携帯式血圧測定、携帯式血圧測定法、携帯式血圧モニタリング

WordNet

the force applied to a unit area of surface; measured in pascals (SI unit) or in dynes (cgs unit); "the compressed gas exerts an increased pressure" (同)pressure level, force per unit area
an oppressive condition of physical or mental or social or economic distress
the somatic sensation that results from applying force to an area of skin; "the sensitivity of his skin to pressure and temperature was normal" (同)pressure_sensation
a force that compels; "the public brought pressure to bear on the government"
smear with blood, as in a hunting initiation rite, where the face of a person is smeared with the blood of the kill
temperament or disposition; "a person of hot blood"
people viewed as members of a group; "we need more young blood in this organization"
the fluid (red in vertebrates) that is pumped through the body by the heart and contains plasma, blood cells, and platelets; "blood carries oxygen and nutrients to the tissues and carries away waste products"; "the ancients believed that blood was the sea
a covered walkway (as in a cloister); "it has an ambulatory and seven chapels"
relating to or adapted for walking; "an ambulatory corridor"
the act of observing something (and sometimes keeping a record of it); "the monitoring of enemy communications plays an important role in war times"

PrepTutorEJDIC

〈U〉『押すこと』,『押しつけること』,圧搾,圧縮;〈C〉〈U〉『圧力』,圧力の強さ / 〈U〉『圧迫』,『強制』 / 〈U〉(不快な)圧迫感 / 〈C〉〈U〉(精神的な)重荷,苦脳;(時間・金銭的)切迫 / 〈U〉多忙,あわただしさ / 《おもに米》…‘に'圧力をかける,強制する(《英》pressurise)
『血』,『血』液 / 流血(bloodshed);殺人 / 気質,気性,血気,血潮 / 『血統』,血縁(kinship);生まれ,家柄;《the~》王家の血統 / (人種・出身国の)系 / 〈人〉‘に'初めての経験をさせる / 〈猟犬〉‘に'初めて獲物を血を味わわせる
(患者が)歩行できる,外来の / 歩行に適した / 歩き(動き)回る / (遺言など)変更(取り消し)できる / (僧院の)回廊,歩廊
純血の,純種の / 《複合語を作って》「…の血(性質)を持った」の意を表す

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/02/27 10:22:44」(JST)

wiki en

Ambulatory blood pressure monitoring (ABPM) measures blood pressure at regular intervals.^[1] It is believed to be able to reduce the white coat hypertension effect in which a patient's blood pressure is elevated during the examination process due to nervousness and anxiety caused by being in a clinical setting. Out-of-office measurements are highly recommended as an adjunct to office measurements by almost all hypertension organizations.

Blood pressure variability

24-hour, non-invasive ambulatory blood pressure (BP) monitoring allows estimates of cardiac risk factors including excessive BP variability or patterns of circadian variability known to increase risks of cardiovascular event.

==Nocturnal hypertension== Ambulatory blood pressure monitoring allows blood pressure to be intermittently monitored during sleep, and is useful to determine whether the patient is a dipper or non-dipper—that is to say whether or not blood pressure falls at night compared to daytime values. A night time fall is normal. It correlates with relationship depth but other factors such as sleep quality, age, hypertensive status, marital status, and social network support.^[2] Absence of a night time dip is associated with poorer health outcomes, including increased mortality in one recent study.^[3] In addition, nocturnal hypertension is associated with end organ damage^[4] and is a much better indicator than the daytime blood pressure reading.

Target organ damage

Overnight reduction or surge in blood pressure

Optimal blood pressure fluctuates over a 24-hour sleep-wake cycle, with values rising in the daytime and falling after midnight. The reduction in early morning blood pressure compared with average daytime pressure is referred to as the night-time dip. Ambulatory blood pressure monitoring may reveal a blunted or abolished overnight dip in blood pressure. This is clinically useful information because non-dipping blood pressure is associated with a higher risk of left ventricle hypertrophy and cardiovascular mortality. By comparing the early morning pressures with average daytime pressures, a ratio can be calculated which is of value in assessing relative risk. Dipping patterns are classified by the percent of drop in pressure, and based on the resulting ratios a person may be clinically classified for treatment as a "non-dipper" (with a blood pressure drop of less than 10%), a "dipper," an "extreme dipper," or a "reverse dipper," as detailed in the chart below. Additionally, ambulatory monitoring may reveal an excessive morning blood pressure surge; which is associated with increased risk of stroke in elderly people with high blood pressure.^[6]^[7]

Classification of dipping in blood pressure is based on the American Heart Association's calculation, using systolic blood pressure (SBP) as follows:

Range	Class
<0%	Reverse Dipper
0% - 10%	Non-Dipper
10% - 20%	Dipper
>20%	Extreme Dipper

International Research

ARTEMIS http://www.artemisnet.org](international Ambulatory blood pressure Registry: TEleMonitoring of hypertension and cardiovascular rISk project) is the first International Ambulatory Blood Pressure Monitoring Registry aiming at assessing the actual degree of blood pressure and cardiovascular risk control of hypertensive patients followed by doctors all over Europe. The project is based on telemonitoring on BP through a web-based telemedicine service (MOREPRESS at www.morepress.net).

