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Ambulatory blood pressure monitoring: a mean to stratify cardiovascular risk

Bernard Waeber1, Myriam Genoud, François Feihl

  • 1Division of Clinical Pathophysiology, University Hospital, Lausann, Switzerland.

Blood Pressure Monitoring
|September 1, 2007
PubMed

Insights

Ambulatory blood pressure monitoring can significantly impact cardiovascular risk assessment. Elevated readings, along with hypercholesterolemia and atherosclerotic plaques, indicate higher risk categories.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Vascular Medicine

Background:

  • Current hypertension guidelines emphasize total cardiovascular risk assessment.
  • Precise methods for integrating ambulatory blood pressure into risk stratification are lacking.

Purpose of the Study:

  • To evaluate the role of ambulatory blood pressure measurements in cardiovascular risk stratification.
  • To determine how ambulatory blood pressure influences risk category assignment.

Main Methods:

  • Calculated global cardiovascular risk using 2003 European Society of Hypertension/European Society of Cardiology guidelines.
  • Analyzed data from 127 patients with recorded daytime ambulatory blood pressures.
  • Performed carotid/femoral ultrasonography to assess atherosclerosis.

Main Results:

  • Ambulatory blood pressures ≥135/85 mmHg elevated cardiovascular risk categories.
  • Hypercholesterolemia also shifted patients to higher risk categories.
  • Presence of atherosclerotic plaques most significantly increased cardiovascular risk classification.

Conclusions:

  • Ambulatory blood pressure measurements are valuable in cardiovascular risk assessment.
  • Further research is required to establish the definitive role of ambulatory blood pressure in risk stratification.
Abstract

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