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Ambulatory blood pressure variability: a conceptual review.

Ambulatory blood pressure variability: a conceptual review.
Author Information (click to view)

Zawadzki MJ, Small AK, Gerin W,


Zawadzki MJ, Small AK, Gerin W, (click to view)

Zawadzki MJ, Small AK, Gerin W,

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Blood pressure monitoring 2016 12 06()
Abstract

Ambulatory blood pressure (ABP) has long been recognized by researchers as the gold standard of blood pressure (BP) measurement. Researchers and clinicians typically rely on the mean measure of ABP; however, there is considerable variability in the beat-to-beat BP. Although often ignored, this variability has been found to be an independent predictor of cardiovascular disease and mortality. The aim of this paper is to provide a conceptual review of ABP variability (ABPV) focusing on the following: associations between ABPV and health, whether ABPV is reliable, how to calculate ABPV, predictors of ABPV, and treatments for ABPV. Two future directions are discussed involving better understanding ABPV by momentary assessments and improving knowledge of the underlying physiology that explains ABPV. The results of this review suggest that the unique characteristics of ABPV provide insight into the role of BP variability in hypertension and subsequent cardiovascular illness.

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