arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2004-10-1-5-12arthyper-950Research ArticleОБЗОРЫREVIEWSСуточное мониторирование артериального давления в клинической практике: не переоцениваем ли мы его значение?24-hour blood pressure monitoring in clinical practice: do we overestimate its value?КотовскаяЮ. В.KotovskayaYu. V.noemail@neicon.ruКобалаваЖ. Д.KobalavaZh. D.noemail@neicon.ruРоссийский университет дружбы народовRussian Federation200428022004101512Copyright © Котовская Ю.В., Кобалава Ж.Д., 20042004Котовская Ю.В., Кобалава Ж.Д.Kotovskaya Y.V., Kobalava Z.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/950

Амбулаторное суточное мониторирование артериального давления (АД) - СМАД - по праву занимает место одного из крупнейших достижений в кардиологии. Воздавая заслуженную дань очевидным преимуществам этого метода, правомерен вопрос: всегда ли этот недешевый, трудоемкий, обременительный для пациента метод, дающий очень большой объем информации, используется в клинической практике оптимально и всегда ли мы критически относимся к полученным результатам? Многочисленные поперечные и продольные исследования продемонстрировали, что амбулаторное АД теснее, чем клиническое, коррелирует с поражением органов-мишеней и обладает большей прогностической силой для развития сердечно-сосудистых осложнений. Интерпретируя данные этих исследований, следует помнить, что, говоря о клиническом АД, в данном случае имеется в виду среднее значение менее 10 измерений в течение короткого периода времени, в то время как СМАД предоставляет информацию о нескольких десятках измерений АД. Имеются данные и о том, что только у больных с хорошей воспроизводимостью показателей СМАД обнаруживается более тесная по сравнению с клиническим АД корреляция с поражением органов-мишеней. Большинство пациентов с Al' могут наблюдаться с использованием повторных клинических измерений АД или самоконтроля АД. Ho СМАД является средством выбора при оценке пациентов с широкими колебаниями клинического и домашнего АД симптомами гипотонии, эпизодической гипертонией, необъяснимым поражением органов-мишеней. СМАД сохраняет свою ведущую роль для оценки антигипертензивной эффективности новых лекарственных средств в условиях клинических исследований.

Ambulatory 24-hour blood pressure (BP) monitoring (24-h BPM) occupies its right place as one of the greatest advances in cardiology. By paying a well-deserved tribute to the evident advantages of this technique, is the question of whether this expensive labor-intensive method that is burdensome for a patient and provides very much information is optimally used in clinical practice and whether we always consider the findings critically rightful? Many cross-sectional and longitudinal studies have demonstrated that ambulatory BP is closer correlated with target organ lesions than clinical BP and it is of greater prognostic value for the development of cardiovascular complications. By interpreting the data of these studies, it should be remembered that while on the subject of clinical BP, we mean the mean value of less than 10 measurements of BP over a short period of time while 24-h BPM provides information on several tens of BP measurements. There is evidence for the fact that only patients with a good reproducibility of 24-h BPM exhibit a closer correlation of the latter with lesion to target organs than that with clinical BP. Most patients with arterial hypertension may be followed up with repeated clinical measurements of BP or its self-control. But 24-h BPM is the method of choice in assessing patients with wide variations in clinical and domestic BP, the symptoms of hypotension, sporadic hypertension, unexplained target organ lesions. 24-h BPM preserves its leading role in evaluating the antihypertensive efficacy of novel drugs under the conditions of clinical studies.

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The authors declare that there are no conflicts of interest present.