Abstract
Twenty-four-hour noninvasive ambulatory blood pressure (ABP) monitoring is increasingly used in subjects with essential hypertension (1,2). Traditionally, diagnosis and management of hypertension are based on blood pressure (BP) measurements taken in the physician’s office, but several prospective studies conducted in the general population or in hypertensive subjects, either untreated or treated at the time of execution
of ABP monitoring, have shown that ABP measurements provide a better prediction of clinical outcome compared with conventional clinic or office BP measurements, especially in mild and moderate hypertension (3–34). The advantages of ABP compared to office BP in predicting clinical outcome and the most appropriate way of interpreting the results of ABP monitoring will be discussed in this chapter.
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References
Pickering T, for an American Society of Hypertension Ad Hoc Panel. Recommendations for the use of home (self) and ambulatory blood pressure monitoring. Am J Hypertens 1996;9:1–11.
Mallion J-M, Baguet J-P, Siché J-P, Tremel F, De Gaudemaris R. Clinical value of ambulatory blood pressure monitoring. J Hypertens 1999;17:585–595.
Perloff D, Sokolow M, Cowan R. The prognostic value of ambulatory blood pressure. JAMA 1983;249:2792–2798.
Perloff D, Sokolow M, Cowan RM, Juster RP. Prognostic value of ambulatory blood pressure measurements: further analyses. J Hypertens 1989;7(Suppl 3):S3–S10.
Verdecchia P, Porcellati C, Schillaci G, et al. Ambulatory blood pressure: an independent predictor of prognosis in essential hypertension. Hypertension 1994;24:793–801.
Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Gattobigio R, Porcellati C. Nocturnal pressure is the true pressure. Blood Press Monit 1996;1(Suppl 2):S81–S85.
Verdecchia P, Borgioni C, Ciucci A, et al. Prognostic significance of blood pressure variability in essential hypertension. Blood Press Monit 1996;1:3–11.
Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Porcellati C. Prognostic significance of the white-coat effect. Hypertension 1997;29:1218–1224.
Verdecchia P, Schillaci G, Borgioni C, et al. Adverse prognostic value of a blunted circadian rhythm of heart rate in essential hypertension. J Hypertens 1998;16:1335–1343.
Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Pede S, Porcellati C. Ambulatory pulse pressure. A potent predictor of total cardiovascular risk in hypertension. Hypertension 1998;32:983–988.
Verdecchia P, Schillaci G, Borgioni C, et al. Altered circadian blood pressure profile and prognosis. Blood Press Monit 1997;2:347–352.
Verdecchia P, Schillaci G, Gatteschi C, et al. Blunted nocturnal fall in blood pressure in hypertensive women with future cardiovascular morbid events. Circulation 1993;88:986–992.
Pickering TG, James GD. Ambulatory blood pressure and prognosis. J Hypertens 1994;12(Suppl 8):S29–S33.
Khattar RS, Senior R, Lahiri A. Cardiovascular outcome in white-coat versus sustained mild hypertension: a 10 year follow-up study. Circulation 1998;98:1982–1987.
Zweiker R, Eber B, Schumacher M, Toplak H, Klein W. “Non dipping” related to cardiovascular events in essential hypertensive patients. Acta Med Austriaca 1994;21:86–89.
Staessen JA, Thijs L, Fagard R, et al., for the Systolic Hypertension in Europe (Syst-Eur) Trial Investigators. Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension. JAMA 1999;282:539–546.
Yamamoto Y, Akiguchi I, Oiwa K, Hayashi M, Kimura J. Adverse effect of nighttime blood pressure on the outcome of lacunar infarct patients. Stroke 1998;29:570–576.
Redon J, Campos C, Narciso ML, Rodicio JL, Pascual JM, Ruilope LM. Prognostic value of ambulatory blood pressure monitoring in refractory hypertension. A prospective study. Hypertension 1998;31:712–718.
Imai Y, Ohkubo T, Tsuji I, et al. Prognostic value of ambulatory and home blood pressure measurements in comparison to screening blood pressure measurements: a pilot study in Ohasama. Blood Press Monit 1996;1(Suppl 2):S51–S58.
Ohkubo T, Imai Y, Tsuji I, et al. Prediction of mortality by ambulatory blood pressure monitoring versus screening blood pressure measurements: a pilot study in Ohasama. J Hypertens 1997;15:357–364.
Ohkubo T, Imai Y, Tsuji I, et al. Relation between nocturnal decline in blood pressure and mortality. The Ohasama study. Am J Hypertens 1997;10:1201–1207.
Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Porcellati C. White-coat hypertension. Lancet 1996;348:1444–1445.
Kikuya M, Ohkubo T, Asayama K, et al. Ambulatory blood pressure and 10-year risk of cardiovascular and noncardiovascular mortality: the Ohasama Study. Hypertension 2005;45:240–245.
Hansen TW, Jeppesen J, Rasmussen S, Ibsen H, Torp-Pedersen C. Ambulatory blood pressure and mortality: a population-based study. Hypertension 2005;45:499–504.
Björklund K, Lind L, Zethelius B, Andren B, Lithell H. Isolated ambulatory hypertension predicts cardiovascular morbidity in elderly men. Circulation 2003;107:1297–1302.
Clement DL, De Buyzere ML, De Bacquer DA, et al. Prognostic value of ambulatory blood pressure recordings in patients with treated hypertension. N Engl J Med 2003;348:2407–2415.
Pierdomenico SD, Lapenna D, Bucci A, et al. Cardiovascular and renal events in uncomplicated mild hypertensive patients with sustained and white coat hypertension. Am J Hypertens 2004;17:876–881.
Kario K, Shimada K, Schwartz JE, et al. Silent and clinically overt stroke in older Japanese subjects with white-coat and sustained hypertension. J Am Coll Cardiol 2001;38:238–245.
Verdecchia P, Reboldi GP, Angeli F, et al. Short-and long-term incidence of stroke in white-coat hypertension. Hypertension 2005;45:203–208.
Björklund K, Lind L, Zethelius B. Prognostic significance of 24-h ambulatory blood pressure characteristics for cardiovascular morbidity in a population of elderly men. J Hypertens 2004;22:1691–1697.
Nakano S, Konishi K, Furuya K, et al. A prognostic role of mean 24-h pulse pressure level for cardiovascular events in type 2 diabetic subjects under 60 years of age. Diabetes Care 2005;28:95–100.
Nakano S, Fukuda M, Hotta F, et al. Reversed circadian blood pressure rhythm is associated with occurrence of both fatal and nonfatal vascular events in NIDDM subjects. Diabetes 1998;47:1501–1506.
Dolan E, Stanton A, Thijs L, et al. Superiority of ambulatory over clinic blood pressure measurement in predicting mortality: the Dublin Outcome Study. Hypertension 2005;46:156–161.
Sega R, Facchetti R, Bombelli M, et al. Prognostic value of ambulatory and home blood pressures compared with office blood pressure in the general population. Follow-up results from the Pressioni Arteriose Monitorate e Loro Associazioni (PAMELA) Study. Circulation 2005;111:1777–1783.
Drayer JIM, Weber MA, DeYoung JL. Blood pressure as a determinant of cardiac left ventricular muscle mass. Arch Intern Med 1983;143:90–92.
Devereux RB, Pickering TG, Harshfield GA, et al. Left ventricular hypertrophy in patients with hypertension. Importance of blood pressure response to regularly recurring stress. Circulation 1983;68:470–476.
Fagard R, Staessen J, Thijs L, Amery A. Multiple standardized clinic blood pressures may predict left ventricular mass as well as ambulatory monitoring. Am J Hypertens 1995;8:533–540.
Mancia G, Gamba PL, Omboni S, et al. Ambulatory blood pressure monitoring. J Hypertens 1996;14(Suppl 2):S61–S68.
Gosse P, Ansoborlo P, Jullien V, Lemetayer P, Clementy J. Ambulatory blood pressure and left ventricular hypertrophy. Blood Press Monit 1997;2:70–74.
HARVEST Study Group, Palatini P, Graniero GR, Mormino P, et al. Prevalence and clinical correlates of microalbuminuria in stage I hypertension. Results from the hypertension and ambulatory recording Venetian Study. Am J Hypertens 1996,9:334–341.
Asmar RG, Brunel PC, Pannier BM, Lacolley PJ, Safar NE. Arterial distensibility and ambulatory blood pressure monitoring in essential hypertension. Am J Cardiol 1988;61:1066–1070.
Zanchetti A, Bond G, Henning M, et al., on behalf of the ELSA investigators. Risk factors associated with alterations in carotid intima-media thickness in hypertension: baseline data from the European Lacidipine Study on Atherosclerosis. J Hypertens 1998;16:949–961.
Verdecchia P, Reboldi GP, Porcellati C, et al. Risk of cardiovascular disease in relation to achieved office and ambulatory blood pressure control in treated hypertensive subjects. JACC 2002;39:878–885.
