Target Blood Pressure Values in Ambulatory Blood Pressure Monitoring

Katarzyna Lewandowska1, Stanisław Wasiliew2, Agata Kukfisz2

  • 1Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, Długa 1/2, 61-848, Poznan, Poland. katarzyna.piotrowska93@gmail.com.

Insights

New targets for 24-hour ambulatory blood pressure monitoring (ABPM) in hypertensive patients are proposed. These values complement existing guidelines, enhancing the clinical utility of ABPM for assessing blood pressure control.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Clinical Measurement

Background:

  • Current ESC/ESH guidelines recommend 24-hour ambulatory blood pressure monitoring (ABPM) for assessing hypotensive therapy.
  • Office blood pressure targets are established (120/70 to 130/80 mmHg), but corresponding ABPM targets are lacking.
  • This gap limits the precise evaluation of blood pressure control in hypertensive patients.

Purpose of the Study:

  • To define target blood pressure values for 24-hour ambulatory blood pressure monitoring (ABPM) in hypertensive patients.
  • To establish a correlation between office blood pressure measurements and ABPM values.
  • To enhance the clinical application of ABPM in hypertension management.

Main Methods:

  • Collected office blood pressure and 24-hour ABPM data from 1313 hypertensive patients.
  • Sorted patient data based on increasing office systolic (SBP) and diastolic (DBP) blood pressure.
  • Calculated corresponding 24-hour ABPM values for specific office blood pressure ranges.

Main Results:

  • Office BP of 130/80 mmHg corresponded to ABPM values of 130.24/78.73 mmHg (24-h mean).
  • Office BP of 120/70 mmHg corresponded to ABPM values of 126.36/75.31 mmHg (24-h mean).
  • Specific night-time and daytime ABPM means were also calculated for these office BP levels.

Conclusions:

  • Proposed ABPM target values provide crucial complements to existing ESC/ESH therapeutic targets.
  • These new targets improve the clinical usefulness of 24-hour ambulatory blood pressure monitoring.
  • The study enhances the ability to accurately assess blood pressure control in hypertensive individuals.
Abstract

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