Parati Gianfranco, Stergiou George, O'Brien Eoin, Asmar Roland, Beilin Lawrence, Bilo Grzegorz, Clement Denis, de la Sierra Alejandro, de Leeuw Peter, Dolan Eamon, Fagard Robert, Graves John, Head Geoffrey A, Imai Yutaka, Kario Kazuomi, Lurbe Empar, Mallion Jean-Michel, Mancia Giuseppe, Mengden Thomas, Myers Martin, Ogedegbe Gbenga, Ohkubo Takayoshi, Omboni Stefano, Palatini Paolo, Redon Josep, Ruilope Luis M, Shennan Andrew, Staessen Jan A, vanMontfrans Gert, Verdecchia Paolo, Waeber Bernard, Wang Jiguang, Zanchetti Alberto, Zhang Yuqing
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J Hypertens. 2014 Jul;32(7):1359-66. doi: 10.1097/HJH.0000000000000221.
Given the increasing use of ambulatory blood pressure monitoring (ABPM) in both clinical practice and hypertension research, a group of scientists, participating in the European Society of Hypertension Working Group on blood pressure monitoring and cardiovascular variability, in year 2013 published a comprehensive position paper dealing with all aspects of the technique, based on the available scientific evidence for ABPM. The present work represents an updated schematic summary of the most important aspects related to the use of ABPM in daily practice, and is aimed at providing recommendations for proper use of this technique in a clinical setting by both specialists and practicing physicians. The present article details the requirements and the methodological issues to be addressed for using ABPM in clinical practice, The clinical indications for ABPM suggested by the available studies, among which white-coat phenomena, masked hypertension, and nocturnal hypertension, are outlined in detail, and the place of home measurement of blood pressure in relation to ABPM is discussed. The role of ABPM in pharmacological, epidemiological, and clinical research is also briefly mentioned. Finally, the implementation of ABPM in practice is considered in relation to the situation of different countries with regard to the reimbursement and the availability of ABPM in primary care practices, hospital clinics, and pharmacies.
鉴于动态血压监测(ABPM)在临床实践和高血压研究中的应用日益广泛,2013年,一群参与欧洲高血压学会血压监测与心血管变异性工作组的科学家,基于ABPM的现有科学证据,发表了一篇全面的立场文件,涉及该技术的各个方面。本研究是对日常实践中使用ABPM的最重要方面的更新示意图总结,旨在为专科医生和执业医师在临床环境中正确使用该技术提供建议。本文详细介绍了在临床实践中使用ABPM的要求和方法学问题,详细概述了现有研究提出的ABPM的临床适应症,其中包括白大衣现象、隐匿性高血压和夜间高血压,并讨论了家庭血压测量与ABPM的关系。还简要提及了ABPM在药理学、流行病学和临床研究中的作用。最后,结合不同国家在初级保健机构、医院诊所和药房中ABPM的报销情况和可及性,考虑了ABPM在实践中的实施情况。