Self-measured home blood pressure in predicting ambulatory hypertension
Why the study?
Does a specific self-measured home blood pressure threshold accurately predict ambulatory hypertension in patients with borderline office hypertension?
Population
48 patients with stage 1 and borderline hypertension, free of antihypertensive drug therapy for at least 4…
Comparison
7 days of standardized self-blood pressure… vs Office blood pressure and ambulatory blood…
Design
Cross-sectional
Follow-up
7 days
Authors
Discussion
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Member takes
Implication
May support home BP monitoring to detect ambulatory hypertension in borderline cases; leaves open prospective validation.
Structured PICO
Does a specific self-measured home blood pressure threshold accurately predict ambulatory hypertension in patients with borderline office hypertension?
P
Population
48 patients with stage 1 and borderline hypertension (at least two elevated office BP readings), free of antihypertensive drug therapy for at least 4 weeks
I
Intervention
7 days of standardized self-blood pressure measurements at home
C
Comparator
Office blood pressure and ambulatory blood pressure
O
Outcome
Threshold for home blood pressure that captures 80% of ambulatory hypertensives (awake BP ≥135/85 mm Hg)surrogate
A lower self-monitored home blood pressure threshold of 125/76 mm Hg may be necessary to effectively exclude ambulatory hypertension in patients with borderline office hypertension.
Limitations
- preliminary data
Cite This Study
MANSOOR et al. (2004) studied this question.