Le Jeune S, Pointeau O, Hube C, Lopez-Sublet M, Giroux-Leprieur B, Dhote R, Mourad J-J
EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France.
EA 3412, service de médecine interne et centre d'excellence ESH en hypertension artérielle, CHU Avicenne, AP-HP, Paris XIII, 125, route de Stalingrad, 93000 Bobigny, France.
Rev Med Interne. 2017 Apr;38(4):243-249. doi: 10.1016/j.revmed.2016.09.018. Epub 2016 Nov 9.
The management of hypertensive patients is greatly influenced by blood pressure levels and accurate measurement of blood pressure is crucial in this context. Mercury sphygmomanometer has been progressively replaced by more precise oscillometric devices that can be widely used in the clinic and ambulatory setting. The purpose of this review was to detail the different methods for evaluating blood pressure, and to refine their indications and clinical benefit. Office blood pressure measurement has a great variability and should follow a strict protocol to give consistent results. National and international guidelines focus on blood pressure measurement in the ambulatory setting. When used by trained patients, home blood pressure monitoring is reproducible and can provide substantial prognostic information, even if ambulatory blood pressure monitoring remains the gold standard. The role of central blood pressure and pulse wave velocity monitoring in the therapeutic strategy of hypertension needs further assessment.
高血压患者的管理很大程度上受到血压水平的影响，在这种情况下，准确测量血压至关重要。水银血压计已逐渐被更精确的示波装置所取代，这些装置可广泛应用于临床和门诊环境。本综述的目的是详细介绍评估血压的不同方法，并明确其适应证和临床益处。诊室血压测量存在很大差异，应遵循严格的方案以获得一致的结果。国家和国际指南关注门诊环境中的血压测量。当由经过培训的患者使用时，家庭血压监测具有可重复性，即使动态血压监测仍是金标准，家庭血压监测也能提供大量预后信息。中心血压和脉搏波速度监测在高血压治疗策略中的作用需要进一步评估。
