| Automated office blood pressure. | |
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MedLine Citation:
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PMID: 22265230 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Manual blood pressure (BP) is gradually disappearing from clinical practice with the mercury sphygmomanometer now considered to be an environmental hazard. Manual BP is also subject to measurement error on the part of the physician/nurse and patient-related anxiety which can result in poor quality BP measurements and office-induced (white coat) hypertension. Automated office (AO) BP with devices such as the BpTRU (BpTRU Medical Devices, Coquitlam, BC) has already replaced conventional manual BP in many primary care practices in Canada and has also attracted interest in other countries where research studies using AOBP have been undertaken. The basic principles of AOBP include multiple readings taken with a fully automated recorder with the patient resting alone in a quiet room. When these principles are followed, office-induced hypertension is eliminated and AOBP exhibits a much stronger correlation with the awake ambulatory BP as compared with routine manual BP measurements. Unlike routine manual BP, AOBP correlates as well with left ventricular mass as does the awake ambulatory BP. AOBP also simplifies the definition of hypertension in that the cut point for a normal AOBP (< 135/85 mm Hg) is the same as for the awake ambulatory BP and home BP. This article summarizes the currently available evidence supporting the use of AOBP in routine clinical practice and proposes an algorithm in which AOBP replaces manual BP for the diagnosis and management of hypertension. |
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Authors:
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Martin G Myers; Marshall Godwin |
Publication Detail:
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Type: Journal Article; Review Date: 2012-01-20 |
Journal Detail:
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Title: The Canadian journal of cardiology Volume: 28 ISSN: 1916-7075 ISO Abbreviation: Can J Cardiol Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-05-18 Completed Date: 2012-07-20 Revised Date: 2013-03-07 |
Medline Journal Info:
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Nlm Unique ID: 8510280 Medline TA: Can J Cardiol Country: England |
Other Details:
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Languages: eng Pagination: 341-6 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Cardiology, Schulich Heart Centre, Toronto, Ontario, Canada. martin.myers@sunnybrook.ca |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Automation* Blood Pressure / physiology* Blood Pressure Determination / instrumentation, methods* Blood Pressure Monitors* Female Humans Physicians' Offices Reproducibility of Results Sensitivity and Specificity Sphygmomanometers White Coat Hypertension / prevention & control |
| Comments/Corrections | |
Comment In:
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Can J Cardiol. 2013 Feb;29(2):255.e5
[PMID:
22857900
]
Can J Cardiol. 2013 Feb;29(2):255.e7 [PMID: 22902154 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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