Angeli Fabio, Reboldi Gianpaolo, Poltronieri Cristina, Bartolini Claudia, D'Ambrosio Cinzia, de Filippo Valentina, Verdecchia Paolo
Division of Cardiology and Cardiovascular Pathophysiology, University Hospital "S.M. della Misericordia", Perugia, Italy.
Expert Rev Cardiovasc Ther. 2014 May;12(5):623-34. doi: 10.1586/14779072.2014.903155. Epub 2014 Mar 29.
Accurate blood pressure (BP) measurement is essential for the diagnosis, monitoring and management of hypertension. However, conventional office-based BP readings have several limitations that include a low reproducibility, the white-coat effect and the existence of masked hypertension. These limitations can be addressed through the use of ambulatory BP monitoring. Because ambulatory monitoring provides measurements at specific time intervals throughout a 24-hour period, this technique represents a better picture of the normal fluctuations in BP levels associated with daily activities and sleep. In addition, end-organ damage associated with hypertension is more closely related to ambulatory BP than office BP measurements and ambulatory BP profile give better prediction of clinical outcome than conventional BP measurements.
准确测量血压对于高血压的诊断、监测和管理至关重要。然而，传统的诊室血压读数存在若干局限性，包括重复性低、白大衣效应以及隐匿性高血压的存在。这些局限性可通过动态血压监测来解决。由于动态监测可在24小时内按特定时间间隔进行测量，该技术能更好地呈现与日常活动和睡眠相关的血压水平正常波动情况。此外，与高血压相关的靶器官损害与动态血压的关系比诊室血压测量更为密切，并且动态血压图谱比传统血压测量能更好地预测临床结局。
