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Ambulatory blood pressure improves prediction of cardiovascular risk: implications for better antihypertensive

Lawrence R Krakoff1

  • 1Mount Sinai Medical Center/Medical School, One Gustave L Levy Place, Box 1030, New York, NY 10029, USA. Lawrence.krakoff@mountsinai.org

Current Atherosclerosis Reports
|February 21, 2013
PubMed

Insights

Ambulatory blood pressure monitoring (ABPM) improves hypertension diagnosis and risk assessment. This technology helps identify conditions like white coat hypertension and masked hypertension, crucial for cardiovascular health management.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Clinical Diagnostics

Background:

  • Accurate arterial pressure measurement is vital for diagnosing and managing hypertension.
  • Ambulatory blood pressure monitoring (ABPM) is increasingly used to achieve precise measurements.
  • ABPM aids in identifying prognostic conditions such as white coat hypertension and masked hypertension.

Purpose of the Study:

  • To review the role of ABPM in improving the accuracy of hypertension diagnosis and cardiovascular risk prediction.
  • To highlight the emerging applications of ABPM in assessing arterial stiffness and antihypertensive drug efficacy.

Main Methods:

  • Review of studies utilizing ABPM for diagnosis and risk stratification in hypertension.
  • Analysis of ABPM data including diurnal variations, morning surge, and specific intervals.
  • Exploration of ABPM's utility in measuring pulse pressure and arterial stiffness.

Main Results:

  • ABPM enhances diagnostic accuracy and cardiovascular risk prediction.
  • Identification of white coat hypertension and masked hypertension through ABPM.
  • ABPM provides valuable data on blood pressure during sleep, morning surge, and selected intervals.

Conclusions:

  • ABPM is essential for accurate hypertension diagnosis and therapeutic assessment.
  • The technology plays a key role in defining cardiovascular risk and guiding antihypertensive management.
  • Emerging applications of ABPM show promise for further advancing cardiovascular disease prevention and treatment.

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