International Circulation: Compared with office or ambulatory BP measures， how do we evaluate the relationship between self-measurement and prognosis?

    《国际循环》：与诊室血压或ABPM相比，如何评价自我血压监测与预后的相关性?

    Prof Lindholm: I suppose we need a series of prospective trials to evaluate that. It is well known that blood pressure at home is lower and the predictability is quite good， especially with 24 hour monitoring if we look at intermediate endpoints like regression of LVH， the shrinking of an enlarged heart. So to me it seems like a good idea to record blood pressure at home， unfortunately the patients seem to mix home recordings with office recordings and you can’t because they give different types of values. Home recordings are lower. They are lower because I think there is always an element of stress when you go to a doctor. I hate going to my practitioner. I can well understand if the patient feels exactly the same way. The really good data that we have is based on office recordings.

    Prof. Lindholm：我认为需要一系列前瞻性试验进行评价。众所周知，家庭自测血压数值较低。如果我们观察中间终点，例如左室肥厚（LVH）的回退，即增大的心脏缩小，还能发现自测血压对预后的预测性很好，特别是进行24小时监测时。因此，记录家庭自测血压似乎是不错的主意，但是遗憾的是，患者易将家庭记录与诊室记录混淆，从而医生因其提供了不同类型的数值而无法获得记录。家庭自测的血压水平较低，主要原因是患者就医时总是存在某种压力成分。我讨厌去见医生，如果患者也有完全相同的感受我完全可以理解。目前，我们所有的质量较高的数据均是诊室记录。