Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics / Edition 2

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This is a newly updated second edition of Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. William B. White, MD, and a panel of highly experienced clinicians critically review every aspect of out-of-office evaluation of blood pressure. The world-class opinion leaders writing here describe the significant advances in our understanding of the circadian pathophysiology of cardiovascular disorders.

The book contains black-and-white illustrations.

This pioneering book covers the new topic of circadian variation in cardiovascular disease, with a special emphasis on hypertension. New techniques in the self and ambulatory monitoring of blood pressure and heart rate have led to marked improvements in our ability to detect various clinical entities in patients with hypertension and vascular diseases. These techniques and their interpretation are covered in this book. Section I describes the methodology of self and ambulatory blood pressure monitoring in research and clinical practice. Section II describes the advances in the understanding of the pathophysiology of the circadian biology of cardiovascular disorders. This section is of intense importance since it has been shown that ambulatory blood pressure values are independent predictors of cardiovascular morbidity and mortality. Of immense importance to clinicians, Section III focuses on the effect of antihypertensive drug therapy on the circadian variation of blood pressure, heart rate, and myocardial ischemia. This book provides a unique and medically-sound approach to the management of patients with hypertension and vascular disease.

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Editorial Reviews

In these papers, medical doctors, physiologists, pharmacologists, and other researchers and clinicians critically review various aspects of out-of-office evaluation of blood pressure. They address ambulatory pressure, the relationship between whole-day blood pressure and the cardiovascular disease process, and the effects of antihypertensive therapies on blood pressure parameters. They also describe recent advances in the understanding of the circadian pathophysiology of cardiovascular disorders and argue that ambulatory blood pressure values serve as independent predictors of cardiovascular morbidity and mortality. The methodology for out-of-office blood pressure monitoring, it potential in clinical trials and for the treatment of patients, and its usefulness in drug development are also discussed. Annotation c. Book News, Inc., Portland, OR (
Doody's Review Service
Reviewer: John F. Moran, MD (Loyola University Stritch School of Medicine)
Description: This text is about blood pressure measurement techniques, circadian variation, and ambulatory blood pressure monitoring written by 21 authors. It is divided into three sections on techniques, circadian variation, and ambulatory blood pressure monitoring.
Purpose: The purpose is to review approximately 15 years of data on ambulatory blood pressure monitoring and its usefulness. There is a big section on circadian rhythm, which is included in this text. This material is not generally covered in other books on hypertension.
Audience: This book is readable and intended for any practitioner who deals with hypertensive patients. The use of ambulatory blood pressure monitoring is increasingly important because of "white coat hypertension," as well as antihypertensive drug selection. The authors presented a credible text.
Features: The first part of the book has to do with the techniques for out of office blood pressure monitoring, the importance of daytime activities, night time measurements, caffeine, talking, blood pressure measurements taken in the home vs. the clinic, are all reviewed. There are also sections on the effect of ambulatory blood pressure monitoring related to the patient's posture, his mood, his work. There are also important variations with blood pressure taken in the season of the year, as well as gender. There is an interesting section on the history of ambulatory blood pressure monitoring, which has been around for perhaps 30 years, but has only recently become somewhat more widely used. There is an excellent review on circadian rhythm, which goes beyond circadian rhythm into ultraradian and infraradian rhythms, as well as seasonal rhythms. There is a good review of the circadian rhythm importance with acute myocardial infarction, unstable angina, sudden cardiac death, and cerebral vascular accidents. There is a brief review on blood coagulation related to circadian rhythms, as well as the importance of the sympathetic nervous system, the renin angiotensin aldosterone system, and sodium and potassium concentrations. A short chapter on chronopharmacology shows the importance of drug selection when treating hypertensive patients. Throughout the text there are several references to the hypertensive "dippers" and hypertensive "non-dippers". Finally, new antihypertensive drug development will have to take into consideration ambulatory blood pressure monitoring and circadian rhythms.
Assessment: This is clearly an addition to the literature, which takes a different path than many of the hypertensive text books that are currently available. This text falls short in the management of hypertension, simply because there is not enough data on drug usage for hypertensive patients, which takes into account circadian rhythms. This text is a worthwhile addition to the medical literature.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781588295125
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 8/28/2007
  • Series: Clinical Hypertension and Vascular Diseases Series
  • Edition description: 2nd ed. 2007
  • Edition number: 2
  • Pages: 494
  • Product dimensions: 6.10 (w) x 9.00 (h) x 0.90 (d)

Table of Contents

Blood Pressure Monitoring in Cardiovascular Medicine and
Therapeutics , 2nd Edition
Editor: William B. White, MD, Professor of Medicine and Chief, Section of Hypertension and Clinical Pharmacology, Department of Medicine,
University of Connecticut School of Medicine, Farmington, Connecticut,

Publisher: The Humana Press, Inc, Totowa, New Jersey, USA

Projected Publication and Distribution Dates:

Table of Contents

List of Contributors

Section I. Preface - William B. White, MD

Section II. Techniques for Out-of-Office Blood Pressure Monitoring

1. Self-Monitoring of Blood Pressure
Thomas G. Pickering, MD

2. Evaluation of Journals, Diaries, and Indexes of Worksite and
Environmental Stress
Gary D. James, PhD

3. Electronic Activity Recording in Cardiovascular Disease
George A. Mansoor, MD

4.** Ambulatory Monitoring of the Blood Pressure
Subramanian Krishnan, MD and William B. White, MD

5. Validation and Reliability of Blood Pressure Monitors
Eoin O'Brien, MD and Neil Atkins, MD

Section III. Concepts in the Circadian Variation of Cardiovascular

6. Cardiovascular Chronobiology
Francesco Portaluppi, MD and Michael H. Smolensky, PhD

page 2, Table of Contents

7. Circadian Variation of the Blood Pressure in the Population at Large
Hilde Celis, MD and Jan A. Staessen, MD, PhD

8. The Importance of Heart Rate in Determining Cardiovascular Risk
Paolo Palatini, MD

9. Sodium, Potassium, the Sympathetic Nervous System, and the
Renin-Angiotensin System: Impact on the Circadian Variability in Blood
Domenic A. Sica, MD and Dawn K. Wilson, PhD

10. Prognostic Value of Ambulatory Blood Pressure Monitoring
Paolo Verdecchia, MD, Fabio Angeli, MD and Giuseppe Schillaci, MD

11.**Circadian Rhythm of Myocardial Infarction and Sudden Cardiac Death
Steven A. Shea, PhD andJames E Muller, MD

12. Seasonal, Weekly and Circadian Variability of Ischemic and
Hemorrhagic Stroke
Tudor D. Vagaonescu, MD, PhD and Robert A. Phillips, MD, PhD

Section IV. Ambulatory blood pressure monitoring in special populations

13. Ambulatory blood pressure in older patients
L. Michael Prisant, MD

14.**Ambulatory blood pressure in children and adolescents
Ron Portman, MD

15. Ambulatory blood pressure during pregnancy
Deborah Feldman, MD

16. Ambulatory blood pressure in patients with renal dysfunction and failure Sergio F.F. Santos, MD, PhD and Aldo Peixoto, MD

Section V. Ambulatory blood pressure monitoring and therapy

17. Chronobiology and Chronopharmacology of Hypertension: Importance of
Timing of Dosing
Bjørn Lemmer, MD

18.**Ambulatory Blood Pressure Monitoring for the Assessment of
Antihypertensive Therapy in Clinical Trials
William B. White, MD

19. Ambulatory Blood Pressure Monitoring in Clinical Practice
David Smith, MD and Joel M. Neutel, MD

Section VI. Index

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