O’Brien E, Asmar R, Beilin L, et al., European Society of Hypertension Working Group on Blood Pressure Monitoring. Practice guidelines of the European Society of Hypertension for clinic, ambulatory and self blood pressure measurement. J Hypertens 2005;23:697–701.
Pickering TG, James GD, Boddie C, Harshfield GA, Blank S, Laragh JH. How common is white-coat hypertension? JAMA 1988;259:225–228.
White WB, Schulman P, McCabe EJ, Dey HM. Average daily blood pressure, not office pressure, determines cardiac function in patients with hypertension. JAMA 1989;261:873–877.
Verdecchia P, Schillaci G, Boldrini F, Zampi I, Porcellati C. Variability between current definitions of ‘normal’ ambulatory blood pressure. Implications in the assessment of white-coat hypertension. Hypertension 1992;20:555–562.
Pierdomenico SD, Lapenna D, Guglielmi MD, et al. Target organ status and serum lipids in patients with white-coat hypertension. Hypertension 1995;26:801–807.
Kuwajima I, Miyao M, Uno A, Suzuki Y, Matsushita S, Kuramoto K. Diagnostic value of electrocardiography and echocardiography for white-coat hypertension in the elderly. Am J Cardiol 1994;73:1232–1234.
Cardillo C, De Felice F, Campia U, Folli G. Psychophysiological reactivity and cardiac end-organ changes in white-coat hypertension. Hypertension 1993;21:836–844.
Cerasola G, Cottone S, Nardi E, et al. White-coat hypertension and cardiovascular risk. J Cardiovasc Risk 1995;2:545–549.
Glen SK, Elliot HL, Curzio JL, Lees KR, Reid JL. White-coat hypertension as a cause of cardiovascular dysfunction. Lancet 1996;348:654–657.
Siegel WC, Blumenthal JA, Divine GW. Physiological, psychological and behavioral factors and white-coat hypertension. Hypertension 1990;16:140–146.
Weber MA, Neutel JM, Smith DHG, Graettinger WF. Diagnosis of mild hypertension by ambulatory blood pressure monitoring. Circulation 1994;90:2291–2298.
Hoegholm A, Kristensen KS, Bang LE, Nielsen JW, Nielsen WB, Madsen NH. Left ventricular mass and geometry in patients with established hypertension and white-coat hypertension. Am J Hypertens 1993;6:282–286.
Marchesi E, Perani G, Falaschi F, et al. Metabolic risk factors in white-coat hypertensives. J Hum Hypertens 1994;8:475–479.
Bidlingmeyer I, Burier M, Bidlingmeyer M, Waeber B, Brunner HR. Isolated office hypertension: a prehypertensive state? J Hypertens 1996;14:327–332.
Rizzo V, Cicconetti P, Bianchi A, et al. White-coat hypertension and cardiac organ damage in elderly subjects. J Hum Hypertens 1996;10:293–298.
Trenkwalder P, Plaschke M, Steffes-Tremer I, Lydtin H. “White-coat” hypertension and alerting reaction in elderly and very elderly hypertensive patients. Blood Press 1993;2:262–271.
Staessen J, O’Brien E, Atkins N, Amery A. Short report: ambulatory blood pressure in normotensive compared with hypertensive subjects. J Hypertens 1993;11:1289–1297.
Amar J, Bieler L, Salvador M, Chamontin B. Intima-media thickness of carotid artery in white-coat and ambulatory hypertension. Arch Mal Coeur Vaiss 1997;90:1075–1078.
Cuspidi C, Marabini M, Lonati L, et al. Cardiac and carotid structure in patients with established hypertension and white-coat hypertension. J Hypertens 1995;13:1707–1711.
Polonia JJ, Santos AR, Gama GM, Basto F, Bettencourt PM, Martins LR. Followup clinic and ambulatory blood pressure in untreated white-coat hypertensive patients (evaluation after 2-5 years). Blood Press Monit 1997;2:289–295.
Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Porcellati C. White-coat hypertension: not guilty when correctly defined. Blood Press Monit 1998;3:147–152.
Mancia G, Sega R, Bravi C, et al. Ambulatory blood pressure normality: results from the PAMELA study. J Hypertens 1995;13:1377–1390.
Hunyor SN, Flynn JM, Cochineas C. Comparison of performance of various sphygmomanometers with intra-arterial blood pressure recordings. Br Med J 1978;2:159–162.
