Improved office blood pressure control by automatic delayed-reading oscillometric device
Copyright © 2021 SEH-LELHA. Publicado por Elsevier España, S.L.U. All rights reserved..
INTRODUCTION: Office blood pressure (BP) measurement is a recommended procedure, although the out-of-office BP measurements are increasingly used.
OBJECTIVE: To know the degree of BP control by clinical measurement.
MATERIAL AND METHODS: During November 2019 demographic and clinical data, office attended systolic BP (SBP) and diastolic BP (DBP) measured with an automatic device with delayed reading and, if performed, data from ambulatory BP monitoring (ABPM) were collected.
RESULTS: 102 patients (67 men) were included, with a mean age of 64.9 years, 30% diabetic and 34% with cardiovascular complications. 70% had a controlled hypertesion (<140/90 mmHg) by office BP, the mean SBP was 131 ± 16.5 mmHg and the DBP was 73 ± 9.5 mmHg. Old age and diabetes were associated with uncontrolled hypertension. Thirty three patients had ABPM data, which allowed them to be classified according to the 24-hour BP into: 30% true normotension, 9% white-coat hypertension, 15% sustained hypertension, and 45% masked hypertension.
CONCLUSION: The use of automatic devices reduces the white-coat phenomenon, improving the % of patients with office BP controlled. However, this is not confirmed outside the clinic, showing the importance of ABPM in the evaluation of hypertension control. Office BP measurement is useful in patients initial assessment and also provides educational aspects, although the methodology must be optimized to define its clinical role.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:38 |
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| Enthalten in: |
Hipertension y riesgo vascular - 38(2021), 3 vom: 07. Juli, Seite 119-124 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Mejoría del control de la hipertensión en la consulta con el uso de un dispositivo oscilométrico automático de lectura diferida |
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| Beteiligte Personen: |
Coll-Brito, V [VerfasserIn] |
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| Links: |
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| Themen: |
Cardiovascular risk |
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| Anmerkungen: |
Date Completed 19.01.2022 Date Revised 19.01.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.hipert.2021.03.002 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM324466781 |
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| 245 | 1 | 0 | |a Improved office blood pressure control by automatic delayed-reading oscillometric device |
| 246 | 3 | 3 | |a Mejoría del control de la hipertensión en la consulta con el uso de un dispositivo oscilométrico automático de lectura diferida |
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| 500 | |a Date Completed 19.01.2022 | ||
| 500 | |a Date Revised 19.01.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 SEH-LELHA. Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a INTRODUCTION: Office blood pressure (BP) measurement is a recommended procedure, although the out-of-office BP measurements are increasingly used | ||
| 520 | |a OBJECTIVE: To know the degree of BP control by clinical measurement | ||
| 520 | |a MATERIAL AND METHODS: During November 2019 demographic and clinical data, office attended systolic BP (SBP) and diastolic BP (DBP) measured with an automatic device with delayed reading and, if performed, data from ambulatory BP monitoring (ABPM) were collected | ||
| 520 | |a RESULTS: 102 patients (67 men) were included, with a mean age of 64.9 years, 30% diabetic and 34% with cardiovascular complications. 70% had a controlled hypertesion (<140/90 mmHg) by office BP, the mean SBP was 131 ± 16.5 mmHg and the DBP was 73 ± 9.5 mmHg. Old age and diabetes were associated with uncontrolled hypertension. Thirty three patients had ABPM data, which allowed them to be classified according to the 24-hour BP into: 30% true normotension, 9% white-coat hypertension, 15% sustained hypertension, and 45% masked hypertension | ||
| 520 | |a CONCLUSION: The use of automatic devices reduces the white-coat phenomenon, improving the % of patients with office BP controlled. However, this is not confirmed outside the clinic, showing the importance of ABPM in the evaluation of hypertension control. Office BP measurement is useful in patients initial assessment and also provides educational aspects, although the methodology must be optimized to define its clinical role | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cardiovascular risk | |
| 650 | 4 | |a Clinical blood pressure | |
| 650 | 4 | |a Control de hipertensión | |
| 650 | 4 | |a Hypertension control | |
| 650 | 4 | |a Presión arterial clínica | |
| 650 | 4 | |a Riesgo cardiovascular | |
| 700 | 1 | |a Calero, F |e verfasserin |4 aut | |
| 700 | 1 | |a Arias, P |e verfasserin |4 aut | |
| 700 | 1 | |a Ayasreh, N |e verfasserin |4 aut | |
| 700 | 1 | |a Ochoa, J |e verfasserin |4 aut | |
| 700 | 1 | |a Ramos, A |e verfasserin |4 aut | |
| 700 | 1 | |a Guirado, Ll |e verfasserin |4 aut | |
| 700 | 1 | |a Fernández-Llama, P |e verfasserin |4 aut | |
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