Zhu Hailan, Zheng Haoxiao, Liu Xinyue, Mai Weiyi, Huang Yuli
Department of Cardiology, Shunde Hospital, Southern Medical University, Foshan, Guangdong, China.
Department of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Ther Adv Chronic Dis. 2020 Jan 20;11:2040622320901660. doi: 10.1177/2040622320901660. eCollection 2020.
Hypertension is one of the most common chronic diseases as well as the leading risk factor for cardiovascular disease (CVD). Efficient screening and accurate blood pressure (BP) monitoring are the basic methods of detection and management. However, with developments in electronic technology, BP measurement and monitoring are no longer limited to the physician's office. Epidemiological and clinical studies have documented strong evidence for the efficacy of out-of-office BP monitoring in multiple fields for managing hypertension and CVD. This review discusses applications for out-of-office BP monitoring, including home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring (ABPM), based on recent epidemiological data and clinical studies regarding the following factors: the detection of abnormal BP phenotypes, namely, white coat hypertension and masked hypertension; stronger ability to determine the prognosis for target organ damage and mortality; better BP control; screening for hypotension; and unique approaches to identifying circadian BP patterns and BP variability.
高血压是最常见的慢性病之一，也是心血管疾病（CVD）的主要危险因素。有效的筛查和准确的血压（BP）监测是检测和管理的基本方法。然而，随着电子技术的发展，血压测量和监测不再局限于医生办公室。流行病学和临床研究已为诊室之外的血压监测在管理高血压和心血管疾病的多个领域的有效性提供了有力证据。本综述基于最近关于以下因素的流行病学数据和临床研究，讨论诊室之外的血压监测的应用，包括家庭血压监测（HBPM）和动态血压监测（ABPM）：异常血压表型的检测，即白大衣高血压和隐匿性高血压；更强的确定靶器官损害和死亡率预后的能力；更好的血压控制；低血压筛查；以及识别昼夜血压模式和血压变异性的独特方法。
