Abstract
Management of blood pressure (BP) abnormalities in patients with autonomic failure is usually based on office BP readings. It is uncertain, whether office readings reflect actual BPs during a typical day. Therefore, in 45 patients with autonomic failure, we compared office BP values during a tilt test with those captured on a 24-h ambulatory monitor. Office BP values while supine predicted well the level of nighttime hypertension. However, in only 33 % of patients, office values during tilt test accurately reflected hypotension during a typical day. Therefore, ambulatory monitoring is useful to gauge the true severity of hypotension in patients with autonomic failure.
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Norcliffe-Kaufmann, L., Kaufmann, H. Is ambulatory blood pressure monitoring useful in patients with chronic autonomic failure?. Clin Auton Res 24, 189–192 (2014). https://doi.org/10.1007/s10286-014-0229-y
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DOI: https://doi.org/10.1007/s10286-014-0229-y