Document Detail


Clinical use of ambulatory blood pressure monitoring. A review of value in patient care.
MedLine Citation:
PMID:  7620599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the value of ambulatory blood pressure monitoring in routine clinical use. DESIGN: We retrospectively reviewed 350 determinations made over a 4-year period. SETTING AND PATIENTS: A practice-based sample of patients attending the Hypertension Outpatient Clinic. RESULTS: Successful records were obtained in 346 of these procedures and night/sleep recordings were accomplished in 320. Monitor readings compared satisfactorily with auscultatory determinations. Declines in systolic and diastolic blood pressure during night/sleep of 8.2% and 13.2%, respectively, and a fall in the heart rate of 12.0% were noted; these declines were significantly lesser in patients with diabetes. Age, gender, therapy, and 24-hour average blood pressures, however, had minimal relationship to the night/sleep declines in blood pressure and heart rate. CONCLUSIONS: Twenty-four-hour blood pressure monitoring is acceptable to patients. Night/sleep declines in blood pressure are blunted in diabetics.
Authors:
A P Shapiro; J K Karschner; D J Glunk; B M Barnhill
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of family medicine     Volume:  4     ISSN:  1063-3987     ISO Abbreviation:  Arch Fam Med     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-08-30     Completed Date:  1995-08-30     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9300357     Medline TA:  Arch Fam Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  691-6     Citation Subset:  IM    
Affiliation:
Department of Medicine, Shadyside Hospital, Pittsburgh, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care Facilities
Blood Pressure / physiology
Blood Pressure Monitoring, Ambulatory / utilization*
Circadian Rhythm / physiology
Heart Rate / physiology
Humans
Pennsylvania / epidemiology
Retrospective Studies
Grant Support
ID/Acronym/Agency:
40962//PHS HHS

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


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