Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ Approach
Several outcome-based prospective investigations have provided solid data which support the prognostic value of 24 h ambulatory blood pressure over and beyond cardiovascular traditional risk factors. Average 24 h, daytime, and nighttime blood pressures are the principal components of the ambulatory...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/9/1601 |
| _version_ | 1797602796499894272 |
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| author | Fabio Angeli Gianpaolo Reboldi Francesco Giuseppe Solano Antonietta Prosciutto Antonella Paolini Martina Zappa Claudia Bartolini Andrea Santucci Stefano Coiro Paolo Verdecchia |
| author_facet | Fabio Angeli Gianpaolo Reboldi Francesco Giuseppe Solano Antonietta Prosciutto Antonella Paolini Martina Zappa Claudia Bartolini Andrea Santucci Stefano Coiro Paolo Verdecchia |
| author_sort | Fabio Angeli |
| collection | DOAJ |
| description | Several outcome-based prospective investigations have provided solid data which support the prognostic value of 24 h ambulatory blood pressure over and beyond cardiovascular traditional risk factors. Average 24 h, daytime, and nighttime blood pressures are the principal components of the ambulatory blood pressure profile that have improved cardiovascular risk stratification beyond traditional risk factors. Furthermore, several additional ambulatory blood pressure measures have been investigated. The correct interpretation in clinical practice of ambulatory blood pressure monitoring needs a standardization of methods. Several algorithms for its clinical use have been proposed. Implementation of the results of ambulatory blood pressure monitoring in the management of individual subjects with the aim of improving risk stratification is challenging. We suggest that clinicians should focus attention on ambulatory blood pressure components which have been proven to act as the main independent predictors of outcome (average 24 h, daytime, and nighttime blood pressure, pulse pressure, dipping status, BP variability). |
| first_indexed | 2024-03-11T04:21:33Z |
| format | Article |
| id | doaj.art-cd3b8a0cfd274900afc42df5545a52dc |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T04:21:33Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-cd3b8a0cfd274900afc42df5545a52dc2023-11-17T22:45:55ZengMDPI AGDiagnostics2075-44182023-04-01139160110.3390/diagnostics13091601Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ ApproachFabio Angeli0Gianpaolo Reboldi1Francesco Giuseppe Solano2Antonietta Prosciutto3Antonella Paolini4Martina Zappa5Claudia Bartolini6Andrea Santucci7Stefano Coiro8Paolo Verdecchia9Department of Medicine and Technological Innovation (DiMIT), University of Insubria, 21100 Varese, ItalyDepartment of Medicine, and Centro di Ricerca Clinica e Traslazionale (CERICLET), University of Perugia, 06100 Perugia, ItalyDivision of Nephrology, Hospital S. Maria della Misericordia, 33100 Perugia, ItalyUSL Umbria 1, 06127 Perugia, ItalyUSL Umbria 1, 06127 Perugia, ItalyDepartment of Medicine and Surgery, University of Insubria, 21100 Varese, ItalyDivision of Cardiology, Hospital S. Maria della Misericordia, 06100 Perugia, ItalyDivision of Cardiology, Hospital S. Maria della Misericordia, 06100 Perugia, ItalyDivision of Cardiology, Hospital S. Maria della Misericordia, 06100 Perugia, ItalyDivision of Cardiology, Hospital S. Maria della Misericordia, 06100 Perugia, ItalySeveral outcome-based prospective investigations have provided solid data which support the prognostic value of 24 h ambulatory blood pressure over and beyond cardiovascular traditional risk factors. Average 24 h, daytime, and nighttime blood pressures are the principal components of the ambulatory blood pressure profile that have improved cardiovascular risk stratification beyond traditional risk factors. Furthermore, several additional ambulatory blood pressure measures have been investigated. The correct interpretation in clinical practice of ambulatory blood pressure monitoring needs a standardization of methods. Several algorithms for its clinical use have been proposed. Implementation of the results of ambulatory blood pressure monitoring in the management of individual subjects with the aim of improving risk stratification is challenging. We suggest that clinicians should focus attention on ambulatory blood pressure components which have been proven to act as the main independent predictors of outcome (average 24 h, daytime, and nighttime blood pressure, pulse pressure, dipping status, BP variability).https://www.mdpi.com/2075-4418/13/9/1601hypertensionblood pressureambulatory blood pressureambulatory blood pressure monitoringprognosisepidemiology |
| spellingShingle | Fabio Angeli Gianpaolo Reboldi Francesco Giuseppe Solano Antonietta Prosciutto Antonella Paolini Martina Zappa Claudia Bartolini Andrea Santucci Stefano Coiro Paolo Verdecchia Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ Approach Diagnostics hypertension blood pressure ambulatory blood pressure ambulatory blood pressure monitoring prognosis epidemiology |
| title | Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ Approach |
| title_full | Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ Approach |
| title_fullStr | Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ Approach |
| title_full_unstemmed | Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ Approach |
| title_short | Interpretation of Ambulatory Blood Pressure Monitoring for Risk Stratification in Hypertensive Patients: The ‘Ambulatory Does Prediction Valid (ADPV)’ Approach |
| title_sort | interpretation of ambulatory blood pressure monitoring for risk stratification in hypertensive patients the ambulatory does prediction valid adpv approach |
| topic | hypertension blood pressure ambulatory blood pressure ambulatory blood pressure monitoring prognosis epidemiology |
| url | https://www.mdpi.com/2075-4418/13/9/1601 |
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