Ambulatory BP Monitoring
Ambulatory BP Monitoring was established and recommended
as the method of choice for the assessment of BP and for
Rational use of anti hypertensive drugs.
Cardiovascular complications are more
Closely associated with 24 hours and night time
B.P than with Office B.P
Ambulatory B.P. measurement is cost effective.
Ambulatory B.P.Monitoring and home B.P . monitoring are
complimentary
Approaches.
Perloff's study was the first to demonstrate that
the association between cardiovascular complications
and B.P was tigter than office B.P. measurement.
White coat hypertension:
San Francisco medical center in 1984 ,Kelimert etal coined he term white coat
Coat hypertension ,refering to patients whose B.P. was elevated in the medical
Environment during day time ambulatory B.P. monitoring.
The prevalence of white coat hypertension increses with age.
Cost effectiveness : Several studies addressed the cost effective
ness of?
Ambulatory B.P. monitoring would reduce health care costs
mainly by
Avoiding antihypertensive drug treatment in White coat hypertensive patients.
Ref Hypertension 2021 Feb 17 (2) 254-264
O iFang Huang
Wen-Ys Yang
Kei Asayama
Zhen Yu Zhuang
Lutgarde Thijs
Yan Li
Eoin O,Brien
Jan A.Stassen
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