Third Department of Cardiology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Veterans Affairs Medical Center, Georgetown University, Washington, DC 20422, United States.
Curr Vasc Pharmacol. 2021;19(3):313-322. doi: 10.2174/1570161118666200330155905.
Hypertension is a potent risk factor for cardiovascular morbidity and mortality. High blood pressure (BP) correlates closely with all-cause and cardiovascular mortality. Although the gold standard remains office BP (auscultatory or automated), other methods (central or out-of-office) are gaining popularity as better predictors of CV events. In this review, we investigated the prognostic value of each method of BP measurement and explored their advantages and pitfalls. Unattended automated office BP is a novel technique of BP measurement with promising data. Ambulatory BP monitoring, and to a lesser extent, home BP measurements, seem to predict cardiovascular events and mortality outcomes better, while at the same time, they can help distinguish hypertensive phenotypes. Data on the association of central BP levels with cardiovascular and mortality outcomes, are conflicting. Future extensive cross-sectional and longitudinal studies are needed to evaluate head-to-head the corresponding levels and results of each method of BP measurement, as well as to highlight disparities in their prognostic utility.
高血压是心血管发病率和死亡率的一个强有力的危险因素。高血压（BP）与全因和心血管死亡率密切相关。虽然金标准仍然是诊室血压（听诊或自动），但其他方法（中心或诊室外）作为 CV 事件更好的预测指标，越来越受欢迎。在这篇综述中，我们研究了每种血压测量方法的预后价值，并探讨了它们的优缺点。无人值守的自动诊室血压是一种具有前景的新型血压测量技术。动态血压监测，在较小程度上，家庭血压测量，似乎能更好地预测心血管事件和死亡结局，同时，它们还可以帮助区分高血压表型。关于中心血压水平与心血管和死亡率结局的关联的数据存在矛盾。未来需要进行广泛的横断面和纵向研究，以评估每种血压测量方法的相应水平和结果，并强调其预后实用性的差异。
