Unpredictability of blood pressures recorded outside the clinic in the treated hypertensive patient

Details

Serval ID
serval:BIB_602F15393F43
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Unpredictability of blood pressures recorded outside the clinic in the treated hypertensive patient
Journal
Journal of Cardiovascular Pharmacology
Author(s)
Porchet  M., Bussien  J. P., Waeber  B., Nussberger  J., Brunner  H. R.
ISSN
0160-2446 (Print)
Publication state
Published
Issued date
04/1986
Volume
8
Number
2
Pages
332-5
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Mar-Apr
Abstract
Ambulatory blood pressure profiles were obtained with the Remler M2000, a portable semiautomatic blood pressure recorder, in 38 chronically treated hypertensive patients who continued to have blood pressures measured by their physician greater than 140 mm Hg systolic and greater than 89 mm Hg diastolic. On the average, ambulatory recorded blood pressures were significantly lower (151/94 +/- 26/13 mm Hg; mean +/- SD) than those determined at the clinic not only by a physician (179/109 +/- 22/11 mm Hg), but by a nurse (163/101 +/- 24/10 mm Hg). Individual mean recorded ambulatory blood pressures could be predicted neither from office readings obtained by a physician nor from those measured by a nurse. Because of this unpredictability of blood pressures prevailing outside the clinic, ambulatory blood pressure monitoring seems to be very useful, if not necessary, in assessing the efficacy of antihypertensive drugs. By this technique, it may be possible to select patients who do not need a change of treatment although their blood pressure levels remain persistently elevated in the physician's office.
Keywords
Blood Pressure Determination/instrumentation/*standards Humans Hypertension/*physiopathology Monitoring, Physiologic
Pubmed
Web of science
Create date
05/03/2008 16:41
Last modification date
20/08/2019 14:17
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