| The occurrence of the alerting response is independent of the method of blood pressure measurement in hypertensive patients. | |
| | |
MedLine Citation:
|
PMID: 17106316 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Current guidelines stress the need for more than one measurement of blood pressure in the hypertensive patient. The frequency with which the first blood pressure significantly exceeds subsequent blood pressures (alerting response) is unknown. Participants in a hypertension treatment trial before initiation of therapy were included in post-hoc analyses to investigate the alerting response separately for trained nurse blood pressure measurements with mercury sphygmomanometer and measurements taken by an Omron 705 CP automated device. BASIC METHODS: A total of 313 participants were included. Each participant had three nurse blood pressure readings before a 24-h automated blood pressure monitoring device was attached, and three Omron measurements at the time the automated blood pressure monitoring device was removed. Alerting response was defined separately for systolic and diastolic measures as a decrease of > or =8 or > or =6 mmHg, respectively, from first measure to the average of the second and third measures. MAIN RESULTS: An alerting response was observed in 20.4% of nurse-performed blood pressure measurements and 28.4% of Omron measurements. A large range of variation between first blood pressure and average second and third measures was observed, with changes of up to 30 mmHg systolic and 20 mmHg diastolic. The only demographic factor associated with the alerting response was body mass index, with obese patients more likely to exhibit an alerting response (P=0.004) in nurse-measured blood pressure. CONCLUSIONS: We found the alerting response with both methods of blood pressure measurement; however, it was not consistently observed in the same individuals. This confirms that hypertensive patients require multiple blood pressure measurements. |
| | |
Authors:
|
Brandon R Grossardt; John W Graves; Rachel E Gullerud; Kent R Bailey; Jeffrey Feldstein |
Related Documents
:
|
1466486 - Automated blood pressure determination during exercise test. clinical evaluation of a n... 3452746 - A new device for continuous ambulatory central venous pressure measurement. 18202556 - Comparison of occlusion rates by flushing solutions for peripherally inserted central c... 18422796 - Mock circulatory system for the evaluation of left ventricular assist devices, endolumi... 19824606 - Comparison of operative times between pressure and flow-control pump versus pressure-co... 11476916 - Management of patients with severe lung injury: first, do no harm. |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Blood pressure monitoring Volume: 11 ISSN: 1359-5237 ISO Abbreviation: Blood Press Monit Publication Date: 2006 Dec |
Date Detail:
|
Created Date: 2006-11-19 Completed Date: 2007-02-21 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9606438 Medline TA: Blood Press Monit Country: England |
Other Details:
|
Languages: eng Pagination: 321-7 Citation Subset: IM |
Affiliation:
|
Division of Biostatistics, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Blood Pressure Determination* / instrumentation Blood Pressure Monitors Body Mass Index Female Humans Hypertension / physiopathology*, therapy Male Middle Aged Monitoring, Physiologic* / methods Nurse Clinicians Obesity / physiopathology*, therapy Reproducibility of Results |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Different effects of ambulatory blood pressure monitoring on subjective and objective sleep quality.
Next Document: Association of clinic and ambulatory blood pressure with vascular damage in the elderly: the EPICARD...