[The use of ambulatory pressure monitoring for evaluating antihypertensive treatment in clinical practice]. / Impiego del monitoraggio pressorio ambulatoriale per la valutazione del trattamento antipertensivo nella pratica clinica.
Minerva Med
; 86(12): 527-35, 1995 Dec.
Article
in It
| MEDLINE
| ID: mdl-8684679
ABSTRACT
OBJECTIVE:
To describe the clinical experience of our Centre in the assessment of antihypertensive therapy with 24-hour ambulatory blood pressure monitoring (ABPM). DESIGN AND PATIENTS We retrospectively studied all the 241 out-patients on antihypertensive therapy submitted to ABPM (SpaceLabs 90207, USA) between March 1992 and March 1993 for clinical purposes. We evaluated 1) the clinical indications for the test; 2) the modifications of drug treatment suggested by the ABPM results; 3) the referring physicians' acceptance of these suggestions; 4) the changes of office BP measured before and 3-6 months after ABPM.RESULTS:
1) The indications for ABPM were resistant or poorly controlled hypertension (n = 170-71%); suspected "white coat effect" (n = 51-21%); assessment of symptoms (n = 20-8%). 2) The analysis of ABPM suggested to modify drug treatment in 51% of the patients; a "white-coat effect" was found in 18% of the patients. 3) The ABPM suggestions about treatment were accepted by the referring physicians in 89% of the patients. 4) Office BP decreased from 163 +/- 18/99 +/- 9 mm Hg (before ABPM) to 151 +/- 13/91 +/- 7 (3-6 months after ABPM), (p < 0.001).CONCLUSIONS:
The use of ABPM in our Centre, which is based on specific clinical indications, provided indications to modify the drug treatment in a high percentage of patients.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood Pressure Monitoring, Ambulatory
/
Antihypertensive Agents
Type of study:
Observational_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
It
Journal:
Minerva Med
Year:
1995
Document type:
Article