Pickering Thomas G, White William B
Center for Behavioral Cardiovascular Health, Columbia Presbyterian Medical Center, New York, New York, USA.
J Am Soc Hypertens. 2008 May-Jun;2(3):119-24. doi: 10.1016/j.jash.2008.04.002.
This American Society of Hypertension position paper focuses on the importance of out-of-office blood pressure (BP) measurement for the clinical management of patients with hypertension and its complications. Studies have supported direct and independent associations of cardiovascular risk with ambulatory BP and inverse associations with the degree of BP reduction from day to night. Self-monitoring of the BP (or home BP monitoring) also has advantages in evaluating patients with hypertension, especially those already on drug treatment, but less is known about its relation to future cardiovascular events. Data derived from ambulatory BP monitoring (ABPM) allow the identification of high-risk patients, independent from the BP obtained in the clinic or office setting. While neither ABPM nor self-BP monitoring are mandatory for the routine diagnosis of hypertension, these modalities can enhance the ability for identification of white-coat and masked hypertension and evaluate the extent of BP control in patients on drug therapy.
美国高血压学会的这份立场文件聚焦于诊室外血压测量对于高血压患者及其并发症临床管理的重要性。研究支持心血管风险与动态血压之间存在直接且独立的关联，以及与昼夜血压降幅存在负相关。血压自我监测（或家庭血压监测）在评估高血压患者方面也具有优势，尤其是那些已经接受药物治疗的患者，但对于其与未来心血管事件的关系了解较少。动态血压监测（ABPM）所获得的数据能够识别高危患者，这与在诊所或诊室环境中测得的血压无关。虽然ABPM和自我血压监测对于高血压的常规诊断都不是必需的，但这些方式能够增强识别白大衣高血压和隐匿性高血压的能力，并评估接受药物治疗患者的血压控制程度。
