[Different Uses of Home Blood Pressure Measurement in the Diagnosis and Monitoring of Hypertension]

Overview

Journal Aten Primaria

Specialty Public Health

Date 2006 Dec 19

PMID 17173815

Authors

Juan Antonio Divison

Carlos Sanchis Domenech

Lucinio Carrion Valero

Javier Masso Orozco

Julio Carbayo Herencia

Enrique Lopez de Coca

Luis Miguel Artigao

Beatriz Rodriguez Panos

Affiliations

Soon will be listed here.

Abstract

Objective: To find differences between measurements of clinical blood pressure and self-monitored home blood pressure measurement (HBPM).

Design: Descriptive study developed in a general population census.

Setting: Primary care.

Subjects: A total of 1411 subjects > or =18 years old were selected by stratified randomized sampling.

Methods: A skilled nurse made 3 clinical blood pressure (CBP) measurements, and trained patients or their relatives in HBPM, doing 12 in one day. CBP and HBPM employed an electronic device (OMRON 705CP).

Results: A total of 12 HBPM from 1184 subjects (52% women) were completed, with a mean age of 47.6 (SD, 17.2); 195 subjects were known to have hypertension. White-coat effect was diagnosed in 14.9% of subjects with normal pressure, 22.3% of hypertense patients treated and 57.6% of subjects with suspicion of isolated clinical hypertension. Possible isolated clinical hypertension was diagnosed in 10% of subjects without hypertension. White Coat normal pressure was found in 2.3% of untreated subjects and 4.7% of subjects with treated hypertension. 20.7% of subjects with hypertension poorly controlled in the clinic were considered pseudo-refractory (11.4% at the end of dosage interval). 77% of subjects conducted HBPM on their own and 89% thought it easy to do so.

Conclusion: Incorporation of HBPM into daily medical practice could avoid 20%-30% of possible mistakes in diagnosis and monitoring of hypertense patients.

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