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[Round-the-clock blood pressure measurements in 352 persons--a reference material]
L E Bang1, N H Madsen, T L Svendsen
1Medicinsk afdeling, Centralsygehuset i Naestved.
Ugeskrift for Laeger
|December 2, 1996
Summary
This study established 24-hour ambulatory blood pressure reference values for Danish adults aged 20-79. Findings provide crucial data for assessing cardiovascular risk using ambulatory blood pressure monitoring.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Accurate blood pressure measurement is vital for cardiovascular risk assessment.
- Establishing population-specific reference values for ambulatory blood pressure monitoring (ABPM) is essential.
- Existing clinical guidelines often rely on clinic blood pressure, necessitating translation to ABPM values.
Purpose of the Study:
- To determine reference values for 24-hour ABPM in a Danish population.
- To stratify these values by gender and age decades (20-79 years).
- To correlate clinic blood pressure thresholds with corresponding ABPM values.
Main Methods:
- A sample of 352 individuals (179 men, 173 women) aged 20-79 years was randomly selected.
- Participants underwent 24-hour ABPM.
- Data were analyzed and stratified by gender and age groups (<50 and ≥50 years).
Main Results:
- Median daytime ABPM for men <50 years: 125/79 mmHg; night time: 106/65 mmHg.
- Median daytime ABPM for men ≥50 years: 133/83 mmHg; night time: 124/86 mmHg.
- Corresponding ABPM values for WHO's clinic upper limit (160/90 mmHg) were calculated as 154/87 mmHg (daytime) and 134/74 mmHg (night time).
Conclusions:
- Reference values for 24-hour ABPM were established for the Danish population.
- Age and gender influence ambulatory blood pressure readings.
- The study provides a basis for interpreting ABPM in relation to established clinical blood pressure guidelines.
Related Concept Videos
01:21Sites for measuring blood pressure
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
01:25Errors occurring during blood pressure monitoring
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
01:15Assessment of blood pressure in brachial artery(one-step method)
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
01:28Special considerations while measuring blood pressure
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
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.
Monitoring Both Arms:
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.
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
01:17Measurement of Blood Pressure
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a stethoscope.