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Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
09:38

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Ambulatory blood pressure monitoring: coming of age in nephrology

R R Townsend1, V Ford

  • 1Department of Medicine, University of Pennsylvania, Philadelphia, USA.

Journal of the American Society of Nephrology : JASN
|November 1, 1996
PubMed

Insights

Ambulatory blood pressure monitoring (ABPM) is increasingly used to assess hypertension's impact on organs. This review highlights its growing importance in nephrology for managing kidney-related conditions.

Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Hypertension Management

Background:

  • Ambulatory blood pressure monitoring (ABPM) usage and publications have surged recently.
  • Focus has shifted to blood pressure load and nocturnal blood pressure changes.
  • Growing interest in ABPM applications within nephrology.

Purpose of the Study:

  • To review the technical aspects of ABPM.
  • To explore five key areas of ABPM clinical research relevant to renal medicine.
  • To underscore the clinical value of ABPM in hypertension management.

Main Methods:

  • Review of technical aspects of ABPM.
  • Synthesis of clinical research findings from five renal medicine domains.
  • Discussion of ABPM's role in evaluating hypertension's effects on target organs.

Main Results:

  • ABPM is valuable for assessing microalbuminuria, renal function, and renovascular hypertension.
  • ABPM aids in managing patients undergoing dialysis (hemodialysis, peritoneal dialysis) and transplantation.
  • Despite reimbursement challenges, ABPM use is expanding due to its clinical utility.

Conclusions:

  • ABPM is a crucial tool in modern hypertension management, particularly in nephrology.
  • Its application extends to critical areas of kidney disease and post-transplant care.
  • Clinicians are increasingly relying on ABPM for therapeutic decisions, highlighting its established clinical value.

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