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Incidental blood pressure elevations: a MIRNET project.

C R Trembath¹, J M Hickner, S W Bishop

¹Providence Family Health Center, South Lyon, MI 48178.

The Journal of Family Practice

|April 1, 1991

Summary

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Elevated diastolic blood pressure readings in office patients often indicate hypertension. Sixty percent of patients with incidental high diastolic pressure were diagnosed with hypertension, highlighting the need for medical attention.

Area of Science:

Cardiology
Public Health
Clinical Medicine

Background:

Investigated the prevalence of hypertension in primary care settings.
Focused on patients with incidental diastolic blood pressure (DBP) ≥ 90 mm Hg.

Purpose of the Study:

To determine the prevalence of hypertension among office patients with incidentally elevated DBP.
To assess the diagnostic value of initial DBP readings for hypertension.

Main Methods:

Prospective study involving routine screening of 14,890 patients.
Identified 174 patients with elevated DBP and no prior hypertension diagnosis.
115 patients (64%) completed follow-up readings over 3 months.

Main Results:

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60% of returning patients met hypertension criteria (JNC criteria).

Hypertension prevalence was 69% in men and 49% in women.

Patients with initial DBP > 105 mm Hg had a 90% hypertension rate.

Conclusions:

Incidental elevations in DBP warrant serious clinical consideration.
High prevalence of confirmed hypertension in this patient group necessitates further evaluation.
Physicians should not overlook elevated DBP during routine screenings.