J Hypertens Suppl. 1990 Dec;8(6):S33-8.

Advantages and disadvantages of non-invasive ambulatory blood pressure monitoring.

Journal of hypertension. Supplement : official journal of the International Society of Hypertension

G Parati, E Mutti, A Ravogli, S Trazzi, A Villani, G Mancia

PMID: 2127944

Abstract

Our studies have shown that (1) automatic blood pressure readings obtained from portable monitors do not induce any alerting reaction or pressor response in the patient; (2) although the measurements are intermittent, non-invasive ambulatory blood pressure monitoring is able to provide a true estimate of 24-h blood pressure and heart rate mean values (the assessment of 24-h blood pressure and heart rate variabilities is less accurate); (3) the nocturnal fall in blood pressure is not altered by the possible disturbance to the patient's sleep induced by repeated cuff inflations; and (4) even when the automatic blood pressure readings obtained are similar to simultaneous readings obtained by a sphygmomanometer, the accuracy of the values provided by portable monitors used in truly ambulatory conditions cannot be taken for granted. These findings have particular implications for the cost: benefit ratio if ambulatory blood pressure monitoring is to be used in the routine evaluation of hypertensive patients.

Similar articles

MeSH terms

• Blood Pressure / physiology
• Blood Pressure Determination / standards
• Blood Pressure Monitors* / economics
• Blood Pressure Monitors* / standards
• Cost-Benefit Analysis
• Equipment Design
• Evaluation Studies as Topic
• Heart Rate / physiology
• Humans
• Hypertension / diagnosis
• Hypertension / epidemiology
• Reproducibility of Results
• Sleep / physiology

Publication Types

• Comparative Study
• Journal Article

LinkOut - more resources

• Medical
  • MedlinePlus Health Information