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[Evaluation of blood pressure control by repeated ambulatory automatic blood pressure measurements]

F Silhol1, R Gassend, K Bouchlaghem

  • 1CHU Timone, bd Jean-Moulin, 13385 Marseille.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|September 29, 2001
PubMed

Insights

Automatic blood pressure devices (ABPD) underestimate hypertension control compared to ambulatory blood pressure monitoring (ABPM). ABPM offers a more accurate assessment for optimal blood pressure management.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Medical Device Evaluation

Context:

  • Essential hypertension (HTA) affects a significant patient population.
  • Accurate blood pressure monitoring is crucial for effective HTA management.
  • Current clinical practices may rely on devices with varying accuracy.

Purpose:

  • To compare the accuracy of automatic blood pressure devices (ABPD) versus ambulatory blood pressure monitoring (ABPM) in evaluating blood pressure control.
  • To determine the percentage of patients with optimal hypertension control using each method.
  • To assess the clinical implications of using ABPD versus ABPM for hypertension assessment.

Summary:

  • A study involving 41 patients with essential hypertension compared blood pressure readings from two physicians using an ABPD and a 24-hour ABPM.
  • ABPD readings showed significantly lower rates of optimal blood pressure control (27%) compared to ABPM (51%).
  • Mean blood pressure readings were higher with ABPD (151/81 mmHg, 149/85 mmHg) than with ABPM (131/81 mmHg).

Impact:

  • Ambulatory blood pressure monitoring (ABPM) provides a more accurate assessment of blood pressure control in hypertensive patients.
  • The findings suggest that reliance on automatic blood pressure devices (ABPD) may lead to an underestimation of hypertension control.
  • Improved accuracy in blood pressure measurement can lead to better-tailored antihypertensive treatment strategies and improved patient outcomes.
Abstract

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