[24-hour ambulatory blood pressure monitoring]

Abstract

24-hour ambulatory blood pressure monitoring (ABPM) is the exact, fully automatic and noninvasive method for evaluation of the 24-hour hemodynamic profile of the subject by multiple and regular blood pressure and heart rate measurement. In comparison with causal blood pressure measurement, ABPM allows the definition of daytime and nighttime blood pressure averages, diurnal changes of blood pressure, localization of periods of the most frequent appearance of hypertensive values, specification of hypertensive load, percent time elevation and diagnosing of white coat phenomenon. The use of all mentioned findings leads to the improvement of blood pressure control in patients with resistant hypertension, polymorbidity, helps to analyze paroxysmal hypertension, verify diagnosis of the hypertension in patients with borderline or high normal blood pressure. The final profit is the reduction of the target organ damage and reduction of cardiovascular morbidity and mortality. Definite diagnosis of the white coat phenomenon markedly decreases consumption of the antihypertensive drugs. In addition, this method enables better evaluation of hypotensive syndromes and is very helpful in the investigation of physiology of blood pressure regulation, biorhythms and in pharmacodynamical studies of the new antihypertensives.