Consequences pratiques des enregistrements ambulatoires de la pression arterielle. [Practical consequences of ambulatory registration of blood pressure]

Détails

ID Serval
serval:BIB_D5730883FE5C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Consequences pratiques des enregistrements ambulatoires de la pression arterielle. [Practical consequences of ambulatory registration of blood pressure]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Michetti  P., Berger  J. P.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
03/1989
Volume
119
Numéro
12
Pages
394-8
Notes
English Abstract
Journal Article --- Old month value: Mar 25
Résumé
Ambulatory recorded blood pressure (BP) has been shown to correlate better with secondary target-organ damage than casual blood pressure, and has demonstrated that ambulatory BP cannot be predicted on the basis of casual BP measurements by the physician. To assess whether these recordings have practical repercussions on diagnosis and treatment, 182 patients (74 female/108 male) aged 16 to 84 years (mean 51.9 +/- 14.8 SD), all referred by their physicians to the investigation unit of the hospital, underwent ambulatory BP measurements using the portable Remler M2000 BP recorder. The mean systolic blood pressure was above 140 mm Hg in 96 patients (53%) and the mean diastolic blood pressure above 90 mm Hg in 81 (45%). -3 to 9 months later, multiple choice questionnaires were sent to the 34 physicians who had referred patients and had meanwhile received recording results without comments. The questions were designed ascertain the indication for BP recording in each patient and the changes undertaken in the light of the results. In 27% of the cases the assumed diagnosis was not confirmed and in 40.8% of the cases the planned or prescribed treatment was obviated or withdrawn. This percentage corresponds to the data previously published describing 30 to 40% of patients as hypertensive only in the physician's office. This latter percentage shows that ambulatory BP recordings contribute to the practical assessment of patients with mild to moderate elevation of office BP.
Mots-clé
Adolescent Adult Aged Aged, 80 and over *Ambulatory Care Blood Pressure Determination/instrumentation/*methods Circadian Rhythm Female Humans Male Middle Aged Predictive Value of Tests
Pubmed
Web of science
Création de la notice
25/01/2008 17:02
Dernière modification de la notice
20/08/2019 16:55
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