The purpose of the present study was to determine the relationship between body mass index (BMI) and parameters derived from 24-hour ambulatory blood pressure monitoring including mean 24-hour daytime and nighttime systolic and diastolic blood pressures, 24-hour daytime and nighttime pulse pressure, mean 24-hour daytime and nighttime heart rate, dipping and nondipping status. 3216 outpatient su...

During a conference devoted to problems of non-invasive ambulatory blood pressure monitoring held in Berlin on March 2 and 3 1990, the following issues were intensively discussed and a consensus was reached on certain aspects. A number of devices are now available which may be considered acceptable in terms of accuracy and reliability, patient acceptability, computer compatibility and cost. To ...

The role of spironolactone in resistant hypertension management is unclear. The aim of this prospective trial was to evaluate the antihypertensive effect of spironolactone in patients with true resistant hypertension diagnosed by ambulatory blood pressure monitoring. A total of 175 patients had clinical and complementary exams obtained at baseline and received spironolactone in doses of 25 to 1...

Blood pressure is probably the most common measurement used in clinical practice and the most common reason for initiation of long term treatment. Recent guidelines for the use of ambulatory monitoring of blood pressure recommend its use in both initial diagnosis (before starting treatment) and assessing control. If ambulatory monitoring is to be used more often we need evidence about its accep...

It has become apparent that noncardiovascular drugs can affect blood pressure (BP) in an off-target manner, either by raising or lowering pressure or by negating the beneficial hypotensive effect of concomitantly prescribed antihypertensives. This paper presents compelling evidence that ambulatory blood pressure monitoring (ABPM) should be used to detect BP effects during the development of non...

To evaluate the prevalence of 'white-coat' hypertension in patients with newly diagnosed hypertension, 255 subjects (131 males and 124 females) underwent 24-h ambulatory blood pressure monitoring. Patients with 24-h systolic and diastolic blood pressure < 135/85 mmHg were classified as white-coat hypertensives and the remaining as sustained hypertensives. On the assumption that white-coat hyper...

OBJECTIVE To investigate ambulatory blood pressure in elderly people, including 'old elderly' subjects, aged over 80 years. DESIGN Cross-sectional study of community-dwelling, elderly subjects. METHODS Subjects were healthy, self-caring, and living independently. Those who were taking medication affecting blood pressure were excluded. Conventional blood pressure was the mean of two measurem...

OBJECTIVE We investigated the prognostic impact of 24-h blood pressure control in treated hypertensive subjects. BACKGROUND There is growing evidence that ambulatory blood pressure improves risk stratification in untreated subjects with essential hypertension. Surprisingly, little is known on the prognostic value of this procedure in treated subjects. METHODS Diagnostic procedures including...