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Twenty four hour ambulatory blood pressure monitoring: a new tool for determining cardiovascular prognosis

Chesterfield Hypertension Clinic, Chesterfield and North Derbyshire Royal Hospital NHS Foundation Trust Hospital, Chesterfield, UK

Correspondence to:
Correspondence to:
Dr P Iqbal
Chesterfield Hypertension Clinic, Chesterfield and North Derbyshire Royal Hospital NHS Foundation Trust Hospital, Calow, Chesterfield S44 5BL, UK; Pervaiz.Iqbal{at}chesterfieldroyal.nhs.uk

Twenty four hour ambulatory blood pressure monitoring (24-H ABPM) plays an important part in the management of subjects with suspected and confirmed disorders of blood pressure regulation. This article reviews the prognostic significance of various aspects of the 24-H ABPM and describes the authors experience in Chesterfield. Over the course of 12 month period from 1 August 2002, 1264 subjects had 24-ABPM. A total of 1187 (93.91%) subjects were included in this study, with mean age of 59.30 years and male:female ratio was 46%: 54 %. Fifty two (4.38%) of the subjects had all of the seven features associated with an adverse prognosis. Only 82 (6.90%) subjects had none of the seven adverse prognostic features with the remainder having one or more adverse prognostic features.

Abbreviations: 24-H ABPM, 24 hour ambulatory blood pressure monitoring; BP, blood pressure; SBP, systolic blood pressure; DBP, diastolic blood pressure; PP, pulse pressure

Keywords: blood pressure; 24 hour ambulatory blood pressure monitoring; adverse monitoring features; cardiovascular prognosis