Ambulatory blood pressure monitoring can a clinical role be defined?

William B. Stason, Lawrence Appel

Research output: Contribution to journalArticle

Abstract

Automated ambulatory blood pressure monitoring (ABPM) is a powerful research tool, but its clinical role has been difficult to define. This paper presents conclusions on the potential clinical benefits, risks, and costs of ABPM based on a comprehensive review of the scientific literature. Support is strongest for the uses of ABPM to improve blood pressure (BP) classification in suspected hypertensives and in patients with apparent drug resistance. Four policy options are discussed. Approval for limited clinical applications appears warranted provided it is accompanied by 1) quality control standards for ABPM laboratories, 2) decision thresholds for equating office, self-monitored, and ABPM BP levels, and 3) steps to limit profit incentives and the high risk of overutilization.

Original languageEnglish (US)
JournalAmerican Journal of Hypertension
Volume6
Issue number6 PART 2
StatePublished - Jun 1993

Fingerprint

Ambulatory Blood Pressure Monitoring
Blood Pressure
Drug Resistance
Quality Control
Cost-Benefit Analysis
Motivation
Research

Keywords

  • Ambulatory blood pressure monitoring
  • blood pressure classification
  • hypertension treatment policy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Ambulatory blood pressure monitoring can a clinical role be defined? / Stason, William B.; Appel, Lawrence.

In: American Journal of Hypertension, Vol. 6, No. 6 PART 2, 06.1993.

Research output: Contribution to journalArticle

@article{8cb373da6f814a1ab84bab90d7b1cd1f,
title = "Ambulatory blood pressure monitoring can a clinical role be defined?",
abstract = "Automated ambulatory blood pressure monitoring (ABPM) is a powerful research tool, but its clinical role has been difficult to define. This paper presents conclusions on the potential clinical benefits, risks, and costs of ABPM based on a comprehensive review of the scientific literature. Support is strongest for the uses of ABPM to improve blood pressure (BP) classification in suspected hypertensives and in patients with apparent drug resistance. Four policy options are discussed. Approval for limited clinical applications appears warranted provided it is accompanied by 1) quality control standards for ABPM laboratories, 2) decision thresholds for equating office, self-monitored, and ABPM BP levels, and 3) steps to limit profit incentives and the high risk of overutilization.",
keywords = "Ambulatory blood pressure monitoring, blood pressure classification, hypertension treatment policy",
author = "Stason, {William B.} and Lawrence Appel",
year = "1993",
month = "6",
language = "English (US)",
volume = "6",
journal = "Journal of clinical hypertension",
issn = "0895-7061",
publisher = "Oxford University Press",
number = "6 PART 2",

}

TY - JOUR

T1 - Ambulatory blood pressure monitoring can a clinical role be defined?

AU - Stason, William B.

AU - Appel, Lawrence

PY - 1993/6

Y1 - 1993/6

N2 - Automated ambulatory blood pressure monitoring (ABPM) is a powerful research tool, but its clinical role has been difficult to define. This paper presents conclusions on the potential clinical benefits, risks, and costs of ABPM based on a comprehensive review of the scientific literature. Support is strongest for the uses of ABPM to improve blood pressure (BP) classification in suspected hypertensives and in patients with apparent drug resistance. Four policy options are discussed. Approval for limited clinical applications appears warranted provided it is accompanied by 1) quality control standards for ABPM laboratories, 2) decision thresholds for equating office, self-monitored, and ABPM BP levels, and 3) steps to limit profit incentives and the high risk of overutilization.

AB - Automated ambulatory blood pressure monitoring (ABPM) is a powerful research tool, but its clinical role has been difficult to define. This paper presents conclusions on the potential clinical benefits, risks, and costs of ABPM based on a comprehensive review of the scientific literature. Support is strongest for the uses of ABPM to improve blood pressure (BP) classification in suspected hypertensives and in patients with apparent drug resistance. Four policy options are discussed. Approval for limited clinical applications appears warranted provided it is accompanied by 1) quality control standards for ABPM laboratories, 2) decision thresholds for equating office, self-monitored, and ABPM BP levels, and 3) steps to limit profit incentives and the high risk of overutilization.

KW - Ambulatory blood pressure monitoring

KW - blood pressure classification

KW - hypertension treatment policy

UR - http://www.scopus.com/inward/record.url?scp=0027299811&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027299811&partnerID=8YFLogxK

M3 - Article

VL - 6

JO - Journal of clinical hypertension

JF - Journal of clinical hypertension

SN - 0895-7061

IS - 6 PART 2

ER -