Myers Martin G, Kaczorowski Janusz, Dawes Martin, Godwin Marshall
Sunnybrook Health Sciences Centre, Department of Medicine, 2075 Bayview Ave, Toronto, ON M4N 3M5.
Can Fam Physician. 2014 Feb;60(2):127-32.
To provide FPs with detailed knowledge of automated office blood pressure (AOBP) measurement, its potential role in primary care, and its proper use in the diagnosis and management of hypertension.
Comprehensive monitoring and collection of scientific articles on AOBP by the authors since its introduction.
Automated office blood pressure measurement maintains a role for blood pressure (BP) readings taken in the office setting. Clinical research studies have reported a substantially stronger relationship between awake ambulatory BP measurement and AOBP measurement compared with manual BP recorded during routine visits to the patient's physician. Automated office blood pressure measurement produces mean BP values comparable to awake ambulatory BP and home BP values. Compared with routine manual office BP measurement, AOBP correlates more strongly with awake ambulatory BP measurement, shows less digit preference, is more consistent from visit to visit, is similar both within and outside of the physician's office, virtually eliminates office-induced hypertension, and is associated with less masked hypertension. It is estimated that more than 25% of Canadian primary care physicians are now using AOBP measurement in their office practices. The use of AOBP to diagnose hypertension has been recommended by the Canadian Hypertension Education Program since 2010.
There is now sufficient evidence to incorporate AOBP measurement into primary care as an alternative to manual BP measurement.
为家庭医生提供有关自动诊室血压（AOBP）测量的详细知识，其在初级保健中的潜在作用，以及在高血压诊断和管理中的正确使用方法。
自引入AOBP以来，作者对有关AOBP的科学文章进行全面监测和收集。
自动诊室血压测量在诊室环境中进行血压读数方面仍发挥作用。临床研究报告称，与患者在常规就诊时由医生手动测量的血压相比，清醒动态血压测量与AOBP测量之间的关系要强得多。自动诊室血压测量产生的平均血压值与清醒动态血压和家庭血压值相当。与常规手动诊室血压测量相比，AOBP与清醒动态血压测量的相关性更强，数字偏好更少，每次就诊时更一致，在医生办公室内外相似，几乎消除了诊室诱发的高血压，并且与隐匿性高血压的关联较少。据估计，现在超过25%的加拿大初级保健医生在其办公室实践中使用AOBP测量。自2010年以来，加拿大高血压教育计划一直推荐使用AOBP来诊断高血压。
现在有足够的证据将AOBP测量纳入初级保健，作为手动血压测量的替代方法。
