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Zirkadianes Blutdruckprofil. Neue Aspekte in der Therapiekontrolle der arteriellen Hypertonie mit ACE-Inhibitoren?

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Blutdrucksenkung heute — Korrektur von Struktur und Funktion der Arterie
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Zusammenfassung

Kommerziell verfügbare validierte tragbare Monitore ermöglichen, den systolischen und diastolischen Blutdruck sowie die Herzfrequenz unter Alltagsbedingungen (z. B. am Arbeitsplatz, in der Praxis, während des Schlafs) weitestgehend zuverlässig zu registrieren [1, 2]. Das ambulante Blutdruckmonitoring (ABPM) zur Diagnose der „Weißkittelhypertonie“ [3, 4], zur Ermittlung des Schweregrades bei arteriellem Bluthochdruck und zur Beurteilung der Wirksamkeit blutdrucksenkender Medikationen [5–7] kann über die punktuelle Aussage der Gelegenheitsblutdruckmessung das individuelle biphasische diurnale Blutdruckprofil erfassen. Eine besondere Bedeutung kann der ABPM bei der Beurteilung von Antihypertensiva mit unterschiedlichen Plasmahalbwertszeiten mit zukommen Die vorliegende Arbeit gibt einen Überblick über den blutdrucksenkenden Effekt peroraler ACE-Hemmer auf das zirkadiane Blutdrucktagesprofil.

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Meyer-Sabellek, W., Schulte, KL., Liederwald, K., Gotzen, R... (1990). Zirkadianes Blutdruckprofil. Neue Aspekte in der Therapiekontrolle der arteriellen Hypertonie mit ACE-Inhibitoren?. In: Stumpe, K.O., Klaus, D. (eds) Blutdrucksenkung heute — Korrektur von Struktur und Funktion der Arterie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-85813-0_5

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  • DOI: https://doi.org/10.1007/978-3-642-85813-0_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53417-4

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