ABPM AND ERGOMETRY FOR EVALUATION OF HYPE RTENSION

Blood pressure as a main factor in the diagnostic of arterial hyperten sion is subject to a strong variability and this determines that the o ccasional blood pressure measurement can lead to diagnostic and progno stic mistakes. The ABPM as well as the ergometry can clearly improve t he estimation. This succeeds in the case of high blood pressure diagno sis by ergometry, in which is tested ifa proband can decrease the peri pheral vascular resistance during the standardized dynamic burden and during the ABPM through increase of density in the measured value unde r everyday conditions. For both procedures the following is valid: the y are based on dependable normal values and the data show good reprodu cibility; a white smock hypertension can be reliablely recognized; the re is in contrast to occasional blood pressure measurement better evid ence as far as cardiovascular complications are concerned; through the avoidance of placebo effects and exagerrated therapy as well as contr ol of the effective length the dependability of therapy is increased.