Transcription of II 2．外来随時血圧，家庭血圧および 24時間血圧の意義
1 II . 2 . 24 .. ABPM HBP CBP . CBP CBP. ABP 1 . HBP .. 2,000 . HBP HBP . CBP . 1987 8,000 . ABP HBP ABP HBP. CBP 24 ABP HBP 135. 80 85 mmHg 125 75 mmHg . HBP . HBP .. ABP HBP . HBP .. 1 . 1 1 .. Clinical significance of ambulatory blood pressure monitoring and home blood pressure measurements YUTAKA IMAI Department of Clinical Pharmacology and Therapeutics , Tohoku University Graduate School of Pharmaceutical Science and Medicine . Key words .. 46 . 3 2 Ohasama . 10 11 .. 35. ABPM.. ABP HBP .. ABP . HBP .. ABP HBP . CBP . CBP 2 HBP . HBP . CBP .. ABP 24 AAMI 5 mmHg 8 mmHg . HBP .. 2 HBP . 1 1 . 1 1 . HBP . 1 .. 1 ABPM . ABPM .. 1 .. 1 2 .. 1 .. 1 .. 36 118 . 3 . HBP ABPM . 24 .. Cushing .. 2 .. ABPM . 1 . ABP HBP . ABPM 4 . 1 . HBP . ABP 30 . 15 .. HBP 5 . ABPM HBP .. 1 3 . HBP . HBP . ABPM .. HBP .. 2 .. 6 . HBP . beat-to-beat 1 . ABPM 30 beat- . r=. to-beat .. 30 ABP HBP . 1 ABPM ABPM .. HBP .. 37. 7 HBP . Omron HEM 747 IC N .. Trough Peak T P .. 20 . T P . 30 HBP ABPM 1 1.
2 Morning Evening M E .. 8 .. 3 .. HBP CBP ABP HBP .. ABP HBP . HBP 2 3 . Cox .. 24 ABP 134 78 mmHg . HBP CBP HBP . HBP . 137 84 mmHg . 1997 . 4 . 6 JNC VI 1999 WHO. ISH . 5 . ABP CBP 135 85 mmHg HBP 24 ABP . 125 80 mmHg . 3 ABP . ABPM 1 HBP . ABP HBP . ABPM . 24 ABP HBP . 24 ABP HBP . mmHg mmHg mmHg . Cox 133/ 78 138/ 83 135/ 80 85.. Cox 111 117/ 72 120 127/72 76 .. 125/ 75. 140/90 124/76 126/77 . ABP HBP 1SD 129/76 125/77 . 38 118 .. mass study .. population . 2 mmHg . 1 Kikuya M, Hozawa A, Ohkubo T, et al. : Prognostic sig- . nificance of blood pressure and heart rate variabilities. The Ohasama Study. Hypertension 2000 ; 36.. 2 Tsuji I, Imai Y, Nagai K, et al. : Proposal of reference . values for home blood pressure measurement : Prog- . nostic criteria based on a prospective observation of the general population in Ohasama, Japan.. 3 Ohkubo T, Imai Y, Tsuji I, et al. : Reference values for . 24-hour ambulatory blood pressure monitoring based . on a prognostic criteria : The Ohasama Study.
3 Hyper- tension 1998 ; 32 : 255 259.. 4 Joint National Committee on Detection , Evaluation , . and Treatment of High Blood Pressure. The Sixth re- . port of the Joint National Committee on Prevention, Detection , and Treatment of High Blood Pressure . JNC VI . Arch Intern Med 1997 ; 157 : 2413 2446. 30 . 5 WHO-ISH Guideline Committee : 1999 World Health 2 1 . Organization-International Society of Hypertension Guidelines for the Management of Hypertension . J . Hypertens 1999 ; 17 : 151 183.. Syst-Eur study . 39.. 160 mmHg 165 . mmHg 4 5 mmHg .. 140 . mmHg .. 7 . 1 1 . 3 160 mmHg 120 mmHg .. 2 3 . 2 .. recommend . 7 g g 2 .. 135 80 85 mmHg . 7 g .. g .. 150 90 mmHg g .. 140 mmHg . 2. 40 118 . successive 1 . 1 . 5 . mean regression . one occasion multiple point .. 1 .. 2 .. 2 . 5 6 mmHg IC .. selection bias .. regression to the mean . 2 1 . 3 3 .. regression to the mean .. 41.
