A review of the stability of ambulatory blood pressure: implications for diagnosis of hypertension.
A review of the stability of ambulatory blood pressure: implications for diagnosis of hypertension.
复制标题
动态血压稳定性综述：对高血压诊断的影响。
DOI：
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发表时间：
1991
期刊：
影响因子：
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通讯作者：
R. Reeves
中科院分区：
文献类型：
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作者：
R. Reeves
通过在一天内获得许多测量值的动态血压监测可能消除在不同日期多次就诊以诊断高血压的需要。然而，对已发表文献的回顾显示，通过日间的重测相关性评估的动态血压的稳定性与研究环境中的诊室血压相似：r = 0.87/0.70 vs 0.79/0.71（收缩压/舒张压）。差异的日间标准差也相似：分别为8/7 mmHg vs 9/7 mmHg。血压日内波动的可重复性较差（r = 0.28/0.11），这可能是显示血压变异性与靶器官损害之间相关性的一些困难的原因。迄今为止的证据表明，动态血压监测不会减少观察到的血压日间差异。血压升高的诊断需要反复就诊，无论是门诊还是门诊血压测量。
Ambulatory BP monitoring by obtaining many measurements on one day might eliminate the need for multiple visits on different days to diagnose hypertension. However, review of the published literature shows the stability of ambulatory BP as assessed by test-retest correlation between days to be similar to that of office BP in research settings: r = 0.87/0.70 vs 0.79/0.71 (systolic/diastolic). Between-day standard deviations of the difference are also similar: 8/7 mmHg vs 9/7 mmHg, respectively. The reproducibility of within-day fluctuation in BP is poor (r = 0.28/0.11) and may account for some of the difficulty in showing correlations between BP variability and target organ damage. Evidence to date suggests that ambulatory BP monitoring will not reduce observed between-day differences in BP. Diagnosis of elevated BP will require repeated visits whether office or ambulatory BP measurement is employed.