Document Detail

Automated self-initiated blood pressure or 24-hour ambulatory blood pressure monitoring in pregnancy?
MedLine Citation:
PMID:  14687050     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine whether self-initiated and recorded automated blood pressure measurement can provide an accurate estimate of ambulatory blood pressure in pregnant women suspected of having 'white coat hypertension'. DESIGN: A prospective observational study. SETTING: Women's and Children's Health Unit, St George Hospital, a teaching hospital of the University of New South Wales. POPULATION: Pregnant women being assessed for possible 'white-coat hypertension'. METHODS: Sixty-six pregnant women who were undergoing 24 hour ambulatory blood pressure monitoring (ABPM) in their home or work environment also measured their blood pressure six times during this interval using a self-initiated automated blood pressure recorder (Omron HEM 705CP). Agreement between awake ABPM and Omron recorded blood pressures was tested by Bland-Altman analysis. MAIN OUTCOME MEASURE: Limits of agreement between blood pressures measured by each device. RESULTS: Average blood pressures obtained by the two devices were identical (125/77 mmHg) but limits of agreement were wide, -20 to +23 mmHg for systolic blood pressure and -9 to +15 mmHg for diastolic blood pressure. CONCLUSION: The Omron HEM 705CP is a useful device for measuring group average blood pressures in pregnant women suspected of having white coat hypertension but cannot reliably replace ABPM for clinical management of individual pregnant women.
M A Brown; L McHugh; G Mangos; G Davis
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  111     ISSN:  1470-0328     ISO Abbreviation:  BJOG     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-22     Completed Date:  2004-02-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  38-41     Citation Subset:  AIM; IM    
Departments of Renal Medicine and Women's and Children's Health, St George Hospital and University of New South Wales, Kogarah, Sydney, Australia.
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MeSH Terms
Blood Pressure / physiology
Blood Pressure Monitoring, Ambulatory / standards*
Circadian Rhythm
Hypertension / diagnosis*,  physiopathology
Pregnancy Complications, Cardiovascular / diagnosis*,  physiopathology
Prenatal Care / methods*,  standards
Prospective Studies
Self Care
Sensitivity and Specificity

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