Document Detail

Ambulatory blood pressure monitoring--comparison with office blood pressure in patients on antihypertensive therapy in private practice.
MedLine Citation:
PMID:  9717494     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Available data on the use of 24-hour ambulatory blood pressure recordings in private practice are limited. For this purpose we studied 39 consecutive hypertensive patients on treatment in a private practice.
METHOD: Office blood pressure, 24-hour ambulatory blood pressure, daytime ambulatory blood pressure and M-mode echocardiography were undertaken in 39 consecutive hypertensive patients (21 men, 18 women) on treatment.
RESULTS: Mean 24-hour ambulatory blood pressure and mean daytime ambulatory blood pressure were lower than office blood pressure, similar to findings seen in academic settings. A blood pressure load of more than 50% was seen in 12 out of 39 patients (31%). Left ventricular hypertrophy, assessed by means of Framingham criteria, was seen in 33% of patients. A white-coat effect was seen in 15.4% of patients.
CONCLUSIONS: A large proportion (33%) of patients on treatment for hypertension had left ventricular hypertrophy, despite normal electrocardiograms. Ambulatory blood pressure measurements identified a blood pressure load of more than 50% in 31% of patients on treatment for hypertension.
J A Ker; C J van Wyk; P Rheeder
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  88     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-10-15     Completed Date:  1998-10-15     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  133-5     Citation Subset:  IM    
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MeSH Terms
Analysis of Variance
Antihypertensive Agents / therapeutic use
Blood Pressure Determination / methods*
Blood Pressure Monitoring, Ambulatory / methods*
Hypertension / complications,  diagnosis*,  drug therapy,  psychology
Hypertrophy, Left Ventricular / complications,  diagnosis
Middle Aged
Office Visits*
Private Practice
Statistics, Nonparametric
Reg. No./Substance:
0/Antihypertensive Agents
Comment In:
S Afr Med J. 1998 Jun;88(6):729   [PMID:  9687855 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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