By Thomas G. Pickering MD, Dphil (auth.), William B. White MD (eds.)
In this newly up-to-date moment version of Blood strain tracking in Cardiovascular medication and Therapeutics, William B. White, MD, and a panel of hugely unusual clinicians provide a serious evaluate of each element of the overview of hypertension. This comprises domestic and ambulatory blood strain tracking, the connection among whole-day blood strain and the heart problems method, and the consequences of antihypertensive treatments on those blood strain parameters. World-class members describe the numerous advances in our realizing of the circadian pathophysiology of cardiovascular problems and show that ambulatory blood strain values are autonomous predictors of cardiovascular morbidity and mortality. This ebook offers a entire up to date source of this dynamic box in high blood pressure and vascular disease.
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Additional resources for Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics
Am J Hypertens 2002;15(2 Pt 1): 101–104. 53. Sakuma M, Imai Y, Nagai K, et al. Reproducibility of home blood pressure measurements over a 1-year period. Am J Hypertens 1997;10(7 Pt 1):798–803. 54. Mejia AD, Julius S, Jones KA, Schork NJ , Kneisley J. The Tecumseh Blood Pressure Study. Normative data on blood pressure self-determination. Arch Intern Med 1990;150(6):1209–1213. 55. Weisser B, Grune S, Burger R, et al. The Dubendorf Study: a population-based investigation on normal values of blood pressure self-measurement.
Nevertheless, there are some patients who become so obsessed with their blood pressure readings that self-monitoring becomes counterproductive. Interpretation of Readings Almost all patients who start to use self-monitoring are surprised at the large variations between individual readings, which may be as much as 40 mmHg. Thus, the minimum number of readings that can be interpreted with any confidence is about 10 or more. At the present time, there are no data to indicate that the variability of home blood pressure readings has any independent prognostic significance, so the average level is the preferred measure for making clinical decisions.
They found that the sensitivity for detecting ambulatory blood pressure could be increased by lowering the threshold level for home blood pressure to 125/76 mmHg, but this of course would result in a larger number of false-positives. 7, it would be unreasonable to expect that there would be a precise correspondence between any level of home pressure and the establishment or exclusion of ambulatory hypertension. How Often Should Readings Be Taken? A wide variety of schedules has been used to evaluate the home blood pressure levels in published studies, ranging from two readings taken on a single day (43) to six readings a day for a week or more (18).