Comparisons of home and daytime ambulatory blood pressure measurements

Abstract

BackgroundHome (HBPM) and ambulatory (ABPM) blood pressure measurements have their advantages and disadvantages in diagnosing and managing hypertension. We studied HBPMs and ABPMs in volunteers taking part in a survey.MethodsOf 366 respondents, 270 provided a total of 5997 triplicate HBPMs ( Part 1 ); 175 also provided data on ABPMs, of which the measurements obtained between 6 am and 10 pm were used in this study (Part 2 ).Results Part 1 , When all 5997 triplicate HPPMs were considered, 1st readings tended to be significantly higher than those of the 2nd and 3rd for both, systolic and diastolic pressures, but when the consideration was restricted to the very first triplicate of each of the 270 subjects, this was true only for systolic HBPM. Part 2 , The ABPMs tended to have a wider range than the corresponding HBPMs, and to be distributed towards higher values. Of the non-parametric indices of (ABPM - corresponding HBPM), (First Quartile, Median, Third Quartile and Maximim) all but the minima had positive values.ConclusionsIn triplicate HBPMs, the first measurement is usually but not always the highest. Increasing the number of triplicates provided by each subject increases the chance of discriminating between measurements in the triplicates. ABPMs tended to be higher than the corresponding HBPMs.

Pharmacoepidemiology and the Efficacy of Antihypertensive Treatment in Real-Life Practice of the Cardiology Referral Clinic

“…Mean HT duration was 11.56±0.26 years. Measured mean BP was higher at a doctors visit than a noted habitual BP level which can be explained by patient's psychophysiologic reaction to a medical center visit and considered a generally accepted phenomenon [16], however, this leaves open the possibility of underestimation of BP level by the patients in case of its irregular control. The results of the study showed that the majority of the patients had high and very high risk for hypertension-related cardiovascular complications (27.4 and 66.7%, respectively).…”

“…Средняя длительность АГ составила 11,56±0,26 лет. Среднее измеренное АД на приеме у врача оказалось выше обозначенных цифр привычного АД, что объяснимо психо-физиологической реакцией пациента на посещение лечебного учреждения, и является общепризнанным явлением [16], однако это не исключает возможности недооценки пациентами своего уровня АД в случае нерегулярного контроля. По результатам обследования установлено, что в абсолютном большинстве случаев у пациентов наблюдался высокий и очень высокий риск развития сердечно-сосудистых осложнений АГ (27,4% и 66,7%, соответственно).…”

A Critical Evaluation of the Clinical Evidence for Pomegranate Preparations in the Prevention and Treatment of Cardiovascular Diseases

“…For example, single measurements are insufficient to determine the effects of treatment on blood pressure because of its wide variability (Warren et al , ). Blood pressure measurements should use devices that store the measured values (in duplicate or triplicate) over an appreciable time (e.g., 1 week) so as to provide measures of central tendency and variability at baseline (Chrubasik‐Hausmann et al , ). This should be compared with measurements repeated over a similar time toward the end of treatment (Chrubasik et al , ). Second , outcome assessment should use up‐to‐date technology.…”

Effects of High Carbohydrate vs. High Protein Pre-exercise Feedings on Psychophysiological Responses to High Intensity Interval Exercise in Overweight Perimenopausal Women

“…At the last minute of each 4-min interval and 3-min recovery, an expired air gas sample, HR and RPE were measured. Prior, post and 1 h-post-exercise, resting blood pressure was measured by an electronic blood pressure monitor (Boso Medicus, Bosch + SoHn, Jungingen, Germany) after 10 min of supine rest (16). The average of 3 measurements was recorded.…”