Clement D L, De Buyzere M, Duprez D
Universiteit Gent--Universitair Ziekenhuis Inwendige Ziekten--Dienst Hart- en Vaatziekten.
Verh K Acad Geneeskd Belg. 1992;54(4):347-62; discussion 362-4.
In the present paper, the value of ambulatory blood pressure recordings is discussed. Such recordings can be very helpful in the management of high and low blood pressure. The fact that more readings are obtained and that they are made in normal life conditions are the strongest arguments in favour of those recordings. Whether ambulatory recordings predict long term prognosis better than office blood pressure is still open for discussion; the long term European study OvA should help clarifying this important question. Data coming from these techniques are especially useful when conflicting elements are present such as high pressure with no organ damage or blood pressure resistant to all drugs and side effects occurring with even minor doses of antihypertensive drugs. Short term episodes of high or low pressure are best documented with ambulatory blood pressure recordings and this holds particularly true in patients with arterial hypotension. Finally several research aspects can be approached by ambulatory recordings of pressure such as the study of pharmacokinetics of drugs and analysis of blood pressure variability.
在本文中，讨论了动态血压记录的价值。此类记录在高血压和低血压的管理中可能非常有帮助。能够获得更多读数且这些读数是在正常生活条件下取得的，这是支持这些记录的最有力论据。动态记录是否比诊室血压能更好地预测长期预后仍有待讨论；欧洲的长期研究OvA应该有助于阐明这个重要问题。当存在相互矛盾的因素时，例如血压高但无器官损害，或血压对所有药物均有抵抗且即使小剂量抗高血压药物也会出现副作用，来自这些技术的数据就特别有用。血压高低的短期发作通过动态血压记录能得到最佳记录，这在动脉低血压患者中尤为如此。最后，通过动态血压记录可以探讨几个研究方面，例如药物药代动力学研究和血压变异性分析。
