Reliability of single office blood pressure measurements

Reliability of single office blood pressure measurements
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DOI:
10.1136/heartjnl-2017-312523
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发表时间:
2018-07-01
期刊:
影响因子:
5.7
通讯作者:
Vischer, Annina Salome
Vischer, Annina Salome
中科院分区:
医学1区
文献类型:
--
作者:
Burkard, Thilo;Mayr, Michael;Vischer, Annina Salome

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目的:办公室血压测量(OBPM)的标准操作程序在指南和研究之间差异很大。我们的目的是比较一个单一的OBPM和以下三个测量的平均值之间的差异。此外,我们研究了有多少可能高血压的患者可能会错过由于短期隐蔽高血压(STMH),有多少可能被过度诊断由于短期白色大衣高血压(STWCH)。休息5min后,在安静的房间中以坐位以2min间隔进行四次连续的标准OBPM。我们将第一次测量(fBPM)与第二次至第四次测量的平均值(mBPM)进行了比较。STMH定义为fBPM
ObjectivesStandard operating procedures for office blood pressure measurement (OBPM) vary greatly between guidelines and studies. We aimed to compare the difference between a single OBPM and the mean of the three following measurements. Further, we studied how many patients with possible hypertension may be missed due to short-term masked hypertension (STMH) and how many might be overdiagnosed due to short-term white coat hypertension (STWCH).Design and settingIn this cross-sectional, single-centre trial, 1000 adult subjects were enrolled. After 5min of rest, four sequential standard OBPMs were performed at 2min intervals in a quiet room in sitting position. We compared the first (fBPM) to the mean of the second to fourth measurement (mBPM). STMH was defined as fBPM