Ambulatory blood pressure monitoring for XXXX in general practice.

@entity1 @entity551 @entity101
Ambulatory blood pressure monitoring (ABPM) is being increasingly used in general practice. There is at present little published evidence regarding the clinical utility of ABPM in the care of @entity1 with established @entity101 in this setting. We examined this issue by undertaking ABPM in a group of @entity1 with established @entity101 . 40 @entity1 (aged 33-60 years) currently being treated for @entity101 were randomly selected from a general practice list and underwent a single 24-hour ABPM study. ABPM values were compared with @entity551 ( @entity551 ) values obtained on the day of monitoring together with previous readings taken by the general practitioner (GP). In the case of mean arterial pressure, 24-hour, awake and asleep ABPM values were found to underestimate @entity551 values by 14 mmHg (95% confidence interval 11-16 mmHg), 9 mmHg (95% C16-12 mmHg) and 24 mmHg (95% CI 21-27 mmHg), respectively. When used to classify blood pressure control, ABPM values produced equivalent results to @entity551 except by the criterion of BP load, for which 24-hour ABPM showed a higher rate of unsatisfactory control. 5 @entity1 classified by @entity551 to have satisfactory BP control according to current international guidelines were found to have unsatisfactory BP control by ABPM. This study demonstrates the potential value of ABPM in @entity1 with essential @entity101 in a general practice setting. ABPM provided information over and above that obtained by @entity551 in a substantial proportion of @entity1 .
