Isolated Systolic Hypertension: Does It Really Exist on Ambulatory Blood Pressure Monitoring?
Why the study?
Does 24 h ambulatory blood pressure monitoring confirm the diagnosis of isolated systolic hypertension made by casual office blood pressure measurement in elderly subjects?
Population
Elderly subjects with isolated systolic hypertension, diastolic hypertension, and normotension as defined by…
Comparison
24 h ambulatory blood pressure monitoring using… vs Casual office blood pressure measurement
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
Office-measured isolated systolic hypertension often fails to match ambulatory patterns; leaves open whether routine ambulatory monitoring should guide elderly hypertension management.
Structured PICO
Does 24 h ambulatory blood pressure monitoring confirm the diagnosis of isolated systolic hypertension made by casual office blood pressure measurement in elderly subjects?
P
Population
Elderly subjects with isolated systolic hypertension, diastolic hypertension, and normotension as defined by casual office blood pressure measurement
I
Intervention
24 h ambulatory blood pressure monitoring using an Accutracker II
C
Comparator
Casual office blood pressure measurement
O
Outcome
Consistency of blood pressure diagnosis between ambulatory monitoring and casual office measurementsurrogate
Isolated systolic hypertension diagnosed by office measurement may often be an isolated response rather than a sustained condition when assessed by 24-hour ambulatory monitoring.
Cite This Study
Silagy et al. (1990) studied this question.