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May 1, 2002Journal of Clinical HypertensionOpen Access

The Diagnosis of Hypertension

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Population

Patients being evaluated for hypertension

Comparison

A sequence of blood pressure measurements: erect… vs JNC VI recommendation or 24-hour ambulatory…

Design

Editorial

Authors

AGArthur G. Goldman

Discussion

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Implication

May offer a simpler clinic alternative to ambulatory monitoring; leaves open need for prospective validation before any practice change.

Structured PICO

P
Population
Patients being evaluated for hypertension
I
Intervention
A sequence of blood pressure measurements: erect immediately upon entering, supine immediately, supine after 3-5 minutes, and erect immediately after arising
C
Comparator
JNC VI recommendation (seated position after 5-10 minutes of rest) or 24-hour ambulatory blood pressure monitoring
O
Outcome
Approximation of ambulatory blood pressure and unmasking of postural hypotension to establish hypertension diagnosis and monitor treatment

A modified sequence of clinic blood pressure measurements including erect and supine positions may approximate ambulatory blood pressure and unmask postural hypotension, potentially avoiding the need for 24-hour ambulatory monitoring.

Cite This Study

Arthur G. Goldman (2002) studied this question.

synapsesocial.com/papers/6a905bee4aebf474cb341d23https://doi.org/10.1111/j.1524-6175.2002.00860.x

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. 1Sitting on the Evidence: What Is the Proper Patient Position for the Office Measurement of Blood Pressure?2005 · 3 citations
  2. 2The Role of Ambulatory Blood Pressure Monitoring in Clinical Practice1997 · 46 citations
  3. 3The diagnostic value of supine blood pressure in hypertension2016 · 20 citations
  4. 4IMPACT OF MEASUREMENT POSTURE ON CARDIOVASCULAR RISK PREDICTION: SEATED VS. SUPINE SYSTOLIC BLOOD PRESSURE2026
  5. 5Ambulatory Blood Pressure Monitoring (ABPM) as the reference standard for diagnosis of hypertension and assessment of vascular risk in adults2015 · 72 citations