A utilização da monitorização ambulatória da pressão arterial em cuidados de saúde primários
Revista Portuguesa de Clínica Geral
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
... 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.