Use of automated office blood pressure measurement to reduce the white coat response

Use of automated office blood pressure measurement to reduce the white coat response
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DOI:
10.1097/hjh.0b013e32831b9e6b
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发表时间:
2009-02-01
影响因子:
4.9
通讯作者:
Kiss, Alexander
Kiss, Alexander
中科院分区:
医学2区
文献类型:
--
作者:
Myers, Martin G.;Valdivieso, Miguel;Kiss, Alexander

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目的探讨使用办公室用自动血压计BpTRU降低白色大衣反应的可能性。该研究包括从社区医生转诊到学术医院动态血压(ABP)监测部门的连续患者。参与者和方法总共研究了309名转诊诊断或治疗高血压的患者。比较了患者自己的医生使用手动血压计或自动BpTRU设备与患者在ABP监测单元中单独休息时的平均清醒ABP和BP读数之间的差异。(132 +/- 19 +/- 75 +/- 12)与平均清醒ABP(134 +/- 12/77 +/- 10)相似,两个值均较低(P
Objective To examine the possibility of reducing the white coat response using an automated sphygmomanometer designed for office use, the BpTRU. Consecutive patients referred from physicians in the community to an ambulatory blood pressure (ABP) monitoring unit in an academic hospital were included in the study.Participants and methods A total of 309 patients referred for diagnosis or management of hypertension were studied. Differences between mean awake ABP and BP readings taken by the patient's own physician using a manual sphygmomanometer or the automated BpTRU device with the patient resting alone in the ABP monitoring unit were compared.Results BP recorded in the examining room using an automated device (132 +/- 19 +/- 75 +/- 12) was similar to the mean awake ABP (134 +/- 12/77 +/- 10) with both values being lower (P