Ambulatory Blood Pressure Improves Prediction of Cardiovascular Risk: Implications for Better Antihypertensive Management

  • Lawrence R. KrakoffEmail author
Coronary Heart Disease (JA Farmer, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Coronary Heart Disease


Accurate measurement of arterial pressure is necessary for diagnosis of hypertension and for assessment of its therapy. The development and growing application of ambulatory blood pressure monitoring (ABPM) furthers these goals. Use of ABPM has defined white coat hypertension (WCH) and masked hypertension (MH), important prognostic diagnoses. ABPM categorizes blood pressure in several ways that increase accuracy for diagnosis and prediction of cardiovascular risk. Measurements of blood pressure throughout the day, at night during sleep, during the morning surge, and, in some instances selected intervals can be especially valuable for both research and clinical management. ABPM is being explored for its value in measuring pulse pressure and a derived index of arterial stiffness. ABPM has also shown to be valuable for defining the effects of antihypertensive drugs therapy. Results of such studies are crucial for advancing antihypertensive management. This review will summarize the important and emerging role of ABPM in defining risk for cardiovascular disease.


Ambulatory blood pressure monitoring White coat hypertension Masked hypertension Dipper Non-dipper Morning surge Pulse pressure Arterial stiffness index Hypertension Cardiovascular risk Cost-effectiveness 


Conflicts of interest

Lawrence R. Krakoff declares that he has no conflicts of interest.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Mount Sinai Medical Center/Medical SchoolNew YorkUSA

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