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May 1, 1997Diabetic Medicine

An Assessment of Blood Pressure Measurement in a Diabetic Clinic Using Random-zero, Semi-automated, and 24-hour Monitoring

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Why the study?

Do different blood pressure measurement methods (RZS, Dinamap, ABPM) provide equivalent readings and control classification in diabetic patients with hypertension?

Population

40 outpatients with hypertension complicating diabetes mellitus (29 males, 11 females)

Comparison

Blood pressure measurement using three methods… vs Comparison between the three measurement methods

Design

RCT, randomized, observer-blinded

Authors

NSNigel SturrockNottingham University Hospitals NHS TrustNPNicholas PoundBrunel University of LondonGPG.M. PeckHoly Spirit Hospital

Discussion

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Implication

Equivalence supports interchangeable BP methods for control assessment in diabetic hypertension; confirms agreement while leaving non-dipper implications open.

Structured PICO

Do different blood pressure measurement methods (RZS, Dinamap, ABPM) provide equivalent readings and control classification in diabetic patients with hypertension?

P
Population
40 outpatients with hypertension complicating diabetes mellitus (29 males, 11 females)
I
Intervention
Blood pressure measurement using three methods: Hawksley random zero sphygmomanometer (RZS), semi-automated Dinamap monitor, and 24-h ambulatory blood pressure monitoring (ABPM)
C
Comparator
Comparison between the three measurement methods
O
Outcome
Agreement of blood pressure readings and classification of blood pressure controlsurrogate

Random zero sphygmomanometry, semi-automated monitoring, and daytime ABPM provide equivalent blood pressure control classification in diabetic hypertensive patients, while ABPM additionally identifies a high prevalence of non-dippers associated with worse renal function.

Cite This Study

Sturrock et al. (1997) studied this question.

synapsesocial.com/papers/6a897a296fc170cbc2fba666https://doi.org/10.1002/(sici)1096-9136(199705)14:5<370::aid-dia363>3.0.co;2-j
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Also Consider

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

  1. 1NIGHTTIME BLOOD PRESSURE ASSESSED USING HOME MONITORING IN HYPERTENSIVE PATIENTS WITH TYPE 2 DIABETES/PREDIABETES: ASSOCIATION AND AGREEMENT WITH AMBULATORY MONITORING2024
  2. 2Ambulatory Blood Pressure Measurement in Type 2 Diabetic Patients: Methodological Aspects1991 · 21 citations
  3. 3Assessment of blood pressure in patients with Type 2 diabetes: comparison between home blood pressure monitoring, clinic blood pressure measurement and 24‐h ambulatory blood pressure monitoring2001 · 49 citations
  4. 4Value of ambulatory blood pressure measurement in diagnosing hypotension in hypertensive diabetic patients with medication-controlled BP2020 · 4 citations
  5. 5Utility of ambulatory blood pressure monitoring in detection of masked hypertension and risk of hypertension mediated organ damage in normotensive patients with type 2 diabetes mellitus2022 · 14 citations