Shimizu Motohiro, Shibasaki Seiichi, Kario Kazuomi
Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan.
Curr Hypertens Rep. 2006 Oct;8(5):363-7. doi: 10.1007/s11906-006-0079-7.
Home blood pressure (BP) monitoring has become popular and acceptable. The value of home BP monitoring has been recognized, because it has some potential advantages over office BP. Home BP monitoring is more accurate and reproducible, has a better prognostic value, and increases patients' compliance with treatment. Home BP monitoring should be performed with an adequate device, following a standardized procedure. The automated arm-cuff-oscillometric devices are recommended currently, and home BP should be measured at least twice daily, in the morning and in the evening. Home BP monitoring has revealed the phenomena of "white-coat hypertension," "masked hypertension," and "morning hypertension," and it is useful for their management. In the future, home BP monitoring will be an essential aspect of clinical practice.
家庭血压监测已变得普遍且被认可。家庭血压监测的价值已得到认可,因为它相对于诊室血压具有一些潜在优势。家庭血压监测更准确且可重复,具有更好的预后价值,并能提高患者的治疗依从性。家庭血压监测应使用合适的设备,并遵循标准化程序进行。目前推荐使用自动上臂袖带示波法设备,家庭血压应至少每天早晚各测量一次。家庭血压监测已揭示了“白大衣高血压”“隐匿性高血压”和“清晨高血压”现象,对其管理很有用。未来,家庭血压监测将成为临床实践的一个重要方面。