*Eoin O'Brien, Gianfranco Parati, and George Stergiou contributed equally to the writing of this article. **The affiliations of the co-authors are listed at the end of the paper, preceding the reference list.
J Hypertens. 2013 Sep;31(9):1731-68. doi: 10.1097/HJH.0b013e328363e964.
Ambulatory blood pressure monitoring (ABPM) is being used increasingly in both clinical practice and hypertension research. Although there are many guidelines that emphasize the indications for ABPM, there is no comprehensive guideline dealing with all aspects of the technique. It was agreed at a consensus meeting on ABPM in Milan in 2011 that the 34 attendees should prepare a comprehensive position paper on the scientific evidence for ABPM.This position paper considers the historical background, the advantages and limitations of ABPM, the threshold levels for practice, and the cost-effectiveness of the technique. It examines the need for selecting an appropriate device, the accuracy of devices, the additional information and indices that ABPM devices may provide, and the software requirements.At a practical level, the paper details the requirements for using ABPM in clinical practice, editing considerations, the number of measurements required, and the circumstances, such as obesity and arrhythmias, when particular care needs to be taken when using ABPM.The clinical indications for ABPM, among which white-coat phenomena, masked hypertension, and nocturnal hypertension appear to be prominent, are outlined in detail along with special considerations that apply in certain clinical circumstances, such as childhood, the elderly and pregnancy, and in cardiovascular illness, examples being stroke and chronic renal disease, and the place of home measurement of blood pressure in relation to ABPM is appraised.The role of ABPM in research circumstances, such as pharmacological trials and in the prediction of outcome in epidemiological studies is examined and finally the implementation of ABPM in practice is considered in relation to the issue of reimbursement in different countries, the provision of the technique by primary care practices, hospital clinics and pharmacies, and the growing role of registries of ABPM in many countries.
动态血压监测（ABPM）在临床实践和高血压研究中越来越多地被应用。虽然有许多指南强调了 ABPM 的适应证，但没有全面的指南涉及该技术的所有方面。2011 年在米兰举行的 ABPM 共识会议上，与会的 34 名代表一致认为，应准备一份关于 ABPM 科学证据的综合立场文件。这份立场文件考虑了 ABPM 的历史背景、优势和局限性、实践的阈值水平以及该技术的成本效益。它检查了选择合适设备的必要性、设备的准确性、ABPM 设备可能提供的附加信息和指标，以及软件要求。在实践层面，该文件详细说明了在临床实践中使用 ABPM 的要求、编辑注意事项、所需测量次数，以及在肥胖和心律失常等特殊情况下使用 ABPM 时需要特别注意的事项。ABPM 的临床适应证，包括白大衣现象、隐匿性高血压和夜间高血压，都有详细的描述，并特别考虑了某些临床情况下的特殊情况，如儿童、老年人和孕妇，以及心血管疾病，如中风和慢性肾病，以及家庭血压测量与 ABPM 的关系，并对其进行了评估。ABPM 在药理学试验和流行病学研究中的预后预测等研究情况下的作用也进行了检查，最后考虑了 ABPM 在实践中的实施与不同国家报销问题、初级保健实践、医院诊所和药店提供该技术以及 ABPM 登记册在许多国家日益增长的作用之间的关系。
