Ambulatory blood pressure monitoring in diabetes for the assessment and control of vascular risk

作者：Hermida Ramon C^*; Moya Ana; Ayala Diana E

来源：Endocrinologia y Nutricion, 2015, 62(8): 400-410.

DOI：10.1016/j.endonu.2015.03.012

• Diabetes
• Ambulatory blood pressure monitoring
• Hypertension
• Chronotherapy
• Vascular risk
• Asleep blood pressure

The diagnosis of hypertension and the clinical decisions regarding its treatment are usually based on daytime clinic blood pressure (BP) measurements. However, the correlation between BP levels and target organ damage, cardiovascular (CV) risk, and long-term prognosis, is higher for ambulatory (ABPM) than clinic measurements, both in the general population as well as in patients with diabetes. Moreover, there is consistent evidence in numerous studies that the asleep BP better predicts CV events than either the awake or 24.h means. The prevalence of abnormal BP pattern and sleep-time hypertension is extensive in diabetes, often leading to inaccurate diagnoses of hypertension and its therapeutic control in the absence of complete and careful assessment of the entire 24 h, i.e., daytime and night-time, BP pattern. Accordingly, ABPM should be the preferred method to comprehensively assess and decide the optimal clinical management of patients with diabetes directed to properly reduce elevated sleep-time BP, which might also lead to a significant reduction of CV events.

• 出版日期2015-10