A utilização da monitorização ambulatória da pressão arterial em cuidados de saúde primários

Ana Cristina B. Nobre, Sandra Maturino Santos, Inês Pinheiro Da Silva, Rita Rodrigues Soares
2008 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
more » ... 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.
doi:10.32385/rpmgf.v24i3.10508 fatcat:e7hnovcslfggrpn7tuv26nzvj4