• La AMPA es la media de todas las lecturas de PA realizadas

con un
• monitor semiautomatico validado durante al menos 3 dias,
y preferiblemente
• durante 6-7 dias consecutivos antes de cada consulta. Las
• lecturas se realizan por la manana y por la noche, en una
habitacion
• tranquila despues de 5 min de reposo, con el paciente
sentado y con la
• espalda y el brazo apoyados. Deben realizarse 2 mediciones
en cada
• sesion, con 1-2 min de espera entre mediciones

Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, Kario K, Lurbe E,

Manolis A, Mengden T, O’Brien E, Ohkubo T, Padfield P, Palatini P, Pickering T,
• Comparada con la PA medida en consulta, los valores de AMPA
• suelen ser mas bajos y el umbral diagnostico para la HTA es ≥
135/85
• mmHg (equivalente a una PA medida en consulta ≥ 140/90 mmHg)
• (tabla 9) cuando se tiene en cuenta la media de los valores de PA en
• domicilio durante 3-6 dias. Comparada con la PA medida en
consulta,
• la AMPA proporciona datos mas reproducibles y guarda mayor
relacion
• con el dano organico inducido por HTA, especialmente la HVI58

Bliziotis IA, Destounis A, Stergiou GS. Home versus ambulatory and office blood pressure in
predicting target organ damage in hypertension: a systematic review and meta-analysis. J
• Richard J. M; Jonathan Mant; Sayeed Haque M, & Cols. Effect of Self-monitoring and Medication Self-titrationon Systolic Blood Pressure
in Hypertensive Patientsat High Risk of Cardiovascular DiseaseThe TASMIN-SR Randomized Clinical Trial JAMA. 2014;312(8):799-808.
 Richard J. M; Jonathan Mant; Sayeed Haque M, & Cols. Effect of Self-monitoring and Medication Self-titrationon Systolic Blood Pressure in
Hypertensive Patientsat High Risk of Cardiovascular DiseaseThe TASMIN-SR Randomized Clinical Trial JAMA. 2014;312(8):799-808.
 Richard J. M; Jonathan Mant; Sayeed Haque M, & Cols. Effect of Self-monitoring and Medication Self-titrationon Systolic Blood
Pressure in Hypertensive Patientsat High Risk of Cardiovascular DiseaseThe TASMIN-SR Randomized Clinical Trial JAMA.
2014;312(8):799-808.
• Efectos de la automedida y la autodosificación
del tratamiento antihipertensivo sobre la
presión arterial sistólica en pacientes
hipertensos de elevado riesgo cardiovascular
• McManus R, Mant J, Franssen M, & Cols. Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of
antihypertensive medication (TASMINH4): an unmasked randomised controlled trial -Lancet 2018; 391: 949–59
 McManus R, Mant J, Franssen M, & Cols. Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of
antihypertensive medication (TASMINH4): an unmasked randomised controlled trial -Lancet 2018; 391: 949–59
 McManus R, Mant J, Franssen M, & Cols. Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of
antihypertensive medication (TASMINH4): an unmasked randomised controlled trial -Lancet 2018; 391: 949–59
 McManus R, Mant J, Franssen M, & Cols. Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of
antihypertensive medication (TASMINH4): an unmasked randomised controlled trial -Lancet 2018; 391: 949–59
• Peñaloza-Ramos M, Jowett S, Mant J & Cols. Cost-effectiveness of self-managementof blood pressure in hypertensive patientsover 70
years with suboptimal controland established cardiovascular diseaseor additional cardiovascular risk diseases(TASMIN-SR). European
Journal of PreventiveCardiology2016, Vol. 23(9) 902–912
 Peñaloza-Ramos M, Jowett S, Mant J & Cols. Cost-effectiveness of self-managementof blood pressure in hypertensive patientsover 70
years with suboptimal controland established cardiovascular diseaseor additional cardiovascular risk diseases(TASMIN-SR). European
Journal of PreventiveCardiology2016, Vol. 23(9) 902–912
• Stella S; Bahman T, Sonia Y. Self-Blood Pressure Monitoring in an Urban, Ethnically Diverse PopulationA Randomized Clinical Trial
Utilizing the Electronic Health Record. Circ Cardiovasc Qual Outcomes. 2015;8:138-145.
 Stella S; Bahman T, Sonia Y. Self-Blood Pressure Monitoring in an Urban, Ethnically Diverse PopulationA Randomized Clinical Trial Utilizing
the Electronic Health Record. Circ Cardiovasc Qual Outcomes. 2015;8:138-145.
• La MAPA proporciona la media de las lecturas de PA
durante un
• periodo determinado, que normalmente es de 24 h. El
dispositivo se
• suele programar para que registre la PA a intervalos de
15-30 min y
• calcule la media de la PA diurna, nocturna y de 24 h.
Ademas, se
• puede registrar un diario de las actividades del
paciente y de las horas
• de sueno. Como minimo, el 70% de las lecturas deben
ser satisfactorias
• para que se considere valida la sesion de MAPA. Los
valores de la
• Copyright © Lippincott Williams & Wilkins.
Unauthorized reproduction of this article is
prohibited.Prognostic superiority of daytime
ambulatory overconventional blood pressure
in four populations:a meta-analysis of 7030
individuals
• Tine W. Hansena,f, Masahiro Kikuyab,
Lutgarde Thijsc
• Journal of Hypertension2007,25:1554 – 1564
• Prognostic impact from clinic, daytime, and
night-time systolic blood pressure in nine
cohorts of 13844patients with hypertension
• The ABC-H Investigators, George C. Rousha,
Robert H. Fagardb, Gil F. Sallesc
• Journal of Hypertension 2014, 32:2332–2340
• Teemu J. Niiranen, Juhani Mäki, Pauli Puukka,
Hannu Karanko, Antti M. Jula
• Office, Home, and Ambulatory Blood
Pressures as Predictors of Cardiovascular Risk
• Hypertension. 2014;64:281-286.)
• However, the efficacy of home blood pressure
self-monitoring on blood pressure reduction
and control is less clear in patients with
socioeconomic health barriers. For example, in
a trial of 900 patients, most of whom were
black and Hispanic, in an urban setting,
provision of a home blood pressure monitor
along with training on its use had no effect on
systolic blood pressure reduction (which fell
by 15 compared with 14 mmHg in the control
group) or the proportion of patients achieving
goal blood pressure (39 percent in both