Key result
Self-determined home blood pressure readings revealed that 30% of patients with borderline clinic hypertension were hypertensive at home, while only 28% were clearly normotensive.
Why the study?
Does self-determined home blood pressure monitoring identify true hypertension in patients with borderline clinic hypertension?
Observational (n=161)
Does self-determined home blood pressure monitoring identify true hypertension in patients with borderline clinic hypertension?
Home blood pressure monitoring is useful for identifying true hypertension in patients with borderline clinic readings, as clinic predictors are unreliable.
Home BP monitoring may clarify status in borderline clinic hypertension; leaves open its effect on management and outcomes.
Self-determined home blood pressure readings taken by 112 patients with borderline hypertension were compared to values of 49 normotensive controls. Thirty percent of patients with borderline hypertensive readings in the clinic were hypertensive at home; only 28% of patients were clearly normotensive. Clinic blood pressure levels, family history, body weight, and heart rate failed as predictors of which patients were likely to be hypertensive at home. Self-determined home blood pressures are suggested for identification of individual patients with borderline hypertension who require continuous and close observation. (JAMA229:663-666, 1974)
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Stevo Julius (1974) conducted an observational in Borderline hypertension (n=161). Self-determined home blood pressure readings vs. Normotensive controls was evaluated on Hypertension at home. Self-determined home blood pressure readings revealed that 30% of patients with borderline clinic hypertension were hypertensive at home, while only 28% were clearly normotensive.
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