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我们如何在高血压管理中使用动态血压测量?

How do we use ambulatory measurement of blood pressure in the management of hypertension?

作者信息

McGowan Neil, Gough Kathleen, Maxwell Simon, Padfield Paul L

机构信息

Metabolic Unit, Clinical Pharmacology, Western General Hospital, Edinburgh, Scotland, UK.

出版信息

Blood Press Monit. 2007 Dec;12(6):385-6. doi: 10.1097/MBP.0b013e32824958f5.

DOI:10.1097/MBP.0b013e32824958f5
PMID:18277316
Abstract

We have explored the use and interpretation of ambulatory blood pressure monitoring (ABPM) among clinicians at an Edinburgh Cardiovascular Risk Clinic and among a group of international experts in blood pressure monitoring. Locally, we were able to demonstrate major discrepancies in management advice between doctors and nurses. Although all of the international experts used ABPM regularly, they did not agree on thresholds levels for treatment or target BP. This gives food for thought as we consider how to advise internists and primary care physicians on the use and interpretation of ABPM.

摘要

我们在爱丁堡心血管疾病风险诊所的临床医生以及一组国际血压监测专家中,探讨了动态血压监测(ABPM)的使用及解读情况。在本地,我们发现医生和护士在管理建议上存在重大差异。尽管所有国际专家都经常使用ABPM,但他们在治疗阈值水平或血压目标上并未达成一致。这为我们思考如何就ABPM的使用和解读向内科医生及初级保健医生提供建议提供了思考方向。

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