How good are standardized blood pressure recordings for diagnosing hypertension? A comparison between office and ambulatory blood pressure

Enström, Inger; Thulin, Thomas; Lindholm, Lars

doi:10.1097/00004872-199106000-00012

Cited by 27 publications

(12 citation statements)

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“…Details of the studies included in the present systematic review are given in Tables 1 (OBP and ABP) 7,15,16,20–44 and 2 (OBP and HBP) 15–17,45–49 . The percentage of men, mean OBP, and mean awake ABP in each age group in the 27 selected studies 7,15,16,20–44 are shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

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Age and the difference between awake ambulatory blood pressure and office blood pressure

Ishikawa

Edmondson

et al. 2011

Blood Pressure Monitoring

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Background Ambulatory blood pressure (ABP) is a better predictor of adverse cardiovascular events than office BP (OBP). Due to the extensive literature on the “white coat effect”, it is widely believed that ABP tends to be lower than OBP, with statements to this effect in JNC VII. However, recent evidence suggests that the difference varies systematically with age. Methods We searched PubMed to identify population studies, published before April 2009, which assessed office BP and either ABP or home BP. Because of significant heterogeneity in the outcomes, random effects models were used for the meta-analyses. Results OBP increased with age more steeply than awake ABP. OBP became higher than awake systolic/diastolic ABP at the age of 51.3/42.7 years in men (13 studies, N=3562) and 51.9/42.3 years in women (11 studies, N=2585). In the data in which OBP and HBP were measured (8 studies, N=4916), OBP was higher than HBP at all ages. In the data in which OBP, awake ABP and HBP were all measured (2 studies, N=895), awake ABP was higher than HBP at younger ages, becoming similar at the older age. Conclusion OBP tends to be higher than awake ABP only after age 50 for systolic and age 45 for diastolic, but is lower than ABP at younger ages; in contrast OBP tends to exceed HBP at all ages.

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Section: Resultsmentioning

confidence: 99%

“…The percentage of men, mean OBP, and mean awake ABP in each age group in the 27 selected studies 7,15,16,20–44 are shown in Table 1. The methods of OBP and awake ABP measurements in the selected studies are shown in Supplemental Table 1 (S1).…”

Section: Resultsmentioning

confidence: 99%

Age and the difference between awake ambulatory blood pressure and office blood pressure

Ishikawa

Edmondson

et al. 2011

Blood Pressure Monitoring

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“…Twenty-five previously untreated male hypertensives, found in a BP screening project in a municipality in southern Sweden, 4 took part in a randomised cross-over study comparing 50 mg atenolol and 20 mg enalapril. 5 Their mean age was 52.1 (range 40-65) years.…”

Section: Methodsmentioning

confidence: 99%

“…The 25 age-matched male normotensives, who were found in the same screening project, 4 had a screening diastolic BP of Ͻ90 mm Hg. They performed ambulatory BP and exercise test once.…”

Section: Methodsmentioning

confidence: 99%

Difference in blood pressure, but not in heart rate, between measurements performed at a health centre and at a hospital by one and the same physician

Enström¹,

Pennert²,

Lindholm

2000

J Hum Hypertens

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Background: Blood pressure (BP) has been found to vary between examiners, for example it is often higher when measured by a physician than by a nurse. Whether the location for the physician-measured BP is also a source of variation has, however, not been studied. Hence, we found it of interest to find out if the location used for examination was of any significance. Objective: To explore if BP and/or heart rate measured in the same subjects by the same general practitioner in the health centre and at the hospital, differed. Method: Twenty-five hypertensive and 25 age-matched normotensive middle-aged men had their office BP and heart rate recorded by one and the same female general practitioner (IE) who was well known to them, at both the health centre before ambulatory BP equipment was attached to the subject and at the clinical physiological department before an exercise test. The hypertensive patients performed an exercise test and ambulatory BP was measured before and after being treated. Results: The hypertensive patients' office BP was lower at the health centre than at the hospital, both when they

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“…the normal blood pressure was below 139/87 mmHg for the whole 24-hour period, 146/91 mmHg for daytime and 127/79 mmHg for night-time. In a study comparing the 24-hour blood pressure profiles of normal subjects with those of borderline hypertensive subjects and hypertensive subjects, Enstrom et al 15 found that the three groups had clearly different average ambulatory blood pressures. One interesting finding was also that the hypertensive subjects had a more rapid increase in their blood pressure levels during the early morning hours.…”

Section: Reference Valuesmentioning

confidence: 99%

Ambulatory Blood Pressure Monitoring

Östergren¹,

Isaksson

1993

Vascular Medicine Review

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How good are standardized blood pressure recordings for diagnosing hypertension? A comparison between office and ambulatory blood pressure

Cited by 27 publications

References 0 publications

Age and the difference between awake ambulatory blood pressure and office blood pressure

Age and the difference between awake ambulatory blood pressure and office blood pressure

Difference in blood pressure, but not in heart rate, between measurements performed at a health centre and at a hospital by one and the same physician

Ambulatory Blood Pressure Monitoring

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