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Nephrol Dial Transplant (1999) 14: 2564-2568
© 1999 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Assessing ambulatory blood pressure in renal diseases: facts and concerns

Empar Lurbe and Josep Redon

Paediatric Nephrology, Department of Paediatrics, General Hospital and 1 Hypertension Clinic, Internal Medicine, Hospital Clinico, University of Valencia, Valencia, Spain

Correspondence and offprint requests to: Josep Redon, Hypertension Clinic, Internal Medicine, Hospital Clinico, University of Valencia, Avda Blasco Ibañez, 17, E-46010 Valencia, Spain.

Office blood pressure (OBP) measurement has provided the basis for what is known about the potential risk associated with hypertension and has guided patient management for many years. The mercury sphygmomanometer was the standard method for BP measurement since early this century. In the last few years, however, a rapid increase in the use of automatic and semiautomatic devices for measuring BP has been observed in medical and non-medical environments. This was the consequence of awareness of the importance of BP values taken under regular living conditions. Additionally, the upcoming ban on the use of mercury in developed countries, already a practice in the Scandinavian countries and the Netherlands, has led to the almost inevitable conclusion that the Riva Rocci technique will disappear from clinical practice, and the mercury sphygmomanometer will be replaced by accurate, independently-validated automated devices.

The accuracy of novel devices—a cause for concern

The rapidly expanding number of new devices and the necessity of replacing . . . [Full Text of this Article]

The importance of circadian blood pressure variability and night-time dipping

Ambulatory monitoring versus home self measurement

Normal blood pressure values for ABPM and BPSM

Validation of the novel methodologies

Conclusion

References


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