Rihácek I, Soucek M, Frána P, Plachý M, Vasků A, Znojil V
II. interní klinika Lékarské fakulty MU a FN u sv. Anny Brno.
Vnitr Lek. 2008 Feb;54(2):146-9.
Ambulatory blood pressure monitoring (ABPM) provides a profile of blood pressure (BP) away from the medical environment and has been shown to be a stronger predictor of cardiovascular morbidity and mortality than office BP measurement. There are known the normal BP values for ABPM in general population with office BP value 140/90 mm Hg, but don't are known normal values for ABPM of patients with high risk hypertension which needs to have office BP below 130/80 mm Hg.
Definition of normal BP value of ABPM in patients with office BP130 and/or 80 mm Hg.
BP measurement in 241 healthy subjects by ABPM and mercury sphygmomanometer according to European Hypertension Society criteria. Subject selection with following criteria: mean office systolic blood pressure 128-132 mm Hg or diastolic blood pressure 78-82 mm Hg. Exclusion ABPM curves with white-coat hypertension and masked hypertension. All office and ABPM inclusion criteria fulfill 37 subjects for systolic blood pressure, mean age 44 years and 48 subjects for diastolic blood pressure, mean age 45 years.
Mean office systolic BP 129.9 +/- 1.6 mm Hg, diastolic BP 80.2 +/- 1.5 mm Hg. Mean 24hour systolic BP 119.1 +/- 12.3 (95% CI, 119.0-119.3) mm Hg, diastolic BP 71.4 +/- 10.2 (95% CI, 71.3-71.5) mm Hg, day time systolic BP 123.7 +/- 9.0 (95% CI, 123.6-123.8) mm Hg, diastolic BP 75.4 +/- 7.0 (95% CI, 75.3-75.5) mm Hg, night time systolic BP 105.8 +/- 10.4 (95% CI, 105.7-105.9) mm Hg and diastolic BP 59.8 +/- 9.0 (95% CI, 59.7-59.8) mm Hg.
The normal BP value ofABPM in patients with office BP 130/80 mm Hg is for 24hour BP 119/71 mm Hg, day time BP 124/75 mm Hg and night time BP 106/60 mm Hg.
动态血压监测（ABPM）可提供医疗环境外的血压（BP）情况，并且已证明其比诊室血压测量更能有力地预测心血管疾病的发病率和死亡率。一般人群中诊室血压值为140/90 mmHg时ABPM的正常血压值是已知的，但诊室血压需低于130/80 mmHg的高危高血压患者的ABPM正常血压值尚不清楚。
确定诊室血压为130和/或80 mmHg患者的ABPM正常血压值。
根据欧洲高血压学会标准，通过ABPM和汞柱式血压计对241名健康受试者进行血压测量。受试者选择标准如下：诊室收缩压平均值为128 - 132 mmHg或舒张压平均值为78 - 82 mmHg。排除白大衣高血压和隐匿性高血压的ABPM曲线。所有诊室和ABPM纳入标准均符合的收缩压受试者有37名，平均年龄44岁；舒张压受试者有48名，平均年龄45岁。
诊室收缩压平均值为129.9±1.6 mmHg，舒张压平均值为80.2±1.5 mmHg。24小时收缩压平均值为119.1±12.3（95%CI，119.0 -
119.3）mmHg，舒张压平均值为71.4±10.2（95%CI，71.3 - 71.5）mmHg，日间收缩压平均值为123.7±9.0（95%CI，123.6 - 123.8）mmHg，舒张压平均值为75.4±7.0（95%CI，75.3 - 75.5）mmHg，夜间收缩压平均值为105.8±10.4（95%CI，105.7 - 105.9）mmHg，舒张压平均值为59.8±9.0（95%CI，59.7 - 59.8）mmHg。
诊室血压为130/80 mmHg患者的ABPM正常血压值为24小时血压119/71 mmHg，日间血压124/75 mmHg，夜间血压106/60 mmHg。
