Harianto Harry, Valente Michael, Hoetomo Soenarno, Anpalahan Mahesan
Department of General Medicine, Eastern Health, Albert Street, Upper Ferntree Gully, Victoria 3156, Australia.
Curr Hypertens Rev. 2014;10(4):189-204. doi: 10.2174/157340211004150319121321.
The current evidence suggests that ambulatory blood pressure monitoring (ABPM) should be an integral part of the diagnosis and management of hypertension. However, its uptake in routine clinical practice has been variable. This paper reviews the current evidence for the role of ABPM in clinical practice, including in hypotensive disorders and in specific comorbidities. It further discusses the clinical significance of abnormal ambulatory blood pressure patterns and hypertensive syndromes such as white coat, masked and resistant hypertension.
目前的证据表明,动态血压监测(ABPM)应成为高血压诊断和管理的一个组成部分。然而,其在常规临床实践中的应用情况并不一致。本文回顾了目前关于ABPM在临床实践中作用的证据,包括在低血压疾病和特定合并症中的作用。本文还进一步讨论了动态血压异常模式以及白大衣高血压、隐匿性高血压和顽固性高血压等高血压综合征的临床意义。