History of ABPM

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The first device for noninvasive measurement of blood pressure with the use of compression has been proposed in 1833 by J. Herisson. In the 70s of the 19th century E. Marey created a device for noninvasive quantitative measurement of blood pressure by analyzing the amplitude of the oscillations of different arteries (radial, brachial, finger) at varying external compression pressure. Later similar approaches to the measurement of blood pressure has become known as the oscillometric methods. During these years compression - palpation techniques have developed and become especially widespread after the appearance of the S. Riva-Rocci device in 1896. When the laws of sound effects during decompression of the brachial artery was discovered by NS Korotkoff in 1905, auscultatory method has become the main method of noninvasive blood pressure measurement.

The first researchers who studied the blood pressure differences between repeated measurements revealed that blood pressure might change. Repeated measurements of blood pressure are becoming more widely used in scientific research, but they have not become widespread in medical practice due to complexity of the study and problems associated with nocturnal blood pressure measurements.

Technological advances in the field of electronics [1] have resulted to the creation of semi-automatic device named “Remler M2000” in the early 60s of the 20th century. To measure blood pressure patient with a inflation bulb pumped air into the cuff in response to a timer signal, and then “Remler M2000" provided automatic deflation and recording microphone and curve of cuff pressure on a tape recorder. The first publication of the interesting data obtained with the help of “Remler M2000", were presented by Hinmann in 1962, He noted significant rises in patient’s blood pressure during stressful situations at work and the decrease of blood pressure during the relaxation at home.

Non-invasive devices with fully automated blood pressure measurement by Korotkoff appeared in the early 70s, and they were rather bulky, heavy (weight more than 4.4 lb / 2 kg) and expensive (over $ 10,000) devices.

In the 80s equipment for ABPM was available for most major medical centers in Europe, U.S., and Japan. In this decade basic clinical and physiological studies of representative groups of patients with hypertension were performed. They demonstrated the benefits of ABPM over traditional BP measurements and confirmed the feasibility of its wide involment into medical practice.

Since the 90's trend toward widespread adoption of ABPM in medical practice is increasingly growing. Methodological and organizational aspects governing the application of the method are reflected in the recommendations of several national medical associations.

See also

  • Gant HR, Posokhov IN. A brief history of Holter Monitoring, 2012; at www.24h-monitoring.com. Last accessed 2017-01-18 http://www.webcitation.org/6nbiPgtPv