Omboni S, Smit A A, Wieling W
University of Amsterdam, Department of Internal Medicine, The Netherlands.
Br Heart J. 1995 Mar;73(3):290-2. doi: 10.1136/hrt.73.3.290.
Occasional sphygmomanometric readings are not an effective way of evaluating the effect of treatment in patients with hypoadrenergic orthostatic hypotension. A novel non-invasive portable device (Portapres) was used to monitor 24 hour continuous finger blood pressure before and during chronic volume expansion in a 66 year old woman with severe orthostatic hypotension. In both conditions pressures while she was standing were lowest in the morning. Her tolerance to standing and walking increased during the day and, as a consequence of a higher upright mean blood pressure, was improved after treatment. Mean blood pressure during sleep was increased after treatment. Continuous 24 hour non-invasive finger blood pressure monitoring is a promising technique for the evaluation of the effect of treatment in patients with autonomic failure. It provides information about situations in daily life that cannot be obtained by laboratory tests or conventional sphygmomanometric measurements.
偶尔进行血压测量并不是评估低肾上腺素能性直立性低血压患者治疗效果的有效方法。使用一种新型无创便携式设备（Portapres），对一名患有严重直立性低血压的66岁女性在慢性容量扩张之前和期间进行24小时连续手指血压监测。在这两种情况下，她站立时的血压在早晨最低。她对站立和行走的耐受性在白天增加，并且由于较高的直立平均血压，治疗后有所改善。治疗后睡眠期间的平均血压升高。连续24小时无创手指血压监测是评估自主神经功能衰竭患者治疗效果的一种有前景的技术。它提供了关于日常生活中通过实验室检查或传统血压测量无法获得的情况的信息。
