Ambulatory blood pressure monitoring in heart failure: a systematic review

被引：25
作者：
Goyal, D
Macfadyen, RJ
Watson, RD
Lip, GYH
机构：
[1] Univ Birmingham, City Hosp, Sandwell & W Birmingham NHS Trust, Dept Med, Birmingham B18 7QH, W Midlands, England
[2] Univ Birmingham, City Hosp, Sandwell & W Birmingham NHS Trust, Dept Cardiol, Birmingham B18 7QH, W Midlands, England
来源：
EUROPEAN JOURNAL OF HEART FAILURE | 2005年 / 7卷 / 02期
关键词：
ambulatory blood pressure; congestive heart failure; angiotensin-converting enzyme inhibitors; circadian variation; non-dippers;
D O I：
10.1016/j.ejheart.2004.05.010
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Ambulatory blood pressure monitoring has established its use in the definition of white coat hypertension and monitoring of treatment of essential hypertension. Any role for ambulatory blood pressure monitoring in heart failure is not well defined. However, from the limited studies available, ambulatory blood pressure monitoring may be used to optimise heart failure therapy, and as a prognosis marker in this patient group. Most studies that have examined the circadian pressure profile have found blunting of decline of blood pressure during sleep in patients with heart failure. In advanced heart failure, this may be due to hypoperfusion of vital organs partly due to pump failure and partly due to multiple drug therapy associated with the treatment of heart failure. Ambulatory blood pressure monitoring may also clarify hypoperfusion effects on vital organs in individual patients and improve the risk/benefit ratio of treatments in advanced heart failure. Prospective controlled studies on the impact of treatments on circadian blood pressure profile in congestive heart failure patients are needed. (C) 2004 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码：149 / 156
页数：8
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