Abstract
Our previous study showed that post-clinic blood pressure (BP) taken 15 min after a physician-patient encounter was the lowest reading in a routine clinic. We aimed to validate this reading with 24 h Ambulatory Blood Pressure Monitoring (ABPM) readings. A cross-sectional study was conducted in the cardiology clinics at the Aga Khan University, Pakistan. Hypertensive patients aged ≥ 18 years, or those referred for the diagnosis of hypertension were included. Of 150 participants, 49% were males. 76% of all participants were hypertensive. Pre-clinic BP reading was measured by a nurse, in-clinic by a physician and 15 min post-clinic by a research assistant using a validated, automated BP device (Omron-HEM7221-E). All patients were referred for 24 h ABPM. Among the three readings taken during a clinic visit, mean (± SD) systolic BP (SBP) pre-clinic, in-clinic, and 15 min post-clinic were 153.2 ± 23, 152.3 ± 21, and 140.0 ± 18 mmHg, respectively. Mean (± SD) diastolic BP (DBP) taken pre-clinic, in-clinic and 15 min post-clinic were 83.5 ± 12, 90.9 ± 12, and 86.4 ± 11 mmHg respectively. Mean (± SD) daytime ambulatory SBP, DBP and pulse readings were 134.7 ± 15, 78.7 ± 15 mmHg, and 72.6 ± 12/min, respectively. Pearson correlation coeff...Continue Reading
References
Feb 1, 1987·Hypertension·G ManciaA Zanchetti
Jun 1, 1995·American Journal of Hypertension·M G MyersC D Joyner
Jan 12, 2002·European Heart Journal·P VerdecchiaE T O'Brien
Dec 7, 2002·Hypertension·Thomas G PickeringJoseph E Schwartz
Apr 26, 2003·Journal of Hypertension·Eoin O'BrienUNKNOWN European Society of Hypertension Working Group on Blood Pressure Monitoring
May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Apr 6, 2005·Circulation·Roberto SegaGiuseppe Mancia
Apr 7, 2006·Journal of Human Hypertension·R C-C Wong, T C Yeo
Jan 31, 2007·Hypertension·Paolo VerdecchiaGianpaolo Reboldi
Dec 10, 2008·Archives of Internal Medicine·Gbenga OgedegbeWilliam Gerin
Jan 22, 2009·Journal of Hypertension·Martin G MyersAlexander Kiss
Mar 16, 2011·Annals of Family Medicine·Mark C van der WelJ Carel Bakx
Apr 29, 2011·BMC Medical Research Methodology·Anthony J VieraAlan L Hinderliter
Dec 7, 2011·The Journal of Clinical Hypertension·Michael J Bloch, Jan N Basile
Oct 17, 2012·Hypertension·Giuseppe ManciaSalim Yusuf
Aug 2, 2013·Diabetes Care·Ehud Grossman
Oct 22, 2014·Hypertension·Geoffrey A Head
Citations
Apr 16, 2019·Clinical Hypertension·Hunaina ShahabAamir Hameed Khan
Jan 10, 2021·The Journal of Clinical Hypertension·Saulat SiddiqueKazuomi Kario
Feb 11, 2021·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Dimoné BothaAletta E Schutte