Out-of-Office Monitoring in Clinical Practice
Examples in this chapter 2015 USPSTF [6] 2014 CHEP [7] 2014 ASH/ISH [9] 2013 ESH [8] 2013 ESH/ESC [10] 2011 ACCF/AHA [11] 2011 NICE [12] In Untreated Patients with…
Ambulatory Monitoring of Blood Pressure: An Overview of Devices, Analyses, and Clinical Utility
Advantages Disadvantages Elimination of observer bias/error Cost Elimination of the white coat effect Time commitment on behalf of More comprehensive assessment of antihypertensive therapy Patient Disturbed sleep Superior prognostic indicator…
Home (Self) Monitoring of Blood Pressure in Clinical Trials
HBP OBP ABP Reproducibility, study power, and sample size +++ + +++ Exclusion of white coat hypertension +++ − +++ Observer bias elimination +++ (automated devices or tele-monitoring) +…
Ambulatory Blood Pressure Monitoring in Clinical Trials of Drugs and Devices
Blood pressure measure Systolic Diastolic R-value SDD CV R-value SDD CV Office 0.48 17.0 11.0 0.31 10.0 10.0 24-h mean 0.87a 9.8a 7.0 0.90a 4.7a 5.6 Awake 0.86a 10.7a 7.4…
Prognostic Value of Ambulatory Blood Pressure Monitoring
Fig. 9.1 Relation between office and ambulatory systolic blood pressure in untreated hypertensive subjects enrolled in the “Progetto Ipertensione Umbria monitoraggio Ambulatoriale” (PIUMA) study. For any given value of office…
Ambulatory Blood Pressure Monitoring in Special Populations: During Pregnancy
Fig. 13.1 Variation of the 48-h SBP mean throughout gestation in normotensive pregnancies (top; 1408 ABPM profiles of 48-h duration obtained from 235 women) and women who developed either GH…
Blood Pressure Variability as Elusive Harbinger of Adverse Health Outcomes
where n is the number of blood pressure readings, k ranges from 1 to n−1, and w k is the time interval between BP k and BP k + 1. ARV therefore…
Home (Self) Monitoring of Blood Pressure
Feature OBP ABPM HBPM No. of readings Low High Medium White coat effect Yes No No Operator dependency Yes No No Need of device validation Noa Yes Yes Daytime BP…
Gender and Circadian Rhythms in Cardiovascular Function
Fig. 18.1 24-h patterns in heart rate (HR) and systolic and diastolic BP (upper/lower BP curve) in ten male (closed) and ten female (open) healthy volunteers of an age of…
Ambulatory Blood Pressure Monitoring in Older Persons
BP parameter (mmHg) Initial study (mean BP) Two-year study (mean BP) Changes between study periods P-value between study periods Standard deviation of the differences Repeatability coefficient (RC) Clinic systolic 136…
