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 or diastolic BP at least 90 mmHg, and were discharged from the ED. BP measurements, ancillary testing, and discharge instructions were obtained from a random selection of medical records. RESULTS:Of 267 patients 198 (74%) underwent a BP reassessment. Factors associated with a reassessment included receipt of an antihypertensive, symptom of chest pain, care in an ED with a BP reassessment protocol, and increasing age. Of the 241 patients who maintained an elevated BP, 88 (37%) had no prior history of hypertension, 36 (15%) had a prior history but had untreated hypertension, and 117 (49%) had known, treated, but poorly controlled hypertension. Ancillary testing was completed on 144 (60%) patients and only 24 patients received an antihypertensive medication while in the ED. These patients had higher systolic (177 vs. 156 mmHg) and diastolic values (98 vs. 84 mmHg) than those who did not receive antihypertensive medications (P<0.01). At discharge, 29 (12%) patients received a directed referral and 28 (12%) received any intervention, with the provision of antihypertensive prescription the most common in 17 (7%). CONCLUSION:Unlike other ED-based studies of adult hypertensive patients, BP reassessment in the elderly occurred in the majority. Referral and intervention rates, however, were low.
journal_name
Blood Press Monitjournal_title
Blood pressure monitoringauthors
Baumann BM,Cienki JJ,Cline DM,Egging D,Lehrmann JF,Tanabe Pdoi
10.1097/MBP.0b013e328332fd40subject
Has Abstractpub_date
2009-12-01 00:00:00pages
251-6issue
6eissn
1359-5237issn
1473-5725journal_volume
14pub_type
杂志文章,多中心研究abstract::Ambulatory blood pressure (ABP) has long been recognized by researchers as the gold standard of blood pressure (BP) measurement. Researchers and clinicians typically rely on the mean measure of ABP; however, there is considerable variability in the beat-to-beat BP. Although often ignored, this variability has been fou...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/MBP.0000000000000230
更新日期:2017-04-01 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:BACKGROUND:Self-measurements of blood pressure may offer some advantage in diagnostic and therapeutic evaluation and in management of patients. However, the most important limitation of self-measurement is that there are limited data available about the prognostic value of this information. RESULTS:Authors of several ...
journal_title:Blood pressure monitoring
pub_type: 共识发展会议,杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:To test the accuracy of a new algorithm for the BPM-100, an automated oscillometric blood pressure (BP) monitor, using stored data from an independently conducted validation trial comparing the BPM-100(Beta) with a mercury sphygmomanometer. DESIGN:Raw pulse wave and cuff pressure data were stored electronic...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200106000-00008
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVES:Wide-range 'one-size-fits-all' blood pressure (BP) cuffs are commonly sold with home BP monitors. Assessment of the accuracy of these cuffs is important because they do not adhere to the basic principles of proper cuffing. The aim of this systematic review was to review the published validation data evaluati...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000344
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Measurement of blood pressure remains the most commonly performed screening test in medical practice. With the likely removal of mercury sphygmomanometers from the workplace alternative devices are required. Of these the aneroid sphygmomanometer is popular both in the community and hospital setting. We inves...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200212000-00003
更新日期:2002-12-01 00:00:00
abstract::OBJECTIVE: To assess the spontaneous changes in clinic blood pressure, ambulatory blood pressure (ABP) and left ventricular structure in untreated subjects with white-coat hypertension (WCH). DESIGN: A prospective observational study. PATIENTS AND METHODS: In 83 untreated subjects with WCH, 24 h non-invasive ABP monit...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1996-06-01 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:OBJECTIVE:The auscultatory method is influenced by the hearing level of the observers. If the observer has hearing loss, it is possible to measure blood pressure inaccurately by misreading the Korotkoff sounds at systolic blood pressure (SBP) and diastolic blood pressure (DBP). Because of the potential clinical problem...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000016
更新日期:2014-02-01 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:OBJECTIVES:A number of operator-independent oscillometric devices to measure hemodynamics and arterial stiffness became available recently, but some and in particular VaSera VS-1500 do not provide estimates of aortic pressures and aortic pulse wave velocity (aPWV). The aim of this work was the retrospective application...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000137
更新日期:2015-10-01 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:OBJECTIVE:To compare readings obtained using two automated blood pressure (BP) recording devices, BpTRU and Omron 907, in a clinical setting. METHODS:Two series of 50 patients attending a hypertension unit for 24-h ambulatory BP monitoring had BP recorded either every 1 or every 2 min using BpTRU and Omron 907 devices...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e32831e314f
更新日期:2009-02-01 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::The terms 'self-blood pressure' and 'home blood pressure' are being used to describe measurements of blood pressure taken by the patients at home. However, home measurements are not always self-measurements, because these are often taken by the patients' relatives. There is little evidence on the effect of self-measur...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,评审
doi:10.1097/00126097-200308000-00007
更新日期:2003-08-01 00:00:00
abstract::Current hypertension guidelines continue to base management decisions on the office BP as recorded by mercury sphygmomanometry. The imminent disappearance of mercury from the workplace for environmental and safety reasons provides an opportunity to re-assess how a diagnosis of hypertension is made. There are now sever...
