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August 3, 2012Journal of Clinical HypertensionOpen Access

Discrepancy Between Tonometric Ambulatory and Cuff‐Based Office Blood Pressure Measurements in Patients With Type 1 Diabetes

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Why the study?

Does tonometric ambulatory blood pressure measurement compared to cuff-based office blood pressure measurement reveal discrepancies in diagnosing hypertension in patients with type 1 diabetes?

Population

569 patients with type 1 diabetes, mean age 55 ± 13 years, 55% male, mean diabetes duration 33 ± 16 years.

Comparison

Ambulatory blood pressure measurement by tonometry vs Office blood pressure measurement by…

Design

Cross-sectional

Authors

STSimone TheiladeUniversity of CopenhagenMLMaria LajerBoehringer Ingelheim (Denmark)CJChristel JoergensenUniversity of Cambridge

Discussion

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Implication

Discrepancies advise caution against sole reliance on office readings for hypertension diagnosis in type 1 diabetes; leaves open which method better predicts outcomes.

Structured PICO

Does tonometric ambulatory blood pressure measurement compared to cuff-based office blood pressure measurement reveal discrepancies in diagnosing hypertension in patients with type 1 diabetes?

P
Population
569 patients with type 1 diabetes, mean age 55 ± 13 years, 55% male, mean diabetes duration 33 ± 16 years.
I
Intervention
Ambulatory blood pressure (ABP) measurement by tonometry
C
Comparator
Office blood pressure (OBP) measurement by sphygmomanometry
O
Outcome
Disagreement in diagnosing hypertension (BP ≥ 130/80 mm Hg) between ABP and OBPsurrogate

Tonometric ambulatory blood pressure and cuff-based office blood pressure disagree in diagnosing hypertension in over 30% of patients with type 1 diabetes, highlighting the importance of ambulatory monitoring.

Cite This Study

Theilade et al. (2012) studied this question.

synapsesocial.com/papers/6a70469e2163a0a01bc47eb6https://doi.org/10.1111/j.1751-7176.2012.00689.x

Topics

Hypertension management
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