Document Detail

The prevalence of pseudohypertension in the elderly.
MedLine Citation:
PMID:  8872806     Owner:  NLM     Status:  MEDLINE    
Pseudohypertension (PHT) could lead to the initiation of unnecessary antihypertensive treatment and potentially adverse consequences. The Finapres is reported to be a reliable alternative to intra-arterial blood pressure (BP) measurements and is unlikely to be distorted by arterial calcification, suggested to be a cause of PHT. Finapres measurements were compared with sphygmomanometric measures of brachial BP. PHT was defined as a systolic pressure (brachial) > or = 190 mm Hg and finger systolic < 160 mm Hg or a diastolic pressure (brachial) > or = 100 mm Hg and finger pressure < 90 mm Hg. One hundred and twenty-five elderly in-patients and out-patients, both hypertensive and normotensive, had a 2.5% prevalence of PHT (1 had diastolic PHT in the left arm, 1 had systolic PHT in the right arm and 1 had systolic PHT in both arms). A group without PHT, but with higher systolic readings with the sphygmomanometer compared with the Finapres (> or = 30 mm Hg) was identified. It was thought that the same factors may affect both pseudohypertensive and non-pseudohypertensive subjects with such large differences. Our data suggest that age plays a role in the presence of higher brachial pressures.
M Anzal; A J Palmer; J Starr; C J Bulpitt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of human hypertension     Volume:  10     ISSN:  0950-9240     ISO Abbreviation:  J Hum Hypertens     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1997-01-09     Completed Date:  1997-01-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8811625     Medline TA:  J Hum Hypertens     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  409-11     Citation Subset:  IM    
Division of Geriatric Medicine, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.
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MeSH Terms
Age Factors
Aged, 80 and over
Hypertension / epidemiology*

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

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