de Sousa Felipe Gaia, Queiroz Fabiana Silva Fádel, Beier Suzane Lilian
Department of Veterinary Clinic and Surgery, School of Veterinary Medicine, Federal University of Minas Gerais, 6627 Antônio Carlos Av, Pampulha, Belo Horizonte, Minas Gerais, 31270-901, Brazil.
VETHEART - Cardiovascular Physiology and Veterinary Cardiology Research Group, Belo Horizonte, Minas Gerais, Brazil.
Vet Res Commun. 2025 Jul 5;49(5):247. doi: 10.1007/s11259-025-10812-x.
Blood pressure (BP) measurement is a clinically significant procedure due to its close relationship with hemodynamics. Diseases that affect the components determining BP can lead to alterations in pressure values and must be recognized and managed therapeutically. Although BP can be measured in a hospital setting, it is well known that animals may exhibit signs of situational hypertension due to various factors, such as "white coat syndrome," unfamiliar environments, distinct odors, long waiting times, contact with other animals, transportation, and other stress-inducing stimuli that can trigger the release of circulating catecholamines. As a result, temporary changes in BP readings may occur. If these factors are not considered when interpreting the results, it can lead to under- or overestimation of BP. Some professionals may overlook these conditions and frequently prescribe antihypertensive medications unnecessarily. In light of this, home BP monitoring is a potentially valuable strategy that could be incorporated into routine clinical practice, especially for patients who consistently present elevated BP values without an underlying condition to justify the increase. However, this technique remains underutilized, particularly in Brazil, contributing to high rates of inaccurate or erroneous diagnoses. Clearly defined protocols for performing blood pressure (BP) measurements at home are still necessary to ensure reliable and accurate diagnostics.
血压（BP）测量是一项具有临床意义的操作，因为它与血流动力学密切相关。影响决定血压的各个组成部分的疾病可导致血压值发生改变，必须予以识别并进行治疗管理。虽然血压可在医院环境中测量，但众所周知，动物可能会因各种因素出现情境性高血压的迹象，如“白大褂综合征”、陌生环境、独特气味、长时间等待、与其他动物接触、运输以及其他可触发循环儿茶酚胺释放的应激诱导刺激。结果，血压读数可能会出现暂时变化。如果在解释结果时不考虑这些因素，可能会导致对血压的低估或高估。一些专业人员可能会忽视这些情况，并经常不必要地开具抗高血压药物。有鉴于此，家庭血压监测是一种潜在的有价值策略，可纳入常规临床实践，特别是对于那些持续出现血压值升高但无潜在病因可解释该升高的患者。然而，这项技术仍未得到充分利用，尤其是在巴西，这导致了不准确或错误诊断的高发生率。为确保可靠和准确的诊断，仍需要明确规定在家中进行血压（BP）测量的方案。
