Too much of a good thing? A critique of overemphasis on the use of ambulatory blood pressure monitoring in clinical practice
Too much of a good thing? A critique of overemphasis on the use of ambulatory blood pressure monitoring in clinical practice
复制标题
好事太多了？
DOI：
10.1097/00004872-200210000-00003
复制
发表时间：
2002
影响因子：
4.9
通讯作者：
P. Palatini
中科院分区：
文献类型：
--
作者：
P. Palatini
动态血压监测（ABPM）可以被认为是临床医学的一项重大成就。然而，其相对于传统临床测量的优越性在文献中往往被过分强调。在横断面和纵向研究中，ABPM与临床血压进行了比较，这些临床血压仅由短时间内的少量读数计算得出。由于成本和实用性的原因，ABPM不应作为评估高血压患者的常规检查。大多数边缘性高血压或孤立性临床高血压患者可以通过多次临床读数和自我血压监测进行有益的评估。短期或长期血压波动较大的患者似乎是ABPM的最佳人选。与使用该技术相关的许多方法学问题表明，ABPM只能由经验丰富的医生进行。
Ambulatory blood pressure monitoring (ABPM) can be considered a major achievement in clinical medicine. However, its superiority over traditional clinical measurement has often been overemphasized in the literature. In both cross-sectional and longitudinal studies, ABPM has been compared with clinical blood pressure calculated from only a few readings taken over a short period of time. For reasons of costs and practicality, ABPM should not be considered as a routine test in the assessment of the hypertensive patient. Most patients with borderline hypertension or isolated clinical hypertension can be profitably assessed with multiple clinical readings and self-blood pressure monitoring. Patients with large short-term or long-term blood pressure oscillations appear as optimal candidates to ABPM. The many methodological problems associated with the use of this technique suggest that ABPM is performed only by experienced doctors.