Ambulatory Blood Pressure Monitoring

End-organ injury related to hypertension is more closely related to ambulatory blood pressure (ABP) than clinic or casual blood stress measurements. ABP measurements give better prediction of clinical consequence than clinic or informal blood stress measurements. The technique of ABP monitoring (ABPM) is specialised; validated screens and appropriate quality management measures should be used. Interpretation of ABP profile should include mean daytime, night-time (sleep) and 24-hour measurements, and BloodVitals test consideration of diary data and time of drug therapy. Reports may include ABP "loads" (share space below the blood strain curve above set limits) for daytime and night time-time intervals. Percentage space below the blood pressure curve above set limits. Can only be detected by ambulatory blood strain monitoring (ABPM) or self-monitoring. May not be benign; definitive end result studies are wanted. Requires continued surveillance, involving self-monitoring and repeat ABPM at 1-2-year intervals. Does not reply to standard drug therapy. Department of Vascular Sciences, Dandenong Hospital, Dandenong, BloodVitals test VIC. 1. Verdecchia P, Clement D, Faggard R, et al.



Blood Pressure Monitoring. Task force III. Target organ harm, morbidity and mortality. 2. Mancia G, Zanchetti A, Agabiti-Rosei E, et al. Ambulatory blood strain is superior to clinic blood pressure in predicting remedy-induced regression of left ventricular hypertrophy. 3. Perloff D, Sokolow M, Cowan R, et al. Prognostic value of ambulatory blood strain measurements: further analysis. J Hypertens 1989; l 7: S3-S10. 4. Verdecchia P. Prognostic worth of ambulatory blood pressure. Current proof and clinical implications. 5. Imai Y. Prognostic significance of ambulatory blood strain. 6. Staessen J, Thijs L, Fagard R, et al. Predicting cardiovascular danger utilizing typical vs ambulatory blood strain in older patients with systolic hypertension. 7. Sokolow M, Werdegar D, Kain H, Hinman A. Relationship between stage of blood pressure measured casually and BloodVitals monitor by portable recorders and severity of complications in important hypertension. 8. O'Brien E, Petrie J, Littler WA, et al. The British Hypertension Society protocol for the analysis of blood strain measuring units.



J Hypertens 1993; 11: S43-S63. 9. Association for the Advancement of Medical Instrumentation. American National Standard. Electronic or automated sphygmomanometer. ANSI/AAMI SP 10-1992. Arlington, VA. 10. O'Brien E, Coats A, Owens P, et al. Use and interpretation of ambulatory blood pressure monitoring: suggestions of the British Hypertension Society. 11. O'Brien E, Waeber B, Parati G, et al. Blood stress measuring units: recommendations of the European Society of Hypertension. 12. O'Brien E. State of the market for gadgets for blood stress measurement. 13. White WB. Blood strain load and goal organ effects in patients with important hypertension. J Hypertens 1991; 9: S39-S41. 14. Verdecchia P, Porcellati C, Schillaci G, et al. Ambulatory blood stress. An impartial predictor of prognosis in essential hypertension. 15. Steptoe A, Cropley M, Joekes K. Job pressure, BloodVitals test blood stress and response to uncontrollable stress. 16. Joint National Committee on Detection, Evaluation and Treatment of Hypertension. The sixth report of the Joint National Committee.



17. Guidelines Subcommittee. World Health Organization-International Society of Hypertension guidelines for BloodVitals SPO2 the management of hypertension. 18. Pickering T, for the American Society of Hypertension Ad-hoc Panel. Recommendations for the use of residence (self) and ambulatory blood pressure monitoring. 19. Myers MG, Haynes RB, Rabkin SW. Canadian Hypertension Society tips for ambulatory blood strain monitoring. 20. Staessen J, Beilin L, Parati G, et al. Task drive IV: Clinical use of ambulatory blood strain monitoring. 21. Staessen JA, Bytterbier G, Buntinx F, et al, for the Ambulatory Blood Pressure Monitoring and Treatment of Hypertension Investigators. Antihypertensive remedy primarily based on conventional or ambulatory blood strain measurement: a randomized controlled trial. 22. Beltman F, Hessen W, Kok R, et al. Predictive worth of ambulatory blood pressure shortly after withdrawal of antihypertensive medicine in primary care patients. 23. McGrath BP. Is white coat hypertension innocent? 24. Staessen J, BloodVitals test O'Brien E, Atkins N, BloodVitals device et al. Ambulatory blood pressure in normotensive in contrast with hypertensive topics. 25. Mancia G, Sega R, Bravi C, et al.



Ambulatory blood stress normality: results from the PAMELA examine. 26. Ohkubo T, Imai Y, Tsuju I, et al. Reference values for 24-hour ambulatory blood pressure monitoring based on a prognostic criterion: the Ohasama Study. 27. Lurbe E, Redon J, Liao Y, et al. Ambulatory blood strain monitoring in normotensive children. 28. Brown MA, BloodVitals test Robinson A, Bowyer L, et al. Ambulatory blood pressure monitoring in pregnancy: what is normal ? 29. Silagy C, McNeil J, BloodVitals test Farish S, McGrath B. Comparison of repeated measures of ambulatory and clinic blood stress readings in remoted systolic hypertension. 30. Pickering T, James G, Boddie C, et al. How common is white coat hypertension. 31. Palatini P, Dorigatti F, Roman E, et al. White-coat hypertension: a selection bias? 32. Palatini P, BloodVitals SPO2 Mormino P, Santonastaso M, et al. Target-organ damage in stage I hypertensive subjects with white coat and sustained hypertension: outcomes from the HARVEST study. 33. Kario K, Shimada K, Schwartz J, et al. Silent and clinically overt stroke in older Japanese topics with white-coat and sustained hypertension. 34. Herpin D, Pickering T, Sterglou G, BloodVitals SPO2 et al. Consensus convention on self-blood pressure measurement. Clinical applications and analysis. 35. Self measurement of blood stress -- a paper for health professionals. 36. Ewald B, Pekarsky B. Cost evaluation of ambulatory blood stress monitoring in initiating antihypertensive drug treatment in Australian basic practice. 37. National Health and Medical Research Council. Guidelines for the development and implementation of clinical practice tips. Publication of your on-line response is subject to the Medical Journal of Australia's editorial discretion. You can be notified by e mail within 5 working days ought to your response be accepted.