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European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring

Parati, Gianfrancoa,b,*; Stergiou, Georgec,*; O’Brien, Eoind,*; Asmar, Rolande; Beilin, Lawrencef; Bilo, Grzegorzg; Clement, Denish; de la Sierra, Alejandroi; de Leeuw, Peterj; Dolan, Eamonk; Fagard, Robertl; Graves, Johnm; Head, Geoffrey A.n; Imai, Yutakao; Kario, Kazuomip; Lurbe, Emparq; Mallion, Jean-Michelr; Mancia, Giuseppes; Mengden, Thomast; Myers, Martinu; Ogedegbe, Gbengav; Ohkubo, Takayoshiw; Omboni, Stefanox; Palatini, Paoloy; Redon, Josepz; Ruilope, Luis M.aa; Shennan, Andrewab; Staessen, Jan A.ac,ad; vanMontfrans, Gertae; Verdecchia, Paoloaf; Waeber, Bernardag; Wang, Jiguangah; Zanchetti, Albertoai; Zhang, Yuqingaj

Journal of Hypertension:
doi: 10.1097/HJH.0000000000000221
Guidelines and Consensus Document
Abstract

Given the increasing use of ambulatory blood pressure monitoring (ABPM) in both clinical practice and hypertension research, a group of scientists, participating in the European Society of Hypertension Working Group on blood pressure monitoring and cardiovascular variability, in year 2013 published a comprehensive position paper dealing with all aspects of the technique, based on the available scientific evidence for ABPM. The present work represents an updated schematic summary of the most important aspects related to the use of ABPM in daily practice, and is aimed at providing recommendations for proper use of this technique in a clinical setting by both specialists and practicing physicians. The present article details the requirements and the methodological issues to be addressed for using ABPM in clinical practice, The clinical indications for ABPM suggested by the available studies, among which white-coat phenomena, masked hypertension, and nocturnal hypertension, are outlined in detail, and the place of home measurement of blood pressure in relation to ABPM is discussed. The role of ABPM in pharmacological, epidemiological, and clinical research is also briefly mentioned. Finally, the implementation of ABPM in practice is considered in relation to the situation of different countries with regard to the reimbursement and the availability of ABPM in primary care practices, hospital clinics, and pharmacies.

Author Information

aAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

bAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

cAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

dAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

eAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

fAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

gAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

hAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

iAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

jAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

kAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

lAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

mAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

nAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

oAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

pAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

qAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

rAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

sAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

tAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

uAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

vAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

wAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

xAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

yAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

zAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

aaAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

abAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

acAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

adAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

aeAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

afAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

agAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

ahAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

aiAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

ajAuthor affiliations are listed on the Journal website, http://links.lww.com/HJH/A366

*Gianfranco Parati, George Stergiou and Eoin O’Brien contributed equally to the writing of this article.

Correspondence to Gianfranco Parati, MD, Department of Cardiovascular, Neural and Metabolic Sciences, IRCCS S. Luca Hospital, Istituto Auxologico Italiano. Piazza Brescia 20, Milan 20149, Italy. Tel: +3902619112949; fax: +3902619112956; e-mail: gianfranco.parati@unimib.it

Abbreviations: AASI, ambulatory arterial stiffness index; ABP, ambulatory blood pressure; ABPM, ambulatory blood pressure monitoring; BP, blood pressure; BPM, blood pressure monitoring; ESC, European Society of Cardiology; ESH, European Society of Hypertension; HBPM, home blood pressure monitoring; NICE, National Institute for Health and Clinical Excellence; OBPM, office blood pressure measurement

Received 21 March, 2014

Revised 21 March, 2014

Accepted 21 March, 2014

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