journal_title:Blood pressure monitoring
pub_type: 共识发展会议,杂志文章,评审
doi:10.1097/00126097-200412000-00002
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:The aim of this study was to validate the Omron HEM-907 blood pressure (BP) measuring device according to the international validation protocol. DESIGN:The international validation protocol is divided into two phases: the first phase is performed on 15 selected subjects and if the device passes this phase, ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/00126097-200208000-00006
更新日期:2002-08-01 00:00:00
abstract::OBJECTIVE: To test the SpaceLabs Medical 90217 ambulatory blood pressure monitor for compliance with The Association for the Advancement of Medical Instrumentation's standard and a modification of the British Hypertension Society (BHS) protocol. METHODS: The study concerned 85 subjects aged 17-88 years with various ar...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1998-10-01 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:OBJECTIVE:The independent prognostic significance of ambulatory blood pressure variability in the elderly is incompletely clear. We investigated the prognostic value of average real variability of 24-hour blood pressure in elderly treated hypertensive patients. METHODS:The occurrence of a combined end-point including ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000381
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Impaired left ventricular diastolic function is not uncommon in patients with either diabetes mellitus or hypertension. This study was carried out to assess the contribution of left ventricular hypertrophy, high blood pressure, preclinical impaired glucose tolerance and diabetes mellitus to left ventricular ...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/01.mbp.0000172710.82287.36
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:The objective of this study was to assess the effect of feedback on medium-term blood pressure (BP) measurement skills in medical students versus a control group. METHODS:A randomized controlled trial in first-year medical students was conducted. After theoretical-practical training on measuring BP, the stu...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0000000000000433
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVES:In young and middle age, women have higher orthostatic intolerance (OI) than men, and hemodynamic differences have been found supporting this finding. In older people, these sex differences are less studied. Our aim was to contribute evidence. METHODS:Two hundred and twenty-four community-dwelling older par...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0b013e3283353199
更新日期:2010-02-01 00:00:00
abstract::Oscillometric blood pressure (BP) measurement devices are increasingly replacing standard mercury sphygmomanometers and generalizability of validation studies to other environments, for example, national survey environments, is assumed. We compared BP measurements according to two highly standardized German national s...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000081
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:Handgrip exercise is an emerging strategy for resting blood pressure (BP) reduction requiring minimal time and exercise effort. However, the research literature is currently limited to handgrip protocol designs predominantly prescribing sustained grip contractions, with little assessment of alternative option...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000313
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to investigate the prevalence and associated factors of masked hypertension in obese patients in Yaounde. METHODS:We carried out a cross-sectional study from January to September 2017 at the National Obesity Center of the Yaounde Central Hospital. Masked hypertension was defined wh...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000457
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:The influence of the Ramadan fasting on blood pressure (BP) in patients taking diuretics therapy has not been addressed specifically yet. The aim of this study was to examine the effect of long Ramadan fasting on BP with ambulatory BP monitoring in hypertensive patients using diuretics. METHODS:This prospect...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:10.1097/MBP.0000000000000451
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:The extent of morning blood pressure (BP) surge upon wakening has been associated with increased incidence of stroke and cardiovascular mortality. This trial investigated the antihypertensive efficacy and effects on the morning BP surge of awakening versus bedtime administration of nifedipine in essential hy...
journal_title:Blood pressure monitoring
pub_type: 杂志文章,随机对照试验
doi:10.1097/MBP.0b013e32832e0d80
更新日期:2009-08-01 00:00:00
abstract::Sudden cardiac death, myocardial infarction, unstable angina, ventricular tachyarrhythmias, fatal pulmonary thromboembolism, rupture of thoracic aorta, and ischemic and hemorrhagic cerebrovascular accidents exhibit a prominent circadian pattern with events more frequently during the morning (0600-1200 h)after awakenin...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1998-02-01 00:00:00
abstract::Some oscillometric non-invasive blood pressure (NIBP) monitors use twin-hose cuffs, whereas others use single-hose cuffs. The incompatibility hinders the transfer of patients from monitors using a single-hose cuff to monitors using twin-hose cuffs and vice versa. In particular, the Propaq Encore uses a single-hose cuf...
journal_title:Blood pressure monitoring
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00