Considerações finais

A MAPA é um método que certamente está propiciando uma nova abordagem e visão da HA, quer no seu diagnóstico, quer na sua terapêutica e seguimento. A exemplo de qualquer método complementar não substitui, entretanto, uma correta e completa anamnese e um adequado exame físico. Deve ser utilizada e interpretada com equipamentos adequados e por médicos especificamente treinados.

Referências

1. Garret NB, Kaplan N - Ambulatory blood pressure monitoring. A question for now and the future. J Clin Hypert     1987; 3: 378-80.

2. Sheps SG, Pickering TG, White WB et al - ACC Position Statement. Ambulatory blood pressure monitoring. J Am Coll Cardiol 1994; 23: 1511-3.

3. Pickering TG - Recommendations for the use of home(self) and arterial blood pressure monitoring. Am J Hypertens 1996; 9: 1-11.

4. Clark LA, Denby L, Pregibon D et al - Effects of activity on diurnal variations of blood pressure. J Chron Dis 1987; 40: 671-81.

5. Mancia G, Parati G, Pomidossi G, Grassi G, Casadei R, Zanchetti A - Alerting reaction and rise in blood pressure during management by physician and nurse. Hypertension 1987; 9: 209-15.

6. Pickering TG - The influence of daily activity on ambulatory blood pressure. Am Heart J 1988; 116: 1141-5.

7. Mancia G, Omboni S, Parati G - Lessons to be learned from 24-hour ambulatory blood pressure monitoring. Kidney Int 1996; 49(suppl.55): S63-S8.

8. Pickering TG, James GD, Boddie C, Harshfield GA, Blank S, Laragh JH - How common is white coat hypertension? JAMA 1988; 259: 225-8.

9. Pierdomenico SD, Mezzetti A, Lapenna D et al - "White coat" hypertension in patients with newly diagnosed hypertension: evaluation of prevalence by ambulatory blood pressure monitoring. Eur Heart J 1995; 16: 692-7.

10. Conway J, Johnston J, Coats A, Somers V, Sleight P - The use of ambulatory blood pressure monitoring to improve the accuracy and reduce the numbers of subjects in clinical trials of antihypertensive agents. J Hypertens 1988; 6: 111-6.

11. Julius S, Mejia A, Krause L et al - White coat vs sustained borderline hypertension in Tecumseh, Michigan. Hypertension 1990; 16: 617-23.

12. Cavallini MC, Roman MJ, Pickering TG, Schwartz JE, Pini R, Devereux RB - Is white coat hypertension associated with arterial disease or left ventricular hypertrophy? Hypertension 1995; 26: 413-9.

13. Verdecchia P, Porcellati C - L’ipertensione da camice bianco. G Ital Cardiol 1995, 25: 899-909.

14. O’Brien E, Cox J, O’Malley K - The role of twenty-four-hour ambulatory blood pressure monitoring in clinical practice. J Hypertens 1991; 9(suppl 8): S63- S5.

15. Verdecchia P, Porcellati C, Schilacci G et al - Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension. Hypertension 1994; 24: 793-801.

16. Mancia G - Ambulatory blood pressure monitoring: research and clinical applications. J Hypertens 1990; 8(suppl 7): S1- S13.

17. Prisant LM, Carr AA - Ambulatory blood pressure monitoring and echocardiographic left ventricular wall thickness and mass. Am J Hypertens 1990; 3: 81-9.

18. White WB, Schulmann P, McCabe UJ, Dey HM - Average daily blood pressure, not office blood pressure determines cardiac function in patients with hypertension. JAMA 1989; 261: 873-7.

19. White WB - Blood pressure load and target organ effects in patients with essential hypertension. J Hypertens 1991; 9(suppl 8): S39-S41.

20. Parati G, Omboni S, Di Rienzo M, Frattola A, Albini F, Mancia G - Twenty-four-hour blood pressure variability: clinical implications. Kidney Int 1992; (suppl): S24-S8.

