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Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Does masked hypertension exist in healthy volunteers and apparently well-controlled hypertensive patients?
I Aksoy1, J Deinum, J W M Lenders
1Department of Medicine, Division of General Internal Medicine, Radboud University Nijmegen Medical Centre, the Netherlands.
Background:
Home blood pressure (HB P) measurement is considered to reflect BP during the day better than office BP (OB P). But in some patients HB P is higher than OB P. This is called masked hypertension (MH).
Objective:
To examine whether MH occurs in healthy volunteers and apparently well-controlled hypertensives.
Methods:
57 treated hypertensive patients and 31 healthy volunteers (27/22 men) participated. Mean age (+/- SD ) was 61 +/- 13 and 29 +/- 13 years, respectively. Patients were instructed to measure their BP twice daily for three days (3 readings each) with the Omron 705 CP device after at least 10 minutes rest in a comfortable sitting position. In the outpatient department, OB P was measured four times, in duplicate, every ten minutes by the physician using the same device and under similar conditions.
Results:
Mean HB P of the treated hypertensive group was 146/84 +/- 18/10 mmHg, significantly higher than OB P 136/79 +/- 19/10 (p.
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