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Implementing ABPM into Clinical Practice.

Publication ,  Journal Article
Hinderliter, AL; Voora, RA; Viera, AJ
Published in: Curr Hypertens Rep
February 5, 2018

PURPOSE OF REVIEW: To review the data supporting the use of ambulatory blood pressure monitoring (ABPM), and to provide practical guidance for practitioners who are establishing an ambulatory monitoring service. RECENT FINDINGS: ABPM results more accurately reflect the risk of cardiovascular events than do office measurements of blood pressure. Moreover, many patients with high blood pressure in the office have normal blood pressure on ABPM-a pattern known as white coat hypertension-and have a prognosis similar to individuals who are normotensive in both settings. For these reasons, ABPM is recommended by the US Preventive Services Task Force to confirm the diagnosis of hypertension in patients with high office blood pressure before medical therapy is initiated. Similarly, the 2017 ACC/AHA High Blood Pressure Clinical Practice Guideline advocates the use of out-of-office blood pressure measurements to confirm hypertension and evaluate the efficacy of blood pressure-lowering medications. In addition to white coat hypertension, blood pressure phenotypes that are associated with increased cardiovascular risk and that can be recognized by ABPM include masked hypertension-characterized by normal office blood pressure but high values on ABPM-and high nocturnal blood pressure. In this review, best practices for starting a clinical ABPM service, performing an ABPM monitoring session, and interpreting and reporting ABPM data are described. ABPM is a valuable adjunct to careful office blood pressure measurement in diagnosing hypertension and in guiding antihypertensive therapy. Following recommended best practices can facilitate implementation of ABPM into clinical practice.

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Published In

Curr Hypertens Rep

DOI

EISSN

1534-3111

Publication Date

February 5, 2018

Volume

20

Issue

1

Start / End Page

5

Location

United States

Related Subject Headings

  • Preventive Health Services
  • Practice Guidelines as Topic
  • Hypertension
  • Humans
  • Dimensional Measurement Accuracy
  • Blood Pressure Monitoring, Ambulatory
  • 3214 Pharmacology and pharmaceutical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1115 Pharmacology and Pharmaceutical Sciences
  • 1103 Clinical Sciences
 

Citation

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Hinderliter, A. L., Voora, R. A., & Viera, A. J. (2018). Implementing ABPM into Clinical Practice. Curr Hypertens Rep, 20(1), 5. https://doi.org/10.1007/s11906-018-0805-y
Hinderliter, Alan L., Raven A. Voora, and Anthony J. Viera. “Implementing ABPM into Clinical Practice.Curr Hypertens Rep 20, no. 1 (February 5, 2018): 5. https://doi.org/10.1007/s11906-018-0805-y.
Hinderliter AL, Voora RA, Viera AJ. Implementing ABPM into Clinical Practice. Curr Hypertens Rep. 2018 Feb 5;20(1):5.
Hinderliter, Alan L., et al. “Implementing ABPM into Clinical Practice.Curr Hypertens Rep, vol. 20, no. 1, Feb. 2018, p. 5. Pubmed, doi:10.1007/s11906-018-0805-y.
Hinderliter AL, Voora RA, Viera AJ. Implementing ABPM into Clinical Practice. Curr Hypertens Rep. 2018 Feb 5;20(1):5.
Journal cover image

Published In

Curr Hypertens Rep

DOI

EISSN

1534-3111

Publication Date

February 5, 2018

Volume

20

Issue

1

Start / End Page

5

Location

United States

Related Subject Headings

  • Preventive Health Services
  • Practice Guidelines as Topic
  • Hypertension
  • Humans
  • Dimensional Measurement Accuracy
  • Blood Pressure Monitoring, Ambulatory
  • 3214 Pharmacology and pharmaceutical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1115 Pharmacology and Pharmaceutical Sciences
  • 1103 Clinical Sciences