Open AccessFuture uses of ambulatory blood pressure monitoring: implicatioNs for therapy
Author(s) -
Giles Thomas D.
Publication year - 1992
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960151407
Subject(s) - medicine , ambulatory blood pressure , ambulatory , circadian rhythm , heart failure , blood pressure , cardiology , morning , heart disease , bed rest , heart rate , disease , pharmacotherapy , intensive care medicine
Ambulatory blood pressure monitoring can play a significant role in evaluating the effects of treatment on the circadian cardiovascular pattern of patients with ischemic heart disease and/or congestive heart disease. In ischemic heart disease, drug therapy should be designed to reduce heart rate and blood pressure throughout the 24‐hour cycle, including the early morning surge. Beta‐blocking agents appear to accomplish these reductions. In congestive heart failure, some patients maintain their circadian variation while others do not, leaving them without the normal period of cardiac rest during the nighttime hours. Therapy should be designed to reduce this cardiac overload, and vasodilating agents appear to accomplish this. Ambulatory monitoring is especially useful in monitoring the effectiveness of drug interventions throughout the 24‐hour cycle.