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Blood pressure is an inherently variable phenomenon. In addition to this the level rises in the clinical setting; a response which is extremely variable. Problems therefore arise in the diagnosis and treatment of hypertension. Studies have shown that blood pressure can reliably be measured at home either with a stationary or ambulatory apparatus. The readings which are reproducible are generally lower than those obtained in the clinic. Ambulatory recordings are a more reliable guide to prognosis and to the response to hypotensive agents. Home recordings should therefore be more widely used in diagnosis and treatment of the disorder.
James Conway (Wed,) studied this question.