The Clinical Utility of Ambulatory Blood Pressure Monitoring (ABPM): A Review

Harianto, Harry; Valente, Michael; Hoetomo, Soenarno; Anpalahan, Mahesan

doi:10.2174/157340211004150319121321

Cited by 4 publications

(2 citation statements)

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“…Previous studies on ABPM have mainly focused on outpatients or inpatients ( 16 – 18 ), and the number of studies on the population receiving primary health care is very limited. ABPM is not routinely used in primary health care due to its high cost and limited resources ( 10 ).…”

Section: Discussionmentioning

confidence: 99%

Comparison of ambulatory blood pressure monitoring and office blood pressure in primary health care of populations at a high risk of hypertension

Gao

Jin

Bao

et al. 2023

Front. Public Health

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IntroductionCurrent studies have found that the incidence of masked hypertension is high in Asian countries, but the use of ambulatory blood pressure monitoring (ABPM) in Asian countries is very limited, especially in primary health care. We compared the ABPM and office blood pressure (OBP) in primary health care of a high-risk population of hypertension.MethodsThe study included participants with at least one risk factor for hypertension who received primary health care. Demographic data, present medical history, personal history, and family history were collected by questionnaire.ResultsA total of 823 subjects were included in the study. There were 531 (64.5%) subjects with hypertension by ABPM and 316 patients (38.4%) by OBP. A paired chi-square test showed that the positive rate of ABPM in the diagnosis of hypertension was significantly higher than that of OBP (chi-square value 174.129, P < 0.0001). There were 24 (2.9%) patients with white coat hypertension, 239 (29.0%) with masked hypertension, 504 (52.9%) with a non-dipping pattern, 135 (16.9%) with nocturnal hypertension and 18 (2.2%) with high ambulatory BP variability. Concordance correlation coefficient showed there was a poor correlation between OBP and awake average BP. Scatter plot displayed there was a positive correlation between OBP and awake average BP, but the degree of fitting was not high. The Bland Altman plot showed that OBP and awake average BP were consistent.ConclusionsAlthough OBP and ABPM have some consistency, ABPM can screen for masked hypertension and nocturnal hypertension in primary care of populations at high risk of hypertension. Therefore, ABPM is necessary in the primary health care of populations at high risk of hypertension and can be used as a routine screening.

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Section: Discussionmentioning

confidence: 99%

Comparison of ambulatory blood pressure monitoring and office blood pressure in primary health care of populations at a high risk of hypertension

Gao

Jin

Bao

et al. 2023

Front. Public Health

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“…Several studies have defined the complementarity of ambulatory blood pressure monitoring (ABPM) with the office blood pressure (BP) [1,2]. The additional value of the ABPM, with its drawbacks, is maximum, since it is the only technique that allows us to analyze the rest period.…”

Section: Introductionmentioning

confidence: 99%

Clinical Significance of Dipper Pattern in Hypertensive Patients

Ortega¹,

Vizcaíno²,

Villalba³

et al. 2016

Biol Med (Aligarh)

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Ambulatory blood pressure monitoring (ABPM) is a suitable method for studying the vascular risk and the degree of hypertension control. The objective of this work focuses on the dipper pattern, comparing the prevalence and characteristics with other circadian patterns in hypertensive patients. ABPM was performed in 1320 hypertensive patients. We selected those who met the requirements of "valid" according to the CardioRisc protocol (1126, 85.3%). Dipper pattern was defined when the average blood pressure (BP) at rest was between 10% and 20% below the average of the activity BP. We have considered as low vascular risk those from light to moderate levels, and the rest as high vascular risk. Controlled BP was considered when the office BP was less than 140/90 mmHg. The distribution of the patterns was as follows: dipper (476, 42.3%), non-dipper (448, 39.8%), riser (140, 12.4%) and extreme dipper (62, 5.6%). The mean age was 52.96 ± 15.37 years. 53.8% of the 476 hypertensive dipper were women, of which 25% were taking 3 or more drugs, compared with 38.7% of non-dipper (this group needed less medication to achieve an adequate control). The degree of control (51.9% vs. 45%) and vascular risk was better in patients with dipper pattern. A statistically significant difference between the average pulse pressure (PP) for the riser pattern in both the office PP (59.76 ± 16) and the 24 hours ABPM PP (58.7 ± 15.7) was observed. Hyperlipidemia was the vascular risk factor most frequently associated.

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Ambulatory Blood Pressure Monitoring in the Diagnosis and Management of Arterial Hypertension in Current Medical Practice in Algeria

Hammoudi-Bendib¹,

Manamani

Ouabdesselam

et al. 2021

CHYR

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Objectives: There are limited data on the management of hypertension (HT) in Algeria. The aim of this study was to assess in current medical practice the use and benefits of ambulatory blood pressure monitoring (ABPM) for the diagnosis and management of HT. Methods: A prospective, observational, multicenter study was performed in 2017. Patients aged ≥ 18 years with suspected or treated HT were included. A 24-hour ABPM was performed at baseline in all patients. Therapeutic decision was taken according to ABPM results and patients were then followed up to 6 weeks. Results: The analysis included 1027 patients (mean age, 51.0 years; women, 61.6%) with treated HT (37.3%) or suspected HT (62.7%). Major cardiovascular risk factors were diabetes (15.7%) and lipid disorders (7.2%). Daytime ABPM was pathological in 55.1% of patients on antihypertensive treatment and in 60.8% of patients with suspected HT. A therapeutic adjustment or a treatment switch was performed after pathological ABPM in 37.4% of patients already on antihypertensive treatment and an antihypertensive therapy was initiated in 54.9% of patients with initially suspected HT. Therapeutic strategy was mainly based on monotherapy regimen in 35.8% of patients with treated HT and in 69.3% of patients with initial suspicion of HT. Most frequent treatments used angiotensin receptor antagonists (55.3% and 50.0%, respectively). Comparable findings were observed 6 weeks later. Conclusions: This study is the first evaluation of the usefulness of ABPM for the management of HT in Algeria. Our results emphasize that ABPM is a highly valuable method for avoiding the white-coat effect and for detecting patients who are insufficiently treated with antihypertensive drugs.

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The Clinical Utility of Ambulatory Blood Pressure Monitoring (ABPM): A Review

Cited by 4 publications

References 0 publications

Comparison of ambulatory blood pressure monitoring and office blood pressure in primary health care of populations at a high risk of hypertension

Comparison of ambulatory blood pressure monitoring and office blood pressure in primary health care of populations at a high risk of hypertension

Clinical Significance of Dipper Pattern in Hypertensive Patients

Ambulatory Blood Pressure Monitoring in the Diagnosis and Management of Arterial Hypertension in Current Medical Practice in Algeria

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