| Hypertensive complications and home blood pressure: comparison with blood pressure measured in the doctor's office. | |
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MedLine Citation:
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PMID: 2969039 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We have compared hypertensive target organ damage with home blood pressure readings (HBPs) and with office blood pressure readings (OBPs) in 100 patients with mild to moderate essential hypertension. The correlation between blood pressure levels and hypertensive target organ damage in HBPs and OBPs were similar (r = .42, p less than 0.001 for systolic HBPs; r = .33, p less than 0.001 for diastolic HBPs; r = .42, p less than 0.001 for systolic OBPs; r = .34, p less than 0.001 for diastolic OBPs). In most instances, HBPs were lower than corresponding OBPs. Among individual patients whose OBPs were identical, HBPs in some instances differed strikingly. Optic fundi abnormalities were significantly more severe in patients whose systolic HBPs were 150 mmHg or greater, than in those whose systolic HBPs were less than 150 mmHg (p less than 0.05). Hypertensive complications did not differ among office hypertensive patients who were normotensive or borderline hypertensive at home, from the differences of OBPs. We concluded that overall hypertensive complications were equally related to HBPs and OBPs, but patients with discrepancies between HBPs and OBPs had fewer hypertensive complications. Thus, both OBPs and HBPs should be considered in deciding therapy. |
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Authors:
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H Abe; M Yokouchi; F Saitoh; F Deguchi; G Kimura; S Kojima; H Yoshimi; K Ito; M Kuramochi; M Ikeda |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of clinical hypertension Volume: 3 ISSN: 0748-450X ISO Abbreviation: J Clin Hypertens Publication Date: 1987 Dec |
Date Detail:
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Created Date: 1988-08-22 Completed Date: 1988-08-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8510461 Medline TA: J Clin Hypertens Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 661-9 Citation Subset: IM |
Affiliation:
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Division of Hypertension, National Cardiovascular Center, Osaka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Blood Pressure Blood Pressure Determination / methods* Cardiomegaly / etiology Electrocardiography Female Humans Hypertension / complications* Kidney Function Tests Male Middle Aged Papilledema / etiology Risk Factors Social Environment* |
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