Early and accurate diagnosis of hypertension by nurse practitioners in the clinic setting is critical in order to have improved patient outcomes and minimize associated cardiovascular events. Despite the risks associated with hypertension, less than optimal diagnosis and management of hypertension continues to be a problem in health care. Studies have shown that ambulatory blood pressure monitoring (ABPM) better represents actual blood pressures when compared to traditional office blood pressure readings by taking multiple readings over a 24-hour period to show daytime, nighttime, and 24-hour averages. Ambulatory blood pressure monitoring also offers better predictability for future cardiovascular events than office readings. The use of ABPM can diagnose white coat hypertension, as well as provide prognostic significance associated with cardiovascular risk, nocturnal patterns, left ventricular hypertrophy, and provide better therapeutic initiation and management in the treatment of hypertension. ABPM continues to be underused in the diagnosis and management of hypertension despite its potential to avoid unnecessary treatment of people who might otherwise be misdiagnosed as having hypertension and to accurately diagnosis people with hypertension leading to treatment and the prevention of associated cardiovascular risks.
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Details
Title
Ambulatory Blood Pressure Monitoring as a Diagnostic and Management Tool in Clinical Practice
Creators
Sandi Y. Rosenzweig
Contributors
Louise Kaplan (Advisor)
Awarding Institution
Washington State University
Academic Unit
Research Projects, College of Nursing
Theses and Dissertations
Master of Nursing (MN), Washington State University
Publisher
Washington State University; Spokane, Washington
Identifiers
99900590538701842
Copyright
http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)