Vischer Annina S, Burkard Thilo
Medical Outpatient Department and Hypertension Clinic, ESH Hypertension Centre of Excellence, University Hospital Basel, 4031 Basel, Switzerland.
Cardiology Department, University Hospital Basel, 4031 Basel, Switzerland.
Diagnostics (Basel). 2021 Feb 3;11(2):235. doi: 10.3390/diagnostics11020235.
Arterial hypertension is a major risk factor for cardiovascular disease worldwide. Office blood pressure measurements (OBPMs) are still recommended for diagnosis and follow-up by all major guidelines; however, the recommended procedures differ significantly. In analogy, major outcome studies usually apply OBPMs, again, with a variety of procedures. This variety of OBPM procedures complicates the comparability between studies and challenges daily clinical practice. In this narrative review, we compile the most recent recommendations for office blood pressure measurement together with the major limitations and strategies and how these could be overcome.
动脉高血压是全球心血管疾病的主要危险因素。所有主要指南仍推荐采用诊室血压测量(OBPM)进行诊断和随访;然而,推荐的程序差异很大。同样,主要的结局研究通常也采用OBPM,但程序也多种多样。OBPM程序的这种多样性使得研究之间的可比性变得复杂,并给日常临床实践带来了挑战。在这篇叙述性综述中,我们汇总了诊室血压测量的最新建议以及主要局限性和策略,以及如何克服这些问题。