypertension, enhanced overall blood pressure variability over 24 h, a steeper morning blood pressure surge and a blunted or an excessive blood pressure fall at night. SUMMARY: All of these different conditions have been variably reported to carry prognostic implications, and may represent specific targets for antihypertensive treatment. Their identification and management require information on out-of-office blood pressure, which suggests that self blood pressure monitoring at home or 24-h ambulatory blood pressure monitoring should be used more frequently in clinical practice, following the indications issued in recent guidelines.

Original languageEnglish
Pages (from-to)321-328
Number of pages8
JournalCurrent Opinion in Cardiology
Volume22
Issue number4
DOIs
Publication statusPublished - Jul 2007

Keywords

  • Ambulatory blood pressure monitoring
  • Arterial hypertension
  • Blood pressure variability
  • Home blood pressure
  • Isolated office hypertension
  • Masked hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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