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Is ambulatory blood pressure monitoring useful in patients with chronic autonomic failure?
Abstract
Management of blood pressure (BP) abnormalities in patients with autonomic failure is usually based on office BP readings. It is uncertain, whether office readings reflect actual BP's [corrected] during a typical day. Therefore, in 45 patients with autonomic failure, we compared office BP values during a tilt test with those captured on a 24-h BP [corrected] ambulatory monitor. Office BP values while supine predicted well the level of nighttime hypertension. However, in only 33% of patients, office values during tilt test accurately reflected hypotension during a typical day. Therefore, BP [corrected] ambulatory monitoring is useful to gauge the true severity of hypotension in patients with autonomic failure.
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There is weak evidence that ABPM may also detect the degree of OH in daily life better than single office BP measurements.
“There is weak evidence that ABPM may also detect the degree of OH in daily life better than single office BP measurements. 153”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [153]
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References 7 · Cited by 49
Metadata
- Authors
- Norcliffe-Kaufmann, L., & Kaufmann, H.
- Affiliations
- New York University (US)
- ORCID
- Kaufmann, Horacio
- Venue
- Clinical Autonomic Research
- Published
- 2014-04-08
- Volume
- 24
- Issue
- 4
- Pages
- 189-192
- ISSN
- 0959-9851 (ISSN-L)
- 1619-1560
- OpenAlex
- W2091237059
- Cited by
- 49
- References
- 7
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 9 · 2019: 8 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 5
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Update notices
- correction (2014-06-14)
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Clinical Autonomic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- autonomic failure, ambulatory blood pressure monitoring, office blood pressure, tilt table test, hypotension, autonomic dysfunction, blood pressure variability
- MeSH terms
- Aged, Blood Pressure, Chronic Disease, Female, Humans, Hypertension, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Syncope, Blood Pressure Monitoring, Ambulatory, Tilt-Table Test, Pure Autonomic Failure, Orthostatic Intolerance
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