Monitorización ambulatoria de la presión arterial en diabetes para valoración y control de riesgo vascular

• Ramón C. Hermida ^[1] ; Ana Moyá ^[1] ; Diana E. Ayala ^[1]
  1. [1] Laboratorio de Bioingeniería y Cronobiología
• Localización: Endocrinología y nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición, ISSN 1575-0922, Vol. 62, Nº. 8, 2015, págs. 400-410
• Idioma: español
• Texto completo no disponible (Saber más ...)
• Resumen

  • 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.