High prevalence of newly detected hypertension in hospitalized patients: the value of inhospital 24-h blood pressure measurement

Journal of Hypertension
David ConenBernd M Leimenstoll

Abstract

Screening for hypertension in hospitalized patients could reduce the number of individuals with unrecognized hypertension. We hypothesized that 24-h blood pressure monitoring is an adequate tool to detect unrecognized hypertension among inpatients. Clinically stable inpatients in the Department of Internal Medicine, Department of Visceral Surgery and Department of Orthopaedics were included in the cross-sectional study. Every patient underwent inhospital 24-h blood pressure measurement. Previously unknown hypertension was defined as 24-h blood pressure of at least 125/80 mmHg in the absence of known hypertension. Forty-two patients had an additional 24-h blood pressure measurement after discharge, to compare mean inhospital and outpatient 24-h blood pressure values. In 314 consecutive inpatients, 24-h blood pressure measurement was performed. Among 139 patients without known hypertension, 53 were hypertensive. The mean routine and 24-h blood pressures in these patients were 135/77 and 137/82 mmHg, respectively. Thirty-seven of these patients had normal routine blood pressure and could be detected only by 24-h blood pressure measurement. Patients with unknown hypertension had a marked cardiovascular risk profile, 26 being at hig...Continue Reading

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Citations

Jul 29, 2010·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Maria I PikilidouAnastasios N Lasaridis
Feb 10, 2010·Current Medical Research and Opinion·J SignorovitchK H Kahler
Aug 6, 2010·Asia-Pacific Journal of Public Health·Panrasri KhonputsaStephen S Lim
Nov 23, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Soichiro TamuraMinoru Yoshiyama
Aug 10, 2006·The Journal of Clinical Hypertension·Philippe Gosse, Helmut Schumacher
May 4, 2010·The Journal of Clinical Hypertension·R Neal AxonBrent M Egan
Oct 5, 2010·The Journal of Clinical Hypertension·Robert Neal AxonAlan Weder
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Jul 24, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·R Neal AxonBrent M Egan
Oct 9, 2021·Journal of Hypertension·Yixiao ZhaoYinong Jiang

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