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Volume 354:2368-2374 June 1, 2006 Number 22
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Ambulatory Blood-Pressure Monitoring
Thomas G. Pickering, M.D., D.Phil., Daichi Shimbo, M.D., and Donald Haas, M.D., M.P.H.

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In the past 30 years, the techniques for measuring blood pressure to determine whether a patient has hypertension have undergone a substantial change. The bulk of our knowledge about the risks of hypertension and the benefits of treating it is based on the traditional method of taking a small number of readings with the auscultatory technique in a medical setting. However, such measurements, which are of enormous value on a population basis, often provide a poor estimate of risk in an individual patient for reasons such as poor technique of the observer, the "white-coat" effect (the transient but variable elevation . . . [Full Text of this Article]

Techniques of Ambulatory Monitoring

Blood-Pressure Level

Diurnal Rhythm of Blood Pressure

Blood-Pressure Variability

Prediction of Clinical Outcomes

Ambulatory Monitoring in Other Clinical Conditions

White-Coat Hypertension

Labile Hypertension

Resistant Hypertension

Masked Hypertension

Postural Hypotension

Evaluating the Response to Antihypertensive Treatment

Routine Clinical Practice

Clinical Trials

Practical Issues and Reimbursement

Conclusions and Future Directions


Source Information

From the Behavioral Cardiovascular Health and Hypertension Program, Department of Medicine, Columbia Presbyterian Medical Center (T.G.P., D.S.); and the Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai School of Medicine (D.H.) — both in New York.


Related Letters:

Ambulatory Blood-Pressure Monitoring
Cornélissen G., Chen C.-H., Halberg F., Pickering T. G., Shimbo D., Haas D.
Extract | Full Text | PDF  
N Engl J Med 2006; 355:850-851, Aug 24, 2006. Correspondence

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