Hornsby J L, Mongan P F, Taylor A T
Medical College of Georgia School of Medicine, Augusta.
Am Fam Physician. 1991 May;43(5):1631-8.
Compared with blood pressure measurements in the office setting, ambulatory blood pressure monitoring offers a more accurate and reliable method of diagnosing and managing hypertension. Indications for ambulatory blood pressure monitoring include borderline hypertension, a discrepancy between home and office blood pressure measurements, persistent blood pressure elevation in the office with no end-organ damage, episodic elevations of blood pressure or suggestive symptoms, hypertension resistant to treatment, episodic angina not related to exercise, end-organ damage but normal office blood pressure readings, and evaluation of the efficacy of antihypertensive agents. Several cases are presented for review.
与诊室血压测量相比，动态血压监测为高血压的诊断和管理提供了一种更准确、可靠的方法。动态血压监测的适应证包括临界高血压、家庭与诊室血压测量值的差异、诊室血压持续升高但无靶器官损害、血压阵发性升高或有提示性症状、难治性高血压、与运动无关的阵发性心绞痛、有靶器官损害但诊室血压读数正常，以及评估抗高血压药物的疗效。现列举几例以供回顾。
