Abstract:
:BACKGROUND: The lack of prospective data on the relative value of ambulatory blood pressure compared with office blood pressure as well as concern about increased costs have led to cautious endorsement of such monitoring in the clinical arena. Several consensus bodies have reviewed the scientific evidence and have suggested appropriate and limited clinical indications for ambulatory blood pressure monitoring. OBJECTIVE: To evaluate the ordering habits of the clinicians in regard to the recent introduction of such a monitoring service at our Veteran's Administration Medical Center and to assess its influence on practice.METHODS: During the 18 months after the introduction of ambulatory blood pressure monitoring, 95 successful blood pressure recordings were performed. These studies were requested for patients typical of the aging World War II veteran population in the USA. The blood pressure monitoring test was ordered mostly by attending physicians (44%) but physician extenders (34%) and medical residents (22%) also ordered a significant proportion of the tests. The main indication for ambulatory blood pressure monitoring was suspicion of white-coat hypertension in untreated patients and suspicion of white-coat effect in treated hypertensives (45%). RESULTS: The results had an important impact on the management of patients, 42% of untreated patients remained without pharmacologic treatment whereas, for 36% of treated patients, increases in medication were avoided. With the 73 patients for whom complete follow-up blood pressure data were obtained, there was a significant decline both in office systolic (by 8 +/- 15 mmHg, P = 0.001) and in office diastolic blood pressure (by 6 +/- 8 mmHg, P = 0.001) after 3 months. CONCLUSION: Clinical providers in a Veteran's Administration Medical Center used ambulatory blood pressure monitoring appropriately after its introduction and found the information provided to be of clinical value.
journal_name
Blood Press Monitjournal_title
Blood pressure monitoringauthors
Mansoor GAsubject
Has Abstractpub_date
1997-10-01 00:00:00pages
217-221issue
5eissn
1359-5237issn
1473-5725journal_volume
2pub_type
杂志文章abstract:OBJECTIVE:Blood pressure measurements during exercise are difficult to obtain but are used widely in clinical practice. The objective of this study was to investigate the repeatability of blood pressure measurements and gas exchange parameters during treadmill exercise. METHODS:Participants were 10 healthy and nonsmok...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章
doi:10.1097/MBP.0b013e328351de5c
更新日期:2012-04-01 00:00:00
abstract::We performed this study to elucidate the role of nighttime versus daytime ambulatory blood pressure in predicting stroke and cardiac events. The International Collaborative Study of the Prognostic Utility of ABPM, which includes prospective cohort studies of ambulatory blood pressure monitoring (ABPM) from seven sites...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究
doi:10.1097/MBP.0b013e3282411a12
更新日期:2007-12-01 00:00:00
abstract::Masked hypertension (blood pressure that is normal in the physicians' office but elevated elsewhere) is a common phenomenon as prevalence among studies varies from 8 to 45% and is seen at all ages. large discrepancies, however, exist between studies that have dealt with masked hypertension. It is of high clinical impo...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/mbp.0b013e3280fb2792
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVES:BpTRU (VSM MedTech Ltd, Vancouver, Canada) is an automated oscillometric device that provides serial blood pressure measurements in an office setting in the absence of a healthcare professional. We sought to determine whether the white-coat effect is reduced by a blood pressure measurement protocol using BpT...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/01.mbp.0000189794.36230.a7
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:Evaluation of autonomic function responses is increasingly important for risk prediction and hemodynamic evaluation in the ambulant and perioperative setting, but requires a noninvasive arterial blood pressure measurement device. This study describes whether a novel noninvasive beat-to-beat arterial blood pre...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e32834b4431
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Data on the reproducibility of serial measurements of ambulatory blood pressure in hypertensive patients are lacking. The purpose of this study was to examine (1) the reproducibility of four consecutive ambulatory blood pressure measurements, and (2) the reproducibility of nocturnal falls in blood pressure i...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200102000-00007
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVE:Previous studies have indicated moderate-to-poor reproducibility of heart rate variability (HRV) but the reproducibility of blood pressure variability (BPV) and spectral measures of baroreceptor sensitivity (BRS) are not well established. METHODS:We measured normal-to-normal heart beat (RR) interval and fing...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200502000-00005
更新日期:2005-02-01 00:00:00
abstract::The session devoted to the usefulness of non-invasive ambulatory blood pressure monitoring (ABPM) in the evaluation of antihypertensive therapy allowed us to discuss a number of important issues. ABPM emerged as a widely accepted technique to measure blood pressure in clinical trials. Actually, it was generally consid...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVE:To investigate the influence of arm circumference (AC) on the brachial blood pressure (BP) measured with an adult cuff. PARTICIPANTS AND METHODS:This study included 208 patients (150 men, 61.0±8.0 years) for coronary angiography. Intra-aortic BP and noninvasive right brachial oscillometric BP (noninvasive BP...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000141
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Manufacturer-supplied blood pressure (BP) cuffs are part of the automatic oscillometric BP devices algorithm. MATERIALS AND METHODS:This study assessed the differences in BP values using the Omron HEM 907-XL (Omron) device with two types of cuffs: the Baum cuff (BC) and the supplied Omron cuff (OC). A sampl...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0000000000000208
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to evaluate the accuracy of the automated oscillometric wrist blood pressure monitor AVITA BPM17 for home blood pressure monitoring according to the International Protocol of the European Society of Hypertension revision 2010. PARTICIPANTS AND METHODS:Systolic and diastolic b...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000261
更新日期:2017-08-01 00:00:00
abstract::The acute effect of smoking is a rise in blood pressure and heart rate. Nevertheless, in several epidemiologic studies, smokers tend to have a slightly lower office blood pressure than non-smokers. We studied the 24 h ambulatory blood pressure consecutively in hypertensive smokers (> or = 10 cigarettes per day, n = 26...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200010000-00004
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:Central blood pressure (cBP) and pulse pressure amplification (PPA) are receiving renewed interest with the increase in the availability of noninvasive techniques that enable its measurement. However, to date, there is no standardized protocol to validate their accuracy. Although invasive comparison seems in...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000028
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the accuracy of the YuWell YE680B oscillometric upper-arm blood pressure monitor for clinic and home blood pressure measurements in adults according to the American National Standards Institute/the Association for the Advancement of Medical Instrumentation/International Organization for Standardiz...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000405
更新日期:2019-12-01 00:00:00
abstract::Hypertension is highly prevalent in pediatric patients with end-stage renal disease (ESRD). Ambulatory blood pressure monitoring (ABPM) has been used to characterize the altered circadian blood pressure patterns in ESRD in order to improve our understanding of the blood pressure dysregulation that occurs in these chil...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:
更新日期:1999-06-01 00:00:00
abstract::To determine the accuracy of the large-extra large-sized (L-XL) cuff (32-52 cm) coupled to a Microlife WatchBP Office ABI blood pressure measuring device tested according to the requirements of the International Protocol of the European Society of Hypertension. The L-XL cuff tested in this study is designed to provide...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e328344c73c
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Although there is a theoretical basis for crossing legs to increase blood pressure, there are no published data addressing this question. As a result guidelines for measurement of blood pressure are not consistent in recommending that patients legs should not be crossed during measurement. OBJECTIVE:To dete...
