Htay Thwe, Rosado Damaris, Quest Dale, Giller Jessica, Haya Najjar, Ream Sarah, Cervantes Jorge
Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center at El Paso, 5001 El Paso Drive, MSC 21009, El Paso, TX, 79905, USA.
Curr Cardiol Rep. 2022 Apr;24(4):439-444. doi: 10.1007/s11886-022-01661-0. Epub 2022 Feb 9.
As the evidence on different blood pressure phenotypes and their cardiovascular risks evolve, it is imperative to evaluate the reliability of office blood pressure (OBP), ambulatory blood pressure (ABP), and home blood pressure (HBP) measurements and their associations with cardiovascular morbidity and mortality.
HBP is more reliable in diagnosis of hypertension than OBP or ABP. HBP correlates better with left ventricular mass index (LVMI). Increasing systolic HBP is associated with a higher risk of all-cause mortality, cardiovascular mortality, and cardiovascular events. An elevated systolic ABP is also associated with a higher risk of cardiovascular events and mortality. ABP is a better predictor of cardiovascular events than OBP in diabetics. ABP and HBP furnish additional information beyond OBP. They correlate better with cardiovascular outcomes and are more helpful with monitoring therapy than OBP. Comparative effectiveness studies of all three methods associating with cardiovascular outcomes are warranted.
随着关于不同血压表型及其心血管风险的证据不断演变，评估诊室血压（OBP）、动态血压（ABP）和家庭血压（HBP）测量的可靠性及其与心血管发病率和死亡率的关联至关重要。
在高血压诊断中，HBP比OBP或ABP更可靠。HBP与左心室质量指数（LVMI）的相关性更好。收缩期HBP升高与全因死亡率、心血管死亡率和心血管事件的较高风险相关。收缩期ABP升高也与心血管事件和死亡率的较高风险相关。在糖尿病患者中，ABP比OBP是心血管事件的更好预测指标。ABP和HBP提供了超出OBP的额外信息。它们与心血管结局的相关性更好，并且在监测治疗方面比OBP更有帮助。有必要对这三种与心血管结局相关的方法进行比较有效性研究。
