Division of Cardiology, Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
Korean Circ J. 2010 Sep;40(9):423-31. doi: 10.4070/kcj.2010.40.9.423. Epub 2010 Sep 30.
Because blood pressure (BP) is an ever changing hemodynamic phenomenon, a BP value, once measured at a physician's office (Office BP), is often unrepresentative of an individual's true BP status. Both ambulatory blood pressure monitoring (ABPM) and home blood pressure monitoring (HBPM) provide more accurate and reproducible estimate of BP, and produce stronger predictive ability for cardiovascular outcome than conventional office BP. Two BP measuring techniques, ABPM and HBPM have been widely in clinical use for the detection and management of hypertension. However, they have different advantages and limitations in practice. At present, it has become crucial to understand the characteristics and clinical implications of these BP measuring techniques for those responsible for the care of hypertensive patients.
因为血压(BP)是一个不断变化的血流动力学现象,所以在医生办公室(Office BP)测量的血压值往往不能代表个体的真实血压状况。动态血压监测(ABPM)和家庭血压监测(HBPM)都能更准确、更可重复地评估血压,并对心血管结局有更强的预测能力,比传统的诊室血压更有优势。这两种血压测量技术,ABPM 和 HBPM,已经广泛应用于高血压的检测和管理。然而,在实际应用中,它们各有优缺点。目前,对于负责高血压患者护理的人员来说,了解这些血压测量技术的特点和临床意义至关重要。