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A Consensus View on the Technique of Ambulatory Blood Pressure Monitoring

A Consensus View on the Technique of Ambulatory Blood Pressure Monitoring Jan A. Staessen ; Robert Fagard ; Lutgarde Thijs ; Antoon Amery 1 ; and the Participants in The Fourth International Consensus Conference on 24-Hour Ambulatory Blood Pressure Monitoring From The Fourth International Consensus... Full description

Journal Title: Hypertension 1995-12-01, Vol.26 (6), p.912-918
Main Author: Staessen, Jan A
Other Authors: Fagard, Robert , Thijs, Lutgarde , Amery, Antoon
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Philadelphia, PA: Am Heart Assoc
ID: ISSN: 0194-911X
Link: http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2935942
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recordid: cdi_proquest_journals_205268467
title: A Consensus View on the Technique of Ambulatory Blood Pressure Monitoring
format: Article
creator:
  • Staessen, Jan A
  • Fagard, Robert
  • Thijs, Lutgarde
  • Amery, Antoon
subjects:
  • Biological and medical sciences
  • Cardiovascular system
  • Investigative techniques of hemodynamics
  • Investigative techniques, diagnostic techniques (general aspects)
  • Medical sciences
ispartof: Hypertension, 1995-12-01, Vol.26 (6), p.912-918
description: A Consensus View on the Technique of Ambulatory Blood Pressure Monitoring Jan A. Staessen ; Robert Fagard ; Lutgarde Thijs ; Antoon Amery 1 ; and the Participants in The Fourth International Consensus Conference on 24-Hour Ambulatory Blood Pressure Monitoring From The Fourth International Consensus Conference on 24-Hour Ambulatory Blood Pressure Monitoring. A complete list of the participants appears at the end of this article. Correspondence to Jan A. Staessen, MD, PhD, Klinisch Laboratorium Hypertensie, Inwendige Geneeskunde-Cardiologie, U.Z. Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium. Abstract This review, based on the Fourth International Consensus Conference on Ambulatory Blood Pressure Monitoring (Leuven, Belgium, 1994), deals with the technical aspects of ambulatory blood pressure monitoring. Ambulatory blood pressure monitoring by noninvasive intermittent techniques is widely used despite artifacts due to cuff size, movement, body position, short-term blood pressure variability, and interference with sleep. The performance of the currently available monitors under truly ambulatory conditions and during exercise remains a matter of debate, as are the procedures required to validate portable monitors under these circumstances. There is general agreement that whenever a monitor is to be used in special populations, such as older subjects or pregnant women, or in special conditions, such as exercise, a specific demonstration of its accuracy in these defined subgroups or conditions is warranted. Whether the auscultatory or oscillometric method is preferred remains controversial because each technique has specific advantages and disadvantages and because both can provide accurate results. Most experts in the field strongly believe that manufacturers should disclose the algorithms of their devices and that they should specify all changes made to the hardware and software of a previously validated monitor. Finally, the development of the volume-clamp method, which makes continuous noninvasive registration of blood pressure at the finger possible in both stationary and ambulatory conditions, opens new perspectives in research, in particular in relation to short-term blood pressure variability. Key Words: blood pressure monitoring, ambulatory • blood pressure determination • blood pressure monitors
language: eng
source:
identifier: ISSN: 0194-911X
fulltext: no_fulltext
issn:
  • 0194-911X
  • 1524-4563
url: Link


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descriptionA Consensus View on the Technique of Ambulatory Blood Pressure Monitoring Jan A. Staessen ; Robert Fagard ; Lutgarde Thijs ; Antoon Amery 1 ; and the Participants in The Fourth International Consensus Conference on 24-Hour Ambulatory Blood Pressure Monitoring From The Fourth International Consensus Conference on 24-Hour Ambulatory Blood Pressure Monitoring. A complete list of the participants appears at the end of this article. Correspondence to Jan A. Staessen, MD, PhD, Klinisch Laboratorium Hypertensie, Inwendige Geneeskunde-Cardiologie, U.Z. Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium. Abstract This review, based on the Fourth International Consensus Conference on Ambulatory Blood Pressure Monitoring (Leuven, Belgium, 1994), deals with the technical aspects of ambulatory blood pressure monitoring. Ambulatory blood pressure monitoring by noninvasive intermittent techniques is widely used despite artifacts due to cuff size, movement, body position, short-term blood pressure variability, and interference with sleep. The performance of the currently available monitors under truly ambulatory conditions and during exercise remains a matter of debate, as are the procedures required to validate portable monitors under these circumstances. There is general agreement that whenever a monitor is to be used in special populations, such as older subjects or pregnant women, or in special conditions, such as exercise, a specific demonstration of its accuracy in these defined subgroups or conditions is warranted. Whether the auscultatory or oscillometric method is preferred remains controversial because each technique has specific advantages and disadvantages and because both can provide accurate results. Most experts in the field strongly believe that manufacturers should disclose the algorithms of their devices and that they should specify all changes made to the hardware and software of a previously validated monitor. Finally, the development of the volume-clamp method, which makes continuous noninvasive registration of blood pressure at the finger possible in both stationary and ambulatory conditions, opens new perspectives in research, in particular in relation to short-term blood pressure variability. Key Words: blood pressure monitoring, ambulatory • blood pressure determination • blood pressure monitors
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abstractA Consensus View on the Technique of Ambulatory Blood Pressure Monitoring Jan A. Staessen ; Robert Fagard ; Lutgarde Thijs ; Antoon Amery 1 ; and the Participants in The Fourth International Consensus Conference on 24-Hour Ambulatory Blood Pressure Monitoring From The Fourth International Consensus Conference on 24-Hour Ambulatory Blood Pressure Monitoring. A complete list of the participants appears at the end of this article. Correspondence to Jan A. Staessen, MD, PhD, Klinisch Laboratorium Hypertensie, Inwendige Geneeskunde-Cardiologie, U.Z. Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium. Abstract This review, based on the Fourth International Consensus Conference on Ambulatory Blood Pressure Monitoring (Leuven, Belgium, 1994), deals with the technical aspects of ambulatory blood pressure monitoring. Ambulatory blood pressure monitoring by noninvasive intermittent techniques is widely used despite artifacts due to cuff size, movement, body position, short-term blood pressure variability, and interference with sleep. The performance of the currently available monitors under truly ambulatory conditions and during exercise remains a matter of debate, as are the procedures required to validate portable monitors under these circumstances. There is general agreement that whenever a monitor is to be used in special populations, such as older subjects or pregnant women, or in special conditions, such as exercise, a specific demonstration of its accuracy in these defined subgroups or conditions is warranted. Whether the auscultatory or oscillometric method is preferred remains controversial because each technique has specific advantages and disadvantages and because both can provide accurate results. Most experts in the field strongly believe that manufacturers should disclose the algorithms of their devices and that they should specify all changes made to the hardware and software of a previously validated monitor. Finally, the development of the volume-clamp method, which makes continuous noninvasive registration of blood pressure at the finger possible in both stationary and ambulatory conditions, opens new perspectives in research, in particular in relation to short-term blood pressure variability. Key Words: blood pressure monitoring, ambulatory • blood pressure determination • blood pressure monitors
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