Ambulatory blood pressure monitoring in primary care

Authors

  • Ana Cristina B. Nobre Assistente de Clínica Geral, Centro de Saúde de Santarém - Unidade de Saúde Familiar de S. Domingos
  • Sandra Maturino Santos Médica Interna de Medicina Geral e Familiar na USF de S. Domingos
  • Inês Pinheiro Da Silva Médica Interna de Medicina Geral e Familiar na USF de S. Domingos
  • Rita Rodrigues Soares Médica Interna de Medicina Geral e Familiar na USF de S. Domingos

DOI:

https://doi.org/10.32385/rpmgf.v24i3.10508

Keywords:

Hypertension, White Coat Hypertension, Masked Hypertension, ABPM, Blood Pressure Evaluated in the Clinical Room, Primary Healthcare, Cardiovascular Disease

Abstract

Introduction: Occasional blood pressure measurement has been used as a diagnostic method in hypertension, in order to assess the patient prognostic and evaluate the efficiency of the applied anti-hypertensive treatment. Ambulatory blood pressure monitoring is an auxiliary means of diagnostic of importance in the evaluation and follow-up of the hypertensive patient Goal: To present an updated review of the recommendations for its use, namely in the context of primary healthcare. Methods: A bibliographical research was conducted in English and Spanish-language review articles, published during the last 8 years on the Medline database; the key-words ambulatory blood pressure and arterial hypertension were used. Conclusions: This auxiliary diagnostic examination has a higher predictive value for cardiovascular events than clinical room blood pressure measurement. It can improve the evaluation of cardiovascular risk in hypertensive patients. The main recommendations for its use are: refractory hypertension approach; patients with previous cardiovascular events or target organ lesions; white coat hypertension and masked hypertension diagnostics; abnormal blood pressure circadian rhythm identification, more frequent in elderly people and accountable for the aggravation of their prognosis; evaluation of diabetic patients and of pregnant women with high blood pressure values.

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Published

2008-05-01

Issue

Vol. 24 No. 3 (2008): Revista Portuguesa de Clínica Geral

Section

Dossier

License

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How to Cite

Ambulatory blood pressure monitoring in primary care. (2008). Portuguese Journal of Family Medicine and General Practice, 24(3), 387-90. https://doi.org/10.32385/rpmgf.v24i3.10508