Diagnostic thresholds for the clinical use of ambulatory blood pressure monitoring.

J A Staessen, J Gasowski, L Thijs, R Fagard
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Abstract

The technique of noninvasive ambulatory blood pressure monitoring is now well established as an instrument in clinical research and as a diagnostic tool in clinical practice. Diagnostic thresholds for ambulatory monitoring were derived by averaging the 95th percentiles of the ambulatory blood pressure measurements in the normotensive subjects enrolled in various large-scale studies. Subjects normotensive on conventional sphygmomanometry, in the absence of other risk factors, have a low cardiovascular risk profile in comparison with their hypertensive counterparts. The evidence from prospective outcome studies also supports the proposed thresholds. More outcome studies are still ongoing. However, their results are unlikely to change the proposed thresholds, which are in line with the recommendations of the JNC VI (the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure) and those of many other national expert committees.

临床应用动态血压监测的诊断阈值。
无创动态血压监测技术已成为临床研究和临床实践中的一种诊断工具。动态监测的诊断阈值是通过对参加各种大规模研究的血压正常受试者的动态血压测量值的第95个百分位数进行平均得出的。在没有其他危险因素的情况下,常规血压计血压正常的受试者与高血压患者相比,心血管风险较低。来自前瞻性结果研究的证据也支持所建议的阈值。更多的结果研究仍在进行中。然而,他们的结果不太可能改变建议的阈值,该阈值与JNC VI(高血压预防、检测、评估和治疗全国联合委员会第六次报告)和许多其他国家专家委员会的建议一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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