21. Verdecchia P, Schilacci G, Porcellati C - Dippers vs non-dippers. J Hypertens 1991; 9(suppl 8): S42- S4.

22. Verdecchia P, Schilacci G, Guerrieri M et al - Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation 1990; 81: 528-36.

23. Bianchi S, Bigazzi R, Baldari G, Sgherri G, Campese VM - Diurnal variations of blood pressure and microalbuminuria in essential hypertension. Am J Hypertens 1994; 7: 23-9.

24. Shimada K, Kawamoto A, Matsubayashi K et al - Ambulatory blood pressure monitoring. Diurnal blood pressure variation and silent cerebrovascular damage in elderly patients. J Hypertens 1992; 10: 875-8.

25. Verdecchia P, Schilacci G, Guerrieri M et al - Prevalence and determinants of left ventricular filling abnormalities in an unselected hypertensive population. Eur Heart J 1990; 11: 679-91.

26. Staessen JA, Fagard R, Thijs L, Amery A - A consensus view on the technique of ambulatory blood pressure monitoring. Hypertension 1995; 26( part I): 912-8.

27. O’Brien E, Atkins N, Staessen J - State of the market. A review of ambulatory blood pressure monitoring devices. Hypertension 1995; 26: 835-42.

28. Fifth Report of the Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure. Publication nº 93-1088, National Institutes of Health, Washington, DC, 1993.

29. Staessen JA, Fagard RH, Lijnen PJ, Thijs L, Van Hoof R, Amery AK - Mean and range of the ambulatory pressure in normotensive subjects from a meta-analysis of 23 studies. Am J Cardiol 1991; 67: 723-7.

30. Cesana G, De Vito G, Ferrario M et al - Ambulatory blood pressure normalcy: the PAMELA study. J Hypertens 1991; 9(suppl): S17-S23.

31. The Scientific Committee - Consensus document on non-invasive ambulatory blood pressure monitoring. J Hypertens 1990; 8(suppl 6): S135-40.

32. Centeno J, Romão Jr JE, Mion Jr D - MAPA na insuficiência renal crônica. In: Mion Jr D, Nobre F, Oigman W. eds - MAPA Monitorização Ambulatorial de Pressão Arterial. São Paulo: Atheneu, 1995: 93-5.

33. Keitel E - MAPA no Transplante renal. In: Mion Jr D, Nobre F, Oigman W. eds - MAPA Monitorização Ambulatorial de Pressão Arterial. São Paulo: Atheneu, 1995: 97-101.

34. Giorgi DMA - MAPA no Transplante cardíaco e na doença de Chagas. In: Mion Jr D, Nobre F, Oigman W. eds - MAPA Monitorização Ambulatorial de Pressão Arterial, São Paulo: Atheneu, 1995:103-6.

35. Koch V, Mion Jr D - MAPA na criança. In: Mion Jr D, Nobre F, Oigman W, eds - MAPA Monitorização Ambulatorial de Pressão Arterial. São Paulo: Atheneu, 1995: 75-7.

36. Zanella MT, Ferreira SRG, Ribeiro AB - MAPA na nefropatia e neuropatia autonômica diabética. In: Mion Jr D, Nobre F, Oigman W, eds - MAPA Monitorização Ambulatorial de Pressão Arterial. São Paulo: Atheneu, 1995: 89-92.

37. Wajngarten M - MAPA no idoso. In: Mion Jr D, Nobre F, Oigman W. eds - MAPA Monitorização Ambulatorial de Pressão Arterial. São Paulo: Atheneu, 1995: 79-82.

38. Luders C, Sabbaga E, Mion Jr D - MAPA na gestante. In: Mion Jr D, Nobre F, Oigman W. eds - MAPA Monitorização Ambulatorial de Pressão Arterial. São Paulo: Atheneu, 1995: 83-8.

Agradecimentos

As Sociedades Brasileira de Cardiologia, de Nefrologia e de Hipertensão agradecem aos Laboratórios Bristol-Myers-Squibb do Brasil pela realização do II Consenso Brasileiro para o Uso da MAPA e ao Sr Ademilson dos Santos pela colaboração prestada.

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