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Updated: Jul 18, 2026

Quantitative Autonomic Testing
Published on: July 19, 2011
Elevated blood pressure in men accompanying patients to the obstetrician's office
D R Martin1, S Ventrapragada, T Behrend
1Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Insights
Many men have undiagnosed high blood pressure (hypertension). Obstetrician offices can be a key site for initial screening, identifying elevated blood pressure in partners of pregnant women.
Area of Science:
- Cardiovascular Health
- Public Health
- Men's Health
Background:
- Hypertension is a prevalent condition linked to increased adult mortality.
- A significant portion of hypertensive individuals in the U.S. remain undiagnosed.
Purpose of the Study:
- To investigate the prevalence of unrecognized elevated blood pressure (BP) in men accompanying pregnant women.
- To assess the utility of obstetrician offices as a screening venue for male hypertension.
Main Methods:
- Blood pressure measurements were offered to men accompanying pregnant women at four obstetrics practices.
- Data collected included age, race, hypertension history, and relationship to the pregnant woman.
- 191 men participated, with ages ranging from 15 to 69 years.
Main Results:
- Elevated BP ( > 140/90 mm Hg) was identified in 40 participants (21%).
- Of those with elevated BP, only 5% reported a prior diagnosis of hypertension.
- The mean age of participants was 27 years.
Conclusions:
- Obstetrician offices present a valuable opportunity for initial hypertension screening in men.
- Further follow-up is essential to confirm the diagnostic accuracy of this screening approach.
- Targeted screening in non-traditional settings can improve hypertension detection rates.
Abstract:
Hypertension is common and leads to increased mortality among adults; yet, one-third of hypertensive adults in the United States are unaware of their condition. The purpose of this study was to determine the frequency of unrecognized elevated blood pressure (BP) in men accompanying pregnant women to the obstetrician's office. Blood pressure measurements were offered to men accompanying pregnant women to four obstetrics practices in St. Louis, Missouri. Age, race, history of hypertension, and relationship to the pregnant woman were also recorded. A total of 191 men participated in the study. Participants' ages ranged from 15 to 69 years, with a mean of 27 years. Elevated BP (> 140/90 mm Hg) was detected in 40 men (21%). Only 5% of men with an elevated BP were aware of a prior history of elevated BP. We conclude that the obstetrician's office provides a good opportunity for initial screening for hypertension in men. Follow-up is necessary to determine the accuracy of the diagnosis.
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Prepare for the Procedure:
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Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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