Use and interpretation of ambulatory blood pressure monitoring: recommendations of the British Hypertension Society
Use and interpretation of ambulatory blood pressure monitoring: recommendations of the British Hypertension Society
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DOI：
10.1136/bmj.320.7242.1128
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发表时间：
2000-04-22
影响因子：
105.7
通讯作者：
Mee, F
中科院分区：
文献类型：
--
作者：
O'Brien, E;Coats, A;Mee, F
方法关于使用动态测量的建议往往是矛盾的，尽管现在正在提出更坚定的建议。这种矛盾心理无助于希望使用这项技术的医生；然而，根据不完整的证据提出建议可能会被指控为提倡一种没有证据支持的技术。认识到这一点，我们在有证据的情况下根据证据提出建议，在没有证据的情况下，我们根据我们多年来使用门诊测量的集体经验给出建议。今天看来合理的东西可能会随着更多证据的出现而被修改：这就是科学推理的本质。在可能的情况下，我们根据Shekelle等人讨论的方案，对我们提出建议所依据的证据强度进行了分级
MethodsRecommendations on the use of ambulatory measurement have tended to be ambivalent, although firmer proposals are now being made. 10 11 Such ambivalence has not assisted doctors wishing to use the technique; however, making recommendations on the basis of incomplete evidence may lead to charges of advocating a technique that is not supported by the evidence. Recognising this, we have based our recommendations on evidence when it is available, and in cases in which it is not we have given advice on the basis of our collective experience of using ambulatory measurement over many years. What seems reasonable today may have to be modified as additional evidence becomes available: such is the essence of scientific reasoning. Where possible we have graded the strength of the evidence on which we have based our recommendations according to the scheme discussed by Shekelle et al. 12