journal_title:Blood pressure monitoring
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:When calculating the difference between alternating auscultatory reference standard (ARS) and the automated device-under-test (DUT) blood pressure (BP) measurements, the European Society of Hypertension International Protocol (ESH-IP) allows investigators to choose the closest ARS value to the DUT value, rath...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000454
更新日期:2020-08-01 00:00:00
abstract::Ambulatory blood pressure monitoring (ABPM) has become more widely used in the assessment of elevated blood pressure in children. The accurate diagnosis of white coat hypertension (WCH) is particularly important in children because detection of elevated blood pressure often results in expensive and invasive diagnostic...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/00126097-200008000-00001
更新日期:2000-08-01 00:00:00
abstract:AIM:Blood pressure (BP), a key vital sign, monitors general health. Oscillometric devices are increasingly used for measurement, although their accuracy continues to be critically debated. A functional block diagram is used to review the components that affect accuracy. METHODS:A block diagram is presented covering th...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/MBP.0b013e32835026b0
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:To determine whether crossing of the legs at the knee or at the ankles during blood pressure measurement in sitting position has an effect on blood pressure. METHODS:One hundred and eleven patients, 60 women, mean age 52+/-17 years (19-80): 49 chronically treated hypertensives, 28 treated diabetics and 34 no...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e3280b083a7
更新日期:2007-06-01 00:00:00
abstract::BACKGROUND: Ambulatory measurement for the QKD interval is a new method for evaluation of the rigidity of large arterial trunks. Reliable indices of arterial rigidity can be distilled from the large number of measurements (usually around 100) obtained during 24 h monitoring. OBJECTIVE: To describe a shorter standardiz...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Salt-sensitive (SS) patients more frequently showed a nondipper blood pressure pattern and were associated with more serious target organ damage than non-SS patients. We aimed to investigate whether potassium supplement can improve the blunted nocturnal blood pressure fall in SS patients expose...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000276
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:To determine blood pressure (BP) reassessment rates and to describe the evaluation and outpatient referral rates of elderly emergency department (ED) patients with elevated BP. METHODS:This was a retrospective cohort of patients who were at least 60 years, presented with a systolic BP of at least 140 mmHg o...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,多中心研究
doi:10.1097/MBP.0b013e328332fd40
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:In this study, we aimed to assess the relationship between radial artery spasm (RAS) and arterial stiffness (AS) measured by the oscillometric method. MATERIALS AND METHODS:A total of 123 consecutive patients scheduled for elective coronary angiography in a single default radial center were enrolled for the ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000340
更新日期:2018-10-01 00:00:00
abstract::Thomas G. Pickering spent most of his scientific career in carrying out research on clinical hypertension and blood pressure (BP) measurement. In our review of Pickering's seminal work, we first focused on white-coat hypertension and masked hypertension, two terms that he had introduced. Next, we highlighted the early...
journal_title:Blood pressure monitoring
pub_type: 传,历史文章,杂志文章
doi:10.1097/MBP.0b013e3283380e1e
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:Blood pressure (BP) measured in obese patients with a large arm circumference using a cuff of standard width may be overestimated. METHODS:We compared in this study the BP readings obtained with oscillometric devices at the left arm (OMRON HEM 705-CP) and the left wrist (OMRON R6) (Omron Medizintechnik, Mann...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e3282fd16e3
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Background Ambulatory blood pressure monitoring (ABPM) has been shown to be more representative of blood pressure levels in adult patients than are casual measurements of blood pressure. OBJECTIVE:To evaluate, by means of ABPM, the behavior of blood pressure in children with chronic renal failure submitted ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:The study investigated the clinical significance of relatively high blood pressure (BP) elevations during the calibration of the ambulatory blood pressure monitor (ABPM). METHODS:Inferences were drawn from the analysis of differences between 'M', the average of five manually triggered responses, and 'W', th...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e328340ff51
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Patients and doctors often use home blood pressure monitoring (HBPM) to assess the control of hypertension. Despite its popularity there has always been some uncertainty with regard to its accuracy, reliability, reproducibility, and comparability. Although there are pre-market HBPM standards of accuracy, the...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-199904010-00007
更新日期:1999-02-01 00:00:00