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Title of Journal: Clin Exp Nephrol

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Abbravation: Clinical and Experimental Nephrology

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Springer Japan

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DOI

10.1006/jmaa.1996.0269

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1437-7799

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Clinical value of ambulatory blood pressure: Is it time to recommend for all patients with hypertension?

Authors: Yalcin Solak, Kazuomi Kario, Adrian Covic, Nathan Bertelsen, Baris Afsar, Abdullah Ozkok, Andrzej Wiecek, Mehmet Kanbay,

Publish Date: 2015/10/22
Volume: 20, Issue:1, Pages: 14-22
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Abstract

Hypertension is a very common disease, and office measurements of blood pressure are frequently inaccurate. Ambulatory Blood Pressure Monitoring (ABPM) offers a more accurate diagnosis, more detailed readings of average blood pressures, better blood pressure measurement during sleep, fewer false positives by detecting more white-coat hypertension, and fewer false negatives by detecting more masked hypertension. ABPM offers better management of clinical outcomes. For example, based on more accurate measurements of blood pressure variability, ABPM demonstrates that taking antihypertensive medication at night leads to better controlled nocturnal blood pressure, which translates into less end organ damage and fewer clinical complications of hypertension. For these reasons, albeit some shortcomings which were discussed, ABPM should be considered as a first-line tool for diagnosing and managing hypertension.


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