Home blood pressure levels in pregnant women with chronic hypertension
Home blood pressure levels in pregnant women with chronic hypertension
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DOI：
10.1080/10641950701548000
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发表时间：
2007-01-01
影响因子：
1.5
通讯作者：
Boudreault, Jocelyne
中科院分区：
文献类型：
--
作者：
Rey, Evelyne;Pilon, Francine;Boudreault, Jocelyne
目的：探讨办公室和家庭血压（BP）监测对正常血压和高血压孕妇的差异。方法：我们比较了 20 名血压正常女性（68 次血压评估）和 100 名患有轻度原发性慢性高血压（无叠加妊娠高血压）的女性（429 次血压评估）的 1 周家庭血压与办公室血压（通过无液装置测量）的平均值。使用不同的方法（包括 Bland-Altman 方法）来调查办公室血压和家庭血压之间的差异。结果：血压正常女性的诊室收缩压 (p = 0.004) 和高血压女性的诊室舒张压 (p = 0.001) 低于家庭血压。办公室血压和家庭血压之间舒张压的一致性比收缩压更好。只有少数高血压女性的家庭血压>= 135/85 mm Hg。结论：在我们的研究人群中，除血压正常女性的收缩压外，办公室血压和家庭血压的一致性良好。用于非怀孕个体的家庭血压测量标准在怀孕期间是不够的。
Objective: To explore the difference between office and home blood pressure (BP) monitoring in normotensive and hypertensive pregnant women. Methods: We compared the mean of 1 week home BP with office BP, measured by aneroid devices, in 20 normotensive women (68 BP assessments) and 100 women with mild essential chronic hypertension without superimposed gestational hypertension (429 BP assessments). Different approaches were used including the Bland-Altman method to investigate the discrepancies between office and home BP. Results: Systolic office BP in normotensive women (p = 0.004) and diastolic office BP in hypertensive women (p = 0.001) were lower than home BP. The concordance between office and home BPs was better for diastolic BP than for systolic BP. Only a small number of hypertensive women presented home BP >= 135/85 mm Hg. Conclusions: In our study population, the concurrence between office and home BPs is good with the exception of systolic BP in normotensive women. Home blood pressure measurement criteria used in nonpregnant individuals are not adequate in pregnancy.