Document Detail


Franz Volhard lecture: should doctors still measure blood pressure? The missing patients with masked hypertension.
MedLine Citation:
PMID:  19008701     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The traditional reliance on blood pressure (BP) measurement in the medical setting misses a significant number of individuals with masked hypertension, who have normal clinic BP but persistently high daytime BP when measured out of the office. We suggest that masked hypertension may be a precursor of clinically recognized sustained hypertension and is associated with increased cardiovascular risk compared with consistent normotension. We discuss factors that may contribute to clinic-daytime BP differences as well as the changing relationship between these two measures over time. Anxiety at the time of BP measurement and having been diagnosed as hypertensive appear to be two possible mechanisms. The identification of individuals with masked hypertension is of great clinical importance and requires out-of-office BP screening. Ambulatory BP monitoring is the best established technique for doing this, but home monitoring may be applicable in the future.
Authors:
Thomas G Pickering; William Gerin; Joseph E Schwartz; Tanya M Spruill; Karina W Davidson
Publication Detail:
Type:  Lectures; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of hypertension     Volume:  26     ISSN:  0263-6352     ISO Abbreviation:  J. Hypertens.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-14     Completed Date:  2009-02-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  2259-67     Citation Subset:  IM    
Affiliation:
College of Physicians and Surgeons, Columbia University Medical Center, New York, NY 10032, USA. tp2114@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure* / physiology
Blood Pressure Determination / methods
Blood Pressure Monitoring, Ambulatory
Cardiovascular Diseases / epidemiology
Humans
Hypertension / complications,  diagnosis*,  physiopathology
Physical Examination / methods*
Risk Factors
Grant Support
ID/Acronym/Agency:
HL47450/HL/NHLBI NIH HHS; HL76857/HL/NHLBI NIH HHS

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


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