Pickering TG. White coat hypertension: time for action. Circulation 1998;97:1834–1836.
Verdecchia P, Angeli F. How can we use the results of ambulatory blood pressure in clinical practice? Hypertension 2005;46(1):25–26.
Riva Rocci S. La tecnica della sfigmomanometria. Gazzet Med Torino 1897;10:181–191.
Ayman D, Goldshine AD. Blood pressure determinations by patients with essential hypertension: the difference between clinic and home readings before treatment. Am J Med Sci 1940;200:465–474.
Mancia G, Bertineri G, Grassi G, et al. Effects of blood pressure measured by the doctor on patient’s blood pressure and heart rate. Lancet 1983;2:695–698.
Mancia G, Parati G, Pomidossi G, Grassi G, Casadei R, Zanchetti A. Alerting reaction and rise in blood pressure during measurement by physician and nurse. Hypertension 1987;9:209–215.
Pickering TG. White-coat hypertension in a changing era of medical care. Blood Press Monit 1996;1(Suppl 2):S27–S32.
Parati G, Ulian L, Santucciu C, Omboni S, Mancia G. The difference between clinic and daytime blood pressure is not a measure of the “white-coat effect”. Hypertension 1998;31:1185–1189.
Littler WA, West MJ, Honour AJ, Sleight P. The variability of arterial pressure. Am Heart J 1978;95:180–186.
Mancia G, Ferrari A, Gregorini L, et al. Blood pressure and heart rate variabilities in normotensive and hypertensive human beings. Circ Res 1983;53:96–104.
Parati G, Pomidossi G, Casadei R, et al. Ambulatory blood pressure does not interfere with the haemodynamic effects of sleep. J Hypertens 1985;3(Suppl 2):S107–S109.
Brigden G, Broadhurst P, Cashman P, Raftery E. Effects of non-invasive ambulatory blood pressure devices on blood pressure. Am J Cardiol 1991;66:1396–1398.
van Ittersum FJ, Ijzerman RG, Stehouwer CDA, Donker AJM. Analysis of twentyfour-hour ambulatory blood pressure monitoring: what time period to assess blood pressures during waking and sleeping? J Hypertens 1995;13:1053–1058.
Fagard R, Brguljan J, Thijs L, Staessen J. Prediction of the actual awake and asleep blood pressures by various methods of 24h pressure analysis. J Hypertens 1996;14:557–563.
Pickering TG. How should the diurnal changes of blood pressure be expressed? Am J Hypertens 1995;8:681–682.
Verdecchia P, Schillaci G, Guerrieri M, et al. Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation 1990;81:528–536.
Verdecchia P, Porcellati C. Day-night changes of ambulatory blood pressure: another risk marker in essential hypertension? [in Italian] G Ital Cardiol 1992;22:879–886.
Rizzoni D, Muiesan ML, Montani G, Zulli R, Calebich S, Agabiti-Rosei E. Relationship between initial cardiovascular structural changes and daytime and nighttime blood pressure monitoring. Am J Hypertens 1992;5:180–186.
Kuwajima I, Suzuki Y, Shimosawa T, Kanemaru A, Hoshino S, Kuramoto K. Diminished nocturnal decline in blood pressure in elderly hypertensive patients with left ventricular hypertrophy. Am Heart J 1992;67:1307–1311.
Palatini P, Penzo M, Racioppa A, et al. Clinical relevance of nighttime blood pressure and of daytime blood pressure variability. Arch Intern Med 1992;152:1855–1860.
Schmieder RE, Rockstroh JK, Äpfelbacher F, Schulze B, Messerli FH. Genderspecific cardiovascular adaptation due to circadian blood pressure variations in essential hypertension. Am J Hypertens 1995;8:1160–1166.
Schillaci G, Verdecchia P, Borgioni C, et al. Association between persistent pressure overload and ventricular arrhythmias in essential hypertension. Hypertension 1996;28:284–289.
Shimada K, Kawamoto A, Matsubayashi K, Nishinaga M, Kimura S, Ozawa T. Diurnal blood pressure variations and silent cerebrovascular damage in elderly patients with hypertension. J Hypertens 1992;10:875–878.
Kario K, Matsuo T, Kobayashi H, Imiya M, Matsuo M, Shimada K. Nocturnal fall of blood pressure and silent cerebrovascular damage in elderly hypertensive subjects: advanced silent cerebrovascular damage in extreme dippers. Hypertension 1996;27:130–135.
