Premium
Ambulatory blood pressure monitoring in daily clinical practice – the Spanish ABPM Registry experience
Author(s) -
Gorostidi Manuel,
Banegas José R.,
Sierra Alejandro,
Vinyoles Ernest,
Segura Julián,
Ruilope Luis M.
Publication year - 2016
Publication title -
european journal of clinical investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.164
H-Index - 107
eISSN - 1365-2362
pISSN - 0014-2972
DOI - 10.1111/eci.12565
Subject(s) - ambulatory blood pressure , blood pressure , medicine , white coat hypertension , masked hypertension , ambulatory , prehypertension , intensive care medicine , emergency medicine , cardiology
Many patients are hypertensive at the medical settings but show normal blood pressure out of the doctor's office, and are classified as white‐coat hypertensives. On the other hand, many patients with controlled hypertension at the clinic show ambulatory blood pressure levels above the thresholds considered for an adequate blood pressure control, known as having masked hypertension. Using data from the Spanish Ambulatory Blood Pressure Monitoring Registry (Spanish ABPM Registry), a national program developed to promote the use of the ambulatory technique for hypertension management in daily practice, we have reviewed the main strengths of this approach, that is the ability to detect discrepancies of blood pressure status with respect to office blood pressure measurement, and to better assess accurate rates of hypertension control. White‐coat hypertension within patients with elevated office blood pressure, and masked hypertension within office‐controlled patients affected one of three patients in each office status. On the other hand, rates of ambulatory blood pressure control (50%) doubled those of office blood pressure control (25%), still remaining half the patients uncontrolled. We think that a systematic use of ambulatory blood pressure monitoring, and strategies to improve blood pressure control constitute key priorities in hypertension management.