Journal article
Ambulatory blood pressure monitoring
Southern medical journal (Birmingham, Ala.), Vol.96(6), pp.563-568
06/2003
DOI: 10.1097/01.SMJ.0000056656.61959.95
PMID: 12938783
Abstract
Noninvasive, 24-hour ambulatory blood pressure monitoring (ABPM) has evolved over the past 25 years from a novel research tool of limited clinical use into an important and useful modality for stratifying cardiovascular risk and guiding therapeutic decisions. Early clinical uses of ABPM were mostly focused on identifying patients with white-coat hypertension; however, accumulated evidence now points to greater prognostic significance in determining risk for hypertensive end-organ damage compared with office blood pressure measurements. Ambulatory measurement of blood pressure using automated devices has also demonstrated benefit in other indications, such as treatment resistance and borderline hypertension, and is recommended by the Joint National Committee for the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure in a number of clinical scenarios. Medicare recently announced plans to begin reimbursement for ABPM, which will likely increase demand for ABPM services. Clinicians should become familiar with the role of this technology in the care of the hypertensive patient.
Details
- Title: Subtitle
- Ambulatory blood pressure monitoring
- Creators
- Michael E Ernst - Division of Clinical and Administrative Pharmacy, College of Pharmacy, University of Iowa, Iowa City, IA, USA. michael-ernst@uiowa.eduGeorge R Bergus
- Resource Type
- Journal article
- Publication Details
- Southern medical journal (Birmingham, Ala.), Vol.96(6), pp.563-568
- Publisher
- United States
- DOI
- 10.1097/01.SMJ.0000056656.61959.95
- PMID
- 12938783
- ISSN
- 0038-4348
- eISSN
- 1541-8243
- Language
- English
- Date published
- 06/2003
- Academic Unit
- Physician Assistant Studies; Psychiatry; Family and Community Medicine; Pharmacy Practice and Science
- Record Identifier
- 9984006452102771
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