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April 1, 1981Annals of Internal Medicine

Do Borderline Hypertensive Patients Have Labile Blood Pressure?

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Why the study?

Do borderline hypertensive patients have more labile blood pressure than normotensive or fixed hypertensive patients?

Population

63 patients, comprising 21 normotensive, 21 borderline hypertensive, and 21 fixed hypertensive patients.

Comparison

24-hour ambulatory blood pressure monitoring… vs Comparison between normotensive, borderline…

Design

Cross-sectional

Follow-up

24 hours

Authors

MHMichael J. HoranUniversity of Notre Dame

Discussion

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Implication

Similar BP variability across groups; leaves open whether repeated measurements improve diagnostic accuracy in borderline hypertension.

Structured PICO

Do borderline hypertensive patients have more labile blood pressure than normotensive or fixed hypertensive patients?

P
Population
63 patients, comprising 21 normotensive, 21 borderline hypertensive (office blood pressures fluctuating about 140/90 mm Hg), and 21 fixed hypertensive patients.
I
Intervention
24-hour ambulatory blood pressure monitoring using noninvasive automatic recorders every 7.5 to 15 minutes.
C
Comparator
Comparison between normotensive, borderline hypertensive, and fixed hypertensive groups.
O
Outcome
24-hour patterns of ambulatory blood pressure, including mean blood pressure, standard deviation (lability), and percentage of elevated blood pressures.surrogate

Borderline hypertensive patients do not have more labile blood pressure than normotensive or fixed hypertensive patients, but their broad range of elevated BP percentages necessitates multiple measurements for accurate evaluation.

Cite This Study

Michael J. Horan (1981) studied this question.

synapsesocial.com/papers/6a880c97580ea41f01582e91https://doi.org/10.7326/0003-4819-94-4-466

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Home blood pressure determination. Value in borderline ("labile") hypertension1974 · 134 citations
  2. 2Labile hypertension: a faulty concept? The Framingham study.1980 · 109 citations
  3. 3Home Blood Pressure Determination1974 · 127 citations
  4. 4TRANSIENT HYPERTENSION1944 · 153 citations
  5. 5Blood Pressure and Risk of Coronary Heart Disease: The Framingham Study1969 · 312 citations