Document Detail

Hypertensive complications and home blood pressure: comparison with blood pressure measured in the doctor's office.
MedLine Citation:
PMID:  2969039     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of clinical hypertension     Volume:  3     ISSN:  0748-450X     ISO Abbreviation:  J Clin Hypertens     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-08-22     Completed Date:  1988-08-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8510461     Medline TA:  J Clin Hypertens     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  661-9     Citation Subset:  IM    
Division of Hypertension, National Cardiovascular Center, Osaka, Japan.
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MeSH Terms
Blood Pressure
Blood Pressure Determination / methods*
Cardiomegaly / etiology
Hypertension / complications*
Kidney Function Tests
Middle Aged
Papilledema / etiology
Risk Factors
Social Environment*

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