Journal of the Formosan Medical Association
Volume 105, Issue 12 , Pages 955-963, 2006

Applications of 24-hour Noninvasive Ambulatory Blood Pressure Monitoring

  • Yung-Zu Tseng

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr Yung-Zu Tseng, Department of Internal Medicine, College of Medicine, National Taiwan University, 7 Chung-Shan South Road, Taipei 100, Taiwan

Department of Internal Medicine, College of Medicine, National Taiwan University, Taipei, and Show Chwan Memorial Hospital, Chang Hua, Taiwan

Received 5 June 2006; received in revised form 1 August 2006; accepted 1 August 2006.

Article Outline

Casual blood pressure (CBP) measurements using a standard sphygmomanometer have traditionally constituted the principal modality for the assessment and management of hypertension. However, CBP measurement has shortcomings. Ambulatory blood pressure monitoring (ABPM) provides abundant information on blood pressure (BP), including heart rate, all BP readings for test periods, BP average, BP variability, BP load, load index, distribution pattern of BP, reduction percentage of BP, trough/peak ratio, and summary statistics for overall 24-hour, daytime and nighttime periods. Over the last three decades, ABPM has evolved from a research device to an established and valuable clinical tool for assessment and management of hypertension. This technology has been proven to be useful in terms of the distribution pattern of BP, characterization of BP profiles in normotensive and hypertensive patients, evaluation of patients with mild or labile hypertension, physiologic and psychologic factors for fluctuation of BP, load index study, study of white coat hypertension, etiology of hypertension, prognosis of hypertension, and assessment of antihypertensive management. Nevertheless, the technology remains underused due to lack of insurance reimbursement in most countries. Accordingly, insurance reimbursement is crucial to promote increased utility of ABPM. Clinicians should be familiar with the role of this technology in the care of patients with abnormal BP. This review is an attempt to increase clinicians' understanding of ABPM and the appropriate use of this technology.

Key Words:  ABPM , circadian rhythm , dipping , load index , target organ damage

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PII: S0929-6646(09)60279-5

doi:10.1016/S0929-6646(09)60279-5

Journal of the Formosan Medical Association
Volume 105, Issue 12 , Pages 955-963, 2006

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