Inhospital 24-hour blood pressure monitoring: methodological aspects and practical results
https://doi.org/10.15829/1728-8800-2025-4531
EDN: EFQMTR
Abstract
Twenty-hour blood pressure monitoring (BPM) has become widely used in modern practice. This method, originally designed to obtain information on blood pressure levels in a patient's usual environment (outside the hospital), is increasingly being used for inpatient care. Particularly, this is a part of compulsory health insurance screening programs for patients with hypertension (HTN) and other cardiovascular diseases. Although the inpatient BP profile for the same patient may differ from that observed in outpatient settings, inhospital 24-hour BPM retains many of the advantages described for outpatient use, including the objectivity of results and the prognostic value of the data obtained.
The purpose of this article is to critically analyze studies (including the authors' ones) related to inhospital 24-hour BPM. The work is supplemented by some original author’s results, reflecting the typical characteristics of patients who most frequently undergo monitoring in hospital settings, as well as the prognostic value of inhospital 24-hour BPM parameters.
About the Authors
T. S. Ilyina
National Medical Research Center for Therapy and Preventive Medicine
Россия
Россия
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
V. M. Gorbunov
National Medical Research Center for Therapy and Preventive Medicine
Россия
Россия
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
M. M. Lukyanov
National Medical Research Center for Therapy and Preventive Medicine
Россия
Россия
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
Ya. N. Koshelyaevskaya
National Medical Research Center for Therapy and Preventive Medicine
Россия
Россия
Petroverigsky Lane, 10, bld. 3, Moscow, 101990
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What is already known about the subject?
- Twenty-hour blood pressure monitoring (BPM) is an informative diagnostic method that provides objective and comprehensive information about a patient's blood pressure.
- Twenty-hour BPM, developed as a method for measuring blood pressure in a patient's usual setting (outside the clinic), is increasingly being used in hospital examinations.
What might this study add?
- Literature data shows that in real-world clinical practice in Russia, average 24-hour systolic and diastolic blood pressure values obtained by inhospital 24-hour BPM are, on average, lower than those obtained during ambulatory BPM.
- Inhospital 24-hour BPM is more often performed in younger individuals with hypertension and fewer cardiovascular comorbidities.
- Inhospital 24-hour BPM parameters retain their prognostic value, including their association with the all-cause mortality risk.
Review
For citations:
Ilyina T.S., Gorbunov V.M., Lukyanov M.M., Koshelyaevskaya Ya.N. Inhospital 24-hour blood pressure monitoring: methodological aspects and practical results. Cardiovascular Therapy and Prevention. 2025;24(10):4531. (In Russ.) https://doi.org/10.15829/1728-8800-2025-4531. EDN: EFQMTR
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