Document Detail


Blood pressure rising: differences between current clinical and recommended measurement techniques.
MedLine Citation:
PMID:  22015319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Strict observation to recommended blood pressure (BP) measurement technique is often not followed in outpatient clinics. The goal of this study was to determine if there was a significant difference in readings obtained using typical clinic procedures versus when following recommended guidelines. One hundred and fifty patients with initial BP readings obtained through usual care above normal per the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (systolic ≥120 mm Hg and/or diastolic ≥80 mm Hg) were included in this prospective cohort study. After obtaining informed consent, BP was reassessed following the American Heart Association guidelines and compared with readings obtained through usual care. BP readings obtained using the recommended technique were significantly lower than usual care (-12.4 mm Hg systolic and -6.0 mm Hg diastolic; P < .0001, respectively). Similar differences existed for those with a preexisting diagnosis of hypertension, those without a preexisting diagnosis, nonelderly (ie, <65 years), and elderly (≥65 years). In patients with a preexisting diagnosis of hypertension (n = 92/150), patients were twice as likely to be considered at goal when following recommended technique (26% vs. 54%; P = .0002). Significant differences exist when BP readings are obtained using recommended technique. Failure to follow guidelines for measurement may have significant clinical implications on treatment decisions.
Authors:
Steven E Burgess; Eric J MacLaughlin; Paul A Smith; Armando Salcido; Timothy J Benton
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Publication Detail:
Type:  Journal Article     Date:  2011-10-20
Journal Detail:
Title:  Journal of the American Society of Hypertension : JASH     Volume:  5     ISSN:  1933-1711     ISO Abbreviation:  J Am Soc Hypertens     Publication Date:    2011 Nov-Dec
Date Detail:
Created Date:  2011-11-17     Completed Date:  2012-02-07     Revised Date:  2012-04-23    
Medline Journal Info:
Nlm Unique ID:  101312518     Medline TA:  J Am Soc Hypertens     Country:  United States    
Other Details:
Languages:  eng     Pagination:  484-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Society of Hypertension. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Family Medicine, Texas Tech University Health Science Center School of Medicine, Amarillo, TX, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Pressure Determination / methods,  standards*
Blood Pressure Monitors
Equipment Design
Female
Humans
Male
Middle Aged
Practice Guidelines as Topic
Prospective Studies
Reproducibility of Results
Comments/Corrections
Comment In:
J Am Soc Hypertens. 2012 Mar;6(2):159   [PMID:  22305997 ]

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


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