Document Detail


Direct comparison of repeated same-day self and ambulatory blood pressure monitoring.
MedLine Citation:
PMID:  15877675     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM: The relative roles of self and ambulatory blood pressure monitoring (self BPM, ABPM, respectively) have yet to be clearly defined despite accumulating evidence of self BPM benefits, particularly in hypertension management. In particular, measurements comparable to ABPM have been documented with self-measurement, usually twice daily over one or more days. Nevertheless, ABPM offers a series of recordings performed throughout the day that can be invaluable during drug treatment. Consequently, this study evaluated 18 normotensive and 79 hypertensive patients, including 21 not taking hypotensive agents, and measured their blood pressure at least every 2 h while they were also undergoing ABPM. METHODS AND RESULTS: Self-measurement was performed between five and 12 times during the day with 77% of subjects preferring self BPM rather than daytime ABPM. When compared with the closest ABP measurement, mean systolic and diastolic pressures were not significantly different throughout the day in both normotensive and hypertensive patients. However, a comparison of a series of ABPM hourly averages (three readings performed closest to the respective self BPM reading) throughout the day in all hypertensive subjects found ABPM readings to be slightly but significantly lower (3.3 systolic, 2.2 mmHg diastolic; P < 0.05). CONCLUSION: It is concluded that multiple self-measurements throughout the day provides comparable information to daytime ABPM, is preferred by most patients, and should be a cost-effective alternative in the diagnosis and management of hypertension.
Authors:
Shane Carney; Alastair Gillies; Leanne Garvey; Anthony Smith
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Nephrology (Carlton, Vic.)     Volume:  10     ISSN:  1320-5358     ISO Abbreviation:  Nephrology (Carlton)     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-05-09     Completed Date:  2005-08-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9615568     Medline TA:  Nephrology (Carlton)     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  151-6     Citation Subset:  IM    
Affiliation:
School of Medical Practice and Population Health, Faculty of Health, The University of Newcastle, Callaghan, Newcastle, New South Wales, Australia. scarney@mail.newcastle.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Antihypertensive Agents / therapeutic use
Blood Pressure
Blood Pressure Monitoring, Ambulatory / economics,  methods*
Circadian Rhythm
Cost-Benefit Analysis
Female
Humans
Hypertension, Renal / diagnosis*,  drug therapy
Male
Middle Aged
Self Care*
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

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


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