Key result
Automated office blood pressure measurement yielded a significantly lower prevalence of systolic white-coat hypertension compared to routine manual blood pressure (7.3% vs 22.1%, P=0.005).
Why the study?
Does automated office blood pressure (AOBP) measurement accurately diagnose hypertension and reduce white-coat hypertension misdiagnosis compared to routine manual BP and 24-h ABPM in untreated patients?
Population
254 untreated patients referred by physicians in the community for 24-h ambulatory blood pressure monitoring
Comparison
Automated office blood pressure measurement… vs Routine manual BP taken at the patient's own…
Design
Cross-sectional
Authors
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AOBP may reduce white-coat hypertension misdiagnosis versus manual BP; supports but leaves open prospective validation against ABPM.
Cross-Sectional (n=254)
Does automated office blood pressure (AOBP) measurement accurately diagnose hypertension and reduce white-coat hypertension misdiagnosis compared to routine manual BP and 24-h ABPM in untreated patients?
Absolute Event Rate: 7.3% vs 22.1%
p-value: p=0.005
Automated office blood pressure measurement provides readings similar to awake ambulatory blood pressure and significantly reduces the misdiagnosis of white-coat hypertension compared to routine manual office blood pressure.
Martin G. Myers (2010) conducted a cross-sectional in Hypertension (n=254). Automated office blood pressure (AOBP) measurement vs. Routine manual blood pressure measurement was evaluated on Prevalence of systolic white-coat hypertension (p=0.005). Automated office blood pressure measurement yielded a significantly lower prevalence of systolic white-coat hypertension compared to routine manual blood pressure (7.3% vs 22.1%, P=0.005).
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