Document Detail


Evaluation of self-measured home vs. clinic intra-arterial blood pressure.
MedLine Citation:
PMID:  8193727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Home blood pressure (BP) monitoring is useful in the clinical management of patients with hypertension and the identification of those with "white-coat" hypertension; i.e. high readings in the clinic but normal BP at home. In the process of evaluating this technique, we compared self-measured home BP with intra-arterial BP. Healthy white men (n = 40) of 20-40 years of age and body weight below 95 kg were recruited by advertising in the local newspaper. Following a standardized procedure, performed within 2-4 weeks of a response to the advertisement, BP was measured by a physician at a clinic screening, by the subject at home (14 readings in 7 days) and finally in the clinic concomitantly intra-arterially and oscillometrically. The correlation coefficient for mean (M) home BP (r = 0.73) and oscillometric BP (r = 0.74) against intra-arterial BP were slightly higher than for screening BP (r = 0.65). However, in plots of the differences for individual MBP between the methods against the average of the methods, it appears that at levels of average MBP above 100 mmHg, screening BP overestimates the BP level, while this was not the case for home BP or oscillometric BP. Thus, by using intra-arterial measurement as standard of comparison, subject self-measured home BP is a reliable method of estimating blood pressure level in young men. Home BP measured shortly after screening and recruitment provides useful information of resting BP in subjects who potentially may have initial anxiety about BP measurement.
Authors:
S E Kjeldsen; A Moan; J Petrin; A B Weder; A J Zweifler; S Julius
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Blood pressure     Volume:  2     ISSN:  0803-7051     ISO Abbreviation:  Blood Press.     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1994-06-30     Completed Date:  1994-06-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  28-34     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Ullevaal University Hospital, Oslo, Norway.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure Determination / methods*
Evaluation Studies as Topic
Humans
Hypertension / physiopathology*
Male
Monitoring, Physiologic / methods
Self Care
Grant Support
ID/Acronym/Agency:
HL-37464/HL/NHLBI NIH HHS; P 560-DK 20572-12/DK/NIDDK NIH HHS

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


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