References

^ Validation of the Microlife WatchBP O3 device for clinic, home and ambulatory blood pressure measurement, according to the International Protocol
^ Holt-Lunstad J, Jones BQ, Birmingham W. (2009).The influence of close relationships on nocturnal blood pressure dipping. Int J Psychophysiol. 71(3):211-7. doi:10.1016/j.ijpsycho.2008.09.008 PMID 18930771
^ Minutolo R, Agarwal R, Borrelli S, Chiodini P, et al (2011). Prognostic role of ambulatory blood pressure measurement in patients with nondialysis chronic kidney disease. Arch Intern Med. 171(12):1090-8.
^ Use and interpretation of ambulatory blood pressure monitoring: recommendations of the British Hypertension Society
^ Verdecchia P, Angeli F, Gattobigio R (2004). "Clinical usefulness of ambulatory blood pressure monitoring". J. Am. Soc. Nephrol. 15 Suppl 1: S30–3. PMID 14684668. http://jasn.asnjournals.org/cgi/pmidlookup?view=long&pmid=14684668. Retrieved 2008-12-01.
^ Morning surge in blood pressure linked to strokes in elderly
^ Stroke Prognosis and Abnormal Nocturnal Blood Pressure Falls in Older Hypertensives

External links

ARTEMIS, international Ambulatory blood pressure Registry: TEleMonitoring of hypertension and cardiovascular rISk project
Ambulatory blood pressure monitoring, Medical Journal of Australia

UpToDate Contents

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1. 成人における24時間携帯血圧測定および白衣高血圧症 ambulatory blood pressure monitoring and white coat hypertension in adults
2. 小児における携帯型血圧モニター ambulatory blood pressure monitoring in children
3. 成人における高血圧の概要 overview of hypertension in adults
4. 成人における高血圧症の診断およびマネージメントのための血圧測定 blood pressure measurement in the diagnosis and management of hypertension in adults
5. 成人における高血圧の初期評価 initial evaluation of the hypertensive adult

English Journal

Home blood pressure monitoring: primary role in hypertension management.

Stergiou GS1, Kollias A, Zeniodi M, Karpettas N, Ntineri A.
Current hypertension reports.Curr Hypertens Rep.2014 Aug;16(8):462. doi: 10.1007/s11906-014-0462-8.
In the last two decades, considerable evidence on home blood pressure monitoring has accumulated and current guidelines recommend its wide application in clinical practice. First, several outcome studies have shown that the ability of home blood pressure measurements in predicting preclinical target
PMID 24924993

A randomized controlled study of CPAP effect on plasma aldosterone concentration in patients with resistant hypertension and obstructive sleep apnea.

Lloberes P1, Sampol G, Espinel E, Segarra A, Ramon MA, Romero O, Ferrer R, Martínez-Garcia MA, Tovar JL.
Journal of hypertension.J Hypertens.2014 Aug;32(8):1650-7. doi: 10.1097/HJH.0000000000000238.
OBJECTIVE: The high prevalence of obstructive sleep apnea in patients with resistant hypertension could be mediated by an activation of the renin-angiotensin-aldosterone system. This study assessed the impact of continuous positive airway pressure (CPAP) treatment on plasma aldosterone concentration
PMID 24879492

Twenty-four-hour ambulatory blood pressure in adult women with urinary tract infection in childhood.

Gebäck C1, Hansson S, Himmelmann A, Sandberg T, Sixt R, Jodal U.
Journal of hypertension.J Hypertens.2014 Aug;32(8):1658-64. doi: 10.1097/HJH.0000000000000234.
OBJECTIVE: To study 24-h ambulatory blood pressure (BP) and development of hypertension over four decades in women with childhood urinary tract infection (UTI) associated with renal damage.METHODS: A population-based group of 111 women was followed from their first UTI in childhood. The cohort was i
PMID 24875180

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リンク元	「携帯式血圧測定」「携帯式血圧測定法」「携帯式血圧モニタリング」「ABPM」「24時間自由行動下血圧測定」
関連記事	「ambulatory」「monitoring」「pressure」「blood」