Redon J, Liao Y, Lozano JV, Miralles A, Pascual JM, Cooper RS. Ambulatory blood pressure and microalbuminuria in essential hypertension: role of circadian variability. J Hypertens 1994;12:947–953.
Bianchi S, Bigazzi R, Baldari G, Sgherri G, Campese VM. Diurnal variations of blood pressure and microalbuminuria in essential hypertension. Am J Hypertens 1994;7:23–29.
Timio M, Venanzi S, Lolli S, et al. Night-time blood pressure and progression of renal insufficiency. High Blood Press Cardiovasc Prev 1994;3:39–44.
O’Brien E, Sheridan J, O’Malley K. Dippers and nondippers. Lancet 1988;2:397.
Porcellati C, Schillaci G, Verdecchia P, et al. Diurnal blood pressure changes and left ventricular mass: influence of daytime blood pressure. High Blood Press Cardiovasc Prev 1993;2:249–258.
Parati G, Pomidossi G, Albini F, Malaspina D, Mancia G. Relationship of 24-h blood pressure mean and variability to severity of target organ damage in hypertension. J Hypertension 1987;5:93–98.
Schillaci G, Verdecchia P, Borgioni C, Ciucci A, Porcellati C. Lack of association between blood pressure variability and left ventricular mass in essential hypertension. Am J Hypertens 1998;11:515–522.
Watson RDS, Stallard TJ, Flinn RM, Littler WA. Factors determining arterial pressure and its variability in hypertensive man. Hypertension 1980;2:333–341.
Floras JS, Hassan MO, Vann Jones J, Osikowska BA, Sever PS, Sleight P. Factors influencing blood pressure and heart rate variability in hypertensive humans. Hypertension 1988;11:273–281.
Palatini P, Julius S. Heart rate and cardiovascular risk. J Hypertens 1997;15:3–17.
Palatini P. Need for a revision of the normal limits of resting heart rate. Hypertension 1999;33:622–625.
Dyer AR, Stamler J, Shekelle RB, et al. Pulse pressure—III. Prognostic significance in four Chicago epidemiological studies. J Chron Dis 1982;35:283–294.
Madhavan S, Ooi WL, Cohen H, Alderman MH. Relation of pulse pressure and blood pressure reduction to the incidence of myocardial infarction. Hypertension 1994;23:395–401.
Benetos A, Safar M, Rudnichi A, et al. Pulse pressure. A predictor of long-term cardiovascular mortality in a French male population. Hypertension 1997;30:1410–1415.
Franklin SS, Khan SA, Wong ND, Larson MG, Levy D. Is pulse pressure useful in predicting risk for coronary heart disease? The Framingham Heart Study. Circulation 1999;100:354–360.
Verdecchia P, Schillaci G, Reboldi GP, Franklin Stanley S, Porcellati C. Different prognostic impact of 24-h mean blood pressure and pulse pressure on stroke and coronary artery disease in essential hypertension. Circulation 2001;5:2579–2584.
Willich SN, Levy D, Rocco MB, et al. Circadian variation in the incidence of sudden cardiac death in the Framingham Heart Study population. Am J Cardiol 1987;60:801–806.
Muller JE, Stone PH, Turi ZG, et al. Circadian variation in the frequency of onset of acute myocardial infarction. N Engl J Med 1985;313:1315–1322.
Schillaci G, Verdecchia P, Benemio G, Porcellati C. Blood pressure rise and ischaemic stroke. Lancet 1995;346:1366–1367.
Kuwajima I, Mitani K, Miyao M, et al. Cardiac implications of the morning surge in blood pressure in elderly hypertensive patients: relation to arising time. Am J Hypertens 1995;8:29–33.
Kario K, Pickering TG, Umeda Y, et al. Morning surge in blood pressure as a predictor of silent and clinical cerebrovascular disease in elderly hypertensives: a prospective study. Circulation 2003;107:1401–1406.
Chobanian AV, Bakris GL, Black HR, et al.; National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289:2560–2572.
Guidelines Committee. 2003 European Society of Hypertension—European Society of Cardiology Guidelines or the management of arterial hypertension. J Hypertens 2003;21:1011–1059.
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Verdecchia, P., Angeli, F., Schillaci, G. (2007). Prognostic Value of Ambulatory Blood Pressure Monitoring. In: White, W.B. (eds) Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. Clinical Hypertension and Vascular Diseases. Humana Press. https://doi.org/10.1007/978-1-59259-978-3_10
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