Correlations between different measures of clinic, home, and ambulatory blood pressure in hypertensive patients
Correlations between different measures of clinic, home, and ambulatory blood pressure in hypertensive patients
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DOI：
10.1097/mbp.0b013e328346d669
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发表时间：
2011-06-01
影响因子：
1.3
通讯作者：
Pickering, Thomas G.
中科院分区：
文献类型：
--
作者：
Eguchi, Kazuo;Kuruvilla, Sujith;Pickering, Thomas G.
目的目前尚不清楚临床、家庭和动态血压（BP）测量之间的相互关系。我们进行了这项研究，以澄清这些不同的BP measurements. Materials和方法之间的协议水平，我们招募了56例高血压患者（平均年龄：60 +/-14岁，54%是女性）。该研究包括三次门诊访视，两次访视之间的家庭BP自我监测，以及第二次访视时的动态血压（ABP）监测。给患者一个家用血压监测仪，该监测仪被编程为以1分钟的固定间隔自动采集三个连续读数。（水银血压计和HEM-5001），家庭BP使用组内相关性和Bland-Altman图比较（早晨和晚上、第二次和第三次BP读数的平均值）和平均清醒ABP的一致性。结果门诊血压计的平均值，门诊HEM-5001、清醒ABP和家庭BP分别为129/77、131/76、131/79和133/77 mmHg。HEM-5001与水银血压计测得的临床血压有较强的相关性。家庭收缩压与清醒时血压呈中度相关，而水银柱舒张压（DBP）与清醒时DBP的相关性较家庭DBP更密切。结论自动血压监测仪测量的门诊血压可作为诊室血压评估的一种替代方法。在严格标准化的条件下，诊所和家庭BP可用作清醒ABP的替代方案。血压监测16：142 - 148（C）2011 Wolters Kluwer Health|利平科特威廉姆斯&威尔金斯。
Objectives It is not well known how clinic, home, and ambulatory measures of blood pressure (BP) correlate with each other. We performed this study to clarify the level of agreement among these different BP measures.Materials and methods We enrolled 56 hypertensive patients (mean age: 60 +/- 14 years; 54% were females). The study consisted of three clinic visits, self-monitoring of home BP between visits, and ambulatory blood pressure (ABP) monitoring at the second visit. Patients were given a home BP monitor programmed to automatically take three consecutive readings at fixed intervals of 1 min. The associations between clinic BP (mercury sphygmomanometer and HEM-5001), home BP (the average of morning and evening, second and third BP readings), and average awake ABP were compared using the intraclass correlation for agreement and Bland-Altman plots.Results The averages of clinic sphygmomanometer, clinic HEM-5001, awake ABP, and home BP were 129 of 77, 131 of 76, 131 of 79, and 133 of 77 mmHg, respectively. Clinic BP by HEM-5001 was strongly correlated with that of mercury sphygmomanometer. Home systolic blood pressure was moderately correlated with awake ABP, but mercury diastolic blood pressure (DBP) was more closely correlated with awake DBP than home DBP.Conclusion Clinic BP measured with the automated monitor could be used as an alternative for the evaluation of BP in the office. Under rigorously standardized conditions, clinic and home BP could be used as an alternative to awake ABP. Blood Press Monit 16:142-148 (C) 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.