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2009, Number 6

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Rev Med Inst Mex Seguro Soc 2009; 47 (6)

Contributions of the Ambulatory Blood Pressure Monitoring to the Values Measured at the Medical Office

Suárez-Ortega S, Godoy-Díaz D, Artiles-Vizcaíno J, Rodríguez-Pérez JC, Prieto-Vicente A, Betancor-León P

Language: Spanish
References: 13
Page: 621-625
PDF size: 75.57 Kb.


ABSTRACT

Objective: to communicate our experience with this technique centred in the definition of the patterns and the peculiar characteristics of the rising pattern. Methods: during a four year period, the ambulatory blood pressure monitoring was obtained in 500 hypertensive patients with difficult to control blood pressure or of recent detection, following the guide of the Cardiorisk project.
Results: the most frequent pattern observed was non-dipper (46.6 %). The pulse pressures obtained by ambulatory and office blood pressure monitoring kept a correlation that serve as guide to the office blood pressure measurements. The level of control by ambulatory monitoring blood pressure is only discretely superior to the office blood pressure if the cases of white coat and masked hypertension are considered. The rising pattern is associated to a major vascular risk.
Conclusions: an increased vascular risk is noticed in the rising pattern with respect to other patterns. The morphology of different atypical patterns was also presented. The help of the ambulatory blood pressure monitoring along with one taken in the office determined a great aid to interpret the huge variability of the arterial pressure.


REFERENCES

  1. Pickering TG, Shimbo D, Haas D. Ambulatory blood-pressure monitoring. N Engl J Med 2006; 354(22):2368-2374.

  2. Hernández-del Rey R, Martín-Baranera M, Sobrino J, Gorostidi M, Vinyoles E, Sierra C, et al. Reproducibility of the circadian blood pressure pattern in 24-h versus 48-h recordings: the Spanish Ambulatory Blood Pressure Monitoring Registry. J Hypertens 2007;25(12):2406-2412.

  3. Kikuya M, Hozawa A, Ohokubo T, Tsuji I, Michimata M, Matsubara M, et al. Prognostic significance of blood pressure and heart rate variabilities: the Ohasama Study. Hypertension 2000;36(5):901- 906.

  4. Verdecchia P, Porcellati C, Schillaci G, Borgioni C, Ciucci A, Battistelli M, et al. Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension. Hypertension 1994;24(6): 792-801.

  5. De la Sierra A, Gorostidi M, Sobrino J, García-León M, Comerma J, Sierra G, et al. Prevalence of a riser pattern of nocturnal blood pressure in patients with hypertension. En: Hypertension 2008. Abstracts of the 18th Scientific Meeting of de European Society of Hypertension and the 22nd Scientific Meeting of the International Society of Hypertension, Jun 14-19, 2008. Berlin, Germany. J Hypertens Suppl 2008;26(1):S1-S503.

  6. 2007 Guidelines for the management of arterial hypertension. The task force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J 2007;28(12): 1462-536.

  7. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. The seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure: the JNC 7 report. JAMA 2003;289(19): 2560-2572.

  8. Sociedad Española de Hipertensión-Liga Española para la Lucha de la Hipertensión arterial. Guía de diagnóstico y tratamiento de la hipertensión arterial en España 2005. Hipertension 2005;22 (Suppl 2):1-84.

  9. Suárez-Ortega S, Godoy-Díaz D, Prieto-Vicente A, Artiles-Vizcaíno J, Rodríguez-Hernández J, Rodríguez- Pérez J. Utilidad de la presión de pulso por monitorización ambulatoria de la presión arterial como método orientador de la adecuada toma de presión arterial casual. Hipertension 2008;25 (Extraordinario 1):46.

  10. Coca PA. Evolución del control de la hipertensión arterial en atención primaria en España. Resultados del estudio Controlpres 2003. Hipertension 2005;22(1):5-14.

  11. Liu JE, Roman MJ, Pini R, Schwarts JE, Pickering TG, Devereux RB. Cardiac and arterial target organ damage in adults with elevated ambulatory and normal office blood pressure. Ann Intern Med 1999; 131(8):564-572.

  12. Tomiyama M, Horio T, Yoshii M, Takiuchi S, Kamide K, Nakamura S, et al. Masked hypertension and target organ damage in treated hypertensive patients. Am J Hypertens 2006;19 (9):880-886.

  13. Palmas W, Pickering T, Eimicke JP, Moran A, Teresi J, Schwartz JE, et al. Value of ambulatory arterial stiffness index and 24-h pulse pressure to predict progression of albuminuria in elderly people with diabetes mellitus. Am J Hypertens 2007;20 (5):493-500.




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