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End-organ damage related to hypertension is more closely related to ambulatory blood stress (ABP) than clinic or informal blood pressure measurements. ABP measurements give higher prediction of clinical outcome than clinic or casual blood stress measurements. The technique of ABP monitoring (ABPM) is specialised; validated monitors and acceptable high quality control measures must be used. Interpretation of ABP profile ought to embody imply daytime, night time-time (sleep) and 24-hour measurements, and consideration of diary data and time of drug remedy. Reports may embody ABP "hundreds" (percentage space below the blood pressure curve above set limits) for daytime and night-time intervals. Percentage space under the blood stress curve above set limits. Can only be detected by ambulatory blood pressure monitoring (ABPM) or self-monitoring. Might not be benign; definitive outcome studies are wanted. Requires continued surveillance, involving self-monitoring and repeat ABPM at 1-2-year intervals. Does not respond to straightforward drug therapy. Department of Vascular Sciences, Dandenong Hospital, Dandenong, VIC. 1. Verdecchia P, Clement D, Faggard R, et al.
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