[Results and evaluation of long-term blood pressure monitoring].
Identifieur interne : 000953 ( PubMed/Checkpoint ); précédent : 000952; suivant : 000954[Results and evaluation of long-term blood pressure monitoring].
Auteurs : B. KrönigSource :
- Zeitschrift fur Kardiologie [ 0300-5860 ] ; 1994.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Hypertension.
- physiology : Arousal, Blood Pressure, Circadian Rhythm.
- physiopathology : Hypertension.
- Blood Pressure Monitors, Humans, Reference Values, Social Environment.
Abstract
Using validated equipment for ABPM (by the indirect, intermittent, oscillometric and/or auscultatory method) reproducible results for day- and night-time blood-pressure, early morning readings, and blood-pressure variability may be obtained. The frequency of recordings should be about 15-min while awake and about 30-min during sleep-time, with at least 50 validated readings in 24-h to get an informative recording. Standardization could be achieved for the normotensive mean day-time value (upper limit 135/85 mmHg) and mean night-time recording (at least minus 10% compared to the day-time mean value). Using ABPM the diagnosis of arterial hypertension may be optimized, e.g. patients with white-coat hypertension could be discovered as well as those with diminished day-night rhythm ("non-dippers"); with the latter condition cerebral or myocardial damage might occur as consequence of primary hypertension; even more so, secondary hypertension may be discovered in patients with "non-dipper" constellation. In respect to therapy, a "profile-adjusted" medication may be obtained by ABPM; side-effects, which could be produced by "overtreatment", may be discovered. Since day- as well as night-time values, possibly even early morning pressures and the blood-pressure variability are positively correlated to cerebral and cardiovascular complications, ABPM becomes an important prognostic tool.
PubMed: 8165840
Affiliations:
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Elisabeth-Krankenhauses Trier.</nlm:affiliation><wicri:noCountry code="no comma">Medizinische Abteilung des Ev. Elisabeth-Krankenhauses Trier.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Zeitschrift fur Kardiologie</title><idno type="ISSN">0300-5860</idno><imprint><date when="1994" type="published">1994</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arousal (physiology)</term><term>Blood Pressure (physiology)</term><term>Blood Pressure Monitors</term><term>Circadian Rhythm (physiology)</term><term>Humans</term><term>Hypertension (diagnosis)</term><term>Hypertension (physiopathology)</term><term>Reference Values</term><term>Social Environment</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hypertension</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Arousal</term><term>Blood Pressure</term><term>Circadian Rhythm</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hypertension</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Blood Pressure Monitors</term><term>Humans</term><term>Reference Values</term><term>Social Environment</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Using validated equipment for ABPM (by the indirect, intermittent, oscillometric and/or auscultatory method) reproducible results for day- and night-time blood-pressure, early morning readings, and blood-pressure variability may be obtained. The frequency of recordings should be about 15-min while awake and about 30-min during sleep-time, with at least 50 validated readings in 24-h to get an informative recording. Standardization could be achieved for the normotensive mean day-time value (upper limit 135/85 mmHg) and mean night-time recording (at least minus 10% compared to the day-time mean value). Using ABPM the diagnosis of arterial hypertension may be optimized, e.g. patients with white-coat hypertension could be discovered as well as those with diminished day-night rhythm ("non-dippers"); with the latter condition cerebral or myocardial damage might occur as consequence of primary hypertension; even more so, secondary hypertension may be discovered in patients with "non-dipper" constellation. In respect to therapy, a "profile-adjusted" medication may be obtained by ABPM; side-effects, which could be produced by "overtreatment", may be discovered. Since day- as well as night-time values, possibly even early morning pressures and the blood-pressure variability are positively correlated to cerebral and cardiovascular complications, ABPM becomes an important prognostic tool.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8165840</PMID><DateCreated><Year>1994</Year><Month>05</Month><Day>20</Day></DateCreated><DateCompleted><Year>1994</Year><Month>05</Month><Day>20</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0300-5860</ISSN><JournalIssue CitedMedium="Print"><Volume>83</Volume><Issue>2</Issue><PubDate><Year>1994</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Zeitschrift fur Kardiologie</Title><ISOAbbreviation>Z Kardiol</ISOAbbreviation></Journal><ArticleTitle>[Results and evaluation of long-term blood pressure monitoring].</ArticleTitle><Pagination><MedlinePgn>107-15</MedlinePgn></Pagination><Abstract><AbstractText>Using validated equipment for ABPM (by the indirect, intermittent, oscillometric and/or auscultatory method) reproducible results for day- and night-time blood-pressure, early morning readings, and blood-pressure variability may be obtained. The frequency of recordings should be about 15-min while awake and about 30-min during sleep-time, with at least 50 validated readings in 24-h to get an informative recording. Standardization could be achieved for the normotensive mean day-time value (upper limit 135/85 mmHg) and mean night-time recording (at least minus 10% compared to the day-time mean value). Using ABPM the diagnosis of arterial hypertension may be optimized, e.g. patients with white-coat hypertension could be discovered as well as those with diminished day-night rhythm ("non-dippers"); with the latter condition cerebral or myocardial damage might occur as consequence of primary hypertension; even more so, secondary hypertension may be discovered in patients with "non-dipper" constellation. In respect to therapy, a "profile-adjusted" medication may be obtained by ABPM; side-effects, which could be produced by "overtreatment", may be discovered. Since day- as well as night-time values, possibly even early morning pressures and the blood-pressure variability are positively correlated to cerebral and cardiovascular complications, ABPM becomes an important prognostic tool.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Krönig</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Medizinische Abteilung des Ev. Elisabeth-Krankenhauses Trier.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><VernacularTitle>Ergebnisse und Bewertung der Langzeitblutdruckmessung.</VernacularTitle></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Z Kardiol</MedlineTA><NlmUniqueID>0360430</NlmUniqueID><ISSNLinking>0300-5860</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001143" MajorTopicYN="N">Arousal</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001794" MajorTopicYN="N">Blood Pressure</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015924" MajorTopicYN="Y">Blood Pressure Monitors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002940" MajorTopicYN="N">Circadian Rhythm</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006973" MajorTopicYN="N">Hypertension</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012016" MajorTopicYN="N">Reference Values</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012931" MajorTopicYN="N">Social Environment</DescriptorName></MeshHeading></MeshHeadingList><NumberOfReferences>53</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1994</Year><Month>2</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1994</Year><Month>2</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1994</Year><Month>2</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8165840</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Kronig, B" sort="Kronig, B" uniqKey="Kronig B" first="B" last="Krönig">B. 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