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March 1, 1986Journal of Cardiovascular Pharmacology

Unpredictability of Blood Pressures Recorded Outside the Clinic in the Treated Hypertensive Patient

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Why the study?

Does ambulatory blood pressure monitoring yield different blood pressure readings compared to clinic measurements in treated hypertensive patients?

Population

38 chronically treated hypertensive patients with clinic blood pressures >140 mm Hg systolic and >89 mm Hg…

Comparison

Ambulatory blood pressure monitoring using the… vs Clinic blood pressure measurements by a…

Design

Cross-sectional

Authors

MPM PorchetUniversity Hospital of LausanneJBJ. P. BussienMerck & Co., Inc., Rahway, NJ, USA (United States)BWBernard WaeberPreventive Cardiology

Discussion

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Implication

ABPM may avoid overtreatment based on clinic readings in hypertension; leaves open its effect on cardiovascular outcomes.

Structured PICO

Does ambulatory blood pressure monitoring yield different blood pressure readings compared to clinic measurements in treated hypertensive patients?

P
Population
38 chronically treated hypertensive patients with clinic blood pressures >140 mm Hg systolic and >89 mm Hg diastolic
I
Intervention
Ambulatory blood pressure monitoring using the Remler M2000 portable semiautomatic recorder
C
Comparator
Clinic blood pressure measurements by a physician or a nurse
O
Outcome
Difference between ambulatory and clinic blood pressure readingssurrogate

Ambulatory blood pressure monitoring reveals significantly lower readings than clinic measurements in treated hypertensive patients, highlighting its utility in assessing antihypertensive efficacy and avoiding unnecessary treatment changes.

Cite This Study

Porchet et al. (1986) studied this question.

synapsesocial.com/papers/6a8bcb20d5d4290f64f486c2https://doi.org/10.1097/00005344-198603000-00016

Topics

Hypertension management
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