a novel approach to office blood pressure measurement: 30-minute office blood pressure vs daytime ambulatory blood pressure
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Van der Wel, Mark; Buunk, Iris E.; Thien, Theo; Bakx, JC; van Weel, Chris
Description
PURPOSE Current office blood pressure measurement (OBPM) is often not executed according to guidelines and cannot prevent the white-coat effect. Serial, automated, oscillometric OBPM has the potential to overcome both these problems. We therefore developed a 30-minute OBPM method that we compared with daytime ambulatory blood pressure. METHODS Patients referred to a primary care diagnostic center for 24-hour ambulatory blood pressure monitoring (ABPM) had their blood pressure measured using the...[Show more]
dc.contributor.author | Van der Wel, Mark | |
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dc.contributor.author | Buunk, Iris E. | |
dc.contributor.author | Thien, Theo | |
dc.contributor.author | Bakx, JC | |
dc.contributor.author | van Weel, Chris | |
dc.date.accessioned | 2015-12-13T22:50:07Z | |
dc.identifier.issn | 1544-1709 | |
dc.identifier.uri | http://hdl.handle.net/1885/80663 | |
dc.description.abstract | PURPOSE Current office blood pressure measurement (OBPM) is often not executed according to guidelines and cannot prevent the white-coat effect. Serial, automated, oscillometric OBPM has the potential to overcome both these problems. We therefore developed a 30-minute OBPM method that we compared with daytime ambulatory blood pressure. METHODS Patients referred to a primary care diagnostic center for 24-hour ambulatory blood pressure monitoring (ABPM) had their blood pressure measured using the same validated ABPM device for both ABPM and 30-minute OBPMs. During 30-minute OBPM, blood pressure was measured automatically every 5 minutes with the patient sitting alone in a quiet room. The mean 30-minute OBPM (based on t = 5 to t = 30 minutes) was compared with mean daytime ABPM using paired t tests and the approach described by Bland and Alt-man on method comparison. RESULTS We analyzed data from 84 patients (mean age 57 years; 61% female). Systolic and diastolic blood pressures differed from 0 to 2 mm Hg (95% confidence interval, -2 to 2 mm Hg and from 0 to 3 mm Hg) between mean 30-min-ute OBPM and daytime ABPM, respectively. The limits of agreement were between -19 and 19 mm Hg for systolic and -10 and 13 mm Hg for diastolic blood pressures. Both 30-minute OBPM and daytime ABPM classified normotension, white-coat hypertension, masked hypertension, and sustained hypertension equally. CONCLUSIONS The 30-minute OBPM appears to agree well with daytime ABPM and has the potential to detect white-coat and masked hypertension. This finding makes 30-minute OBPM a promising new method to determine blood pressure during diagnosis and follow-up of patients with elevated blood pressures. | |
dc.publisher | Annals of Family Medicine, Inc. | |
dc.source | Annals of Family Medicine | |
dc.subject | Keywords: algorithm; article; blood pressure; blood pressure monitoring; comparative study; female; health survey; human; hypertension; instrumentation; male; methodology; middle aged; Netherlands; statistics; time; validation study; Algorithms; Blood Pressure; Blo Blood pressure; Diagnosis; Family practice | |
dc.title | a novel approach to office blood pressure measurement: 30-minute office blood pressure vs daytime ambulatory blood pressure | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 9 | |
dc.date.issued | 2011 | |
local.identifier.absfor | 111701 - Aboriginal and Torres Strait Islander Health | |
local.identifier.absfor | 160104 - Social and Cultural Anthropology | |
local.identifier.absfor | 111717 - Primary Health Care | |
local.identifier.ariespublication | f5625xPUB8926 | |
local.type.status | Published Version | |
local.contributor.affiliation | Van der Wel, Mark, Radboud University Nijmegen Medical Centre | |
local.contributor.affiliation | Buunk, Iris E., Radboud University Nijmegen Medical Centre | |
local.contributor.affiliation | Van Weel, Chris, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Thien, Theo, Radboud University Nijmegen Medical Centre | |
local.contributor.affiliation | Bakx, JC, Radboud University Nijmegen Medical Centre | |
local.description.embargo | 2037-12-31 | |
local.bibliographicCitation.issue | 2 | |
local.bibliographicCitation.startpage | 128 | |
local.bibliographicCitation.lastpage | 135 | |
local.identifier.doi | 10.1370/afm.1211 | |
dc.date.updated | 2016-02-24T09:44:20Z | |
local.identifier.scopusID | 2-s2.0-79952809373 | |
Collections | ANU Research Publications |
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