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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.
Introduction:
2018 ESC/ESH guidelines have recommended 24-h ambulatory blood pressure monitoring to assess hypotensive therapy in many circumstances. Recommended target blood pressure in office blood pressure measurements is between 120/70 and 130/80 mmHg. Such targets for 24-h ambulatory blood pressure monitoring lacks.
Aim:
We aimed to define target values of blood pressure in 24-h ambulatory blood pressure monitoring in hypertensive patients.
Methods:
Office blood pressure measurements and 24-h ambulatory blood pressure monitoring data were collected from 1313 hypertensive patients and sorted following increasing systolic (SBP)/diastolic (DBP) blood pressure in office blood pressure measurements. The corresponding 24-h ambulatory blood pressure monitoring to office blood pressure measurements values were calculated.
Results:
Values 130/80 mmHg in office blood pressure measurements correspond in 24-h ambulatory blood pressure monitoring: night-time SBP/DBP mean: 113.74/66.95 mmHg; daytime SBP/DBP mean: 135.02/81.78 mmHg and 24-h SBP/DBP mean: 130.24/78.73 mmHg. Values 120/70 mmHg in office blood pressure measurements correspond in 24-h ambulatory blood pressure monitoring: night-time SBP/DBP mean: 109.50/63.43 mmHg; daytime SBP/DBP mean: 131.01/78.47 mmHg and 24-h SBP/DBP mean: 126.36/75.31 mmHg.
Conclusions:
The proposed blood pressure target values in 24-h ambulatory blood pressure monitoring complement the therapeutic target indicated in the ESC/ESH recommendations and improves 24-h ambulatory blood pressure monitoring usefulness in clinical practice.
Related Concept Videos
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Errors occurring during blood pressure monitoring
Several factors...
Pre-Procedural Guidelines for Assessing Blood Pressure
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Blood Pressure

