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Effect of ambulatory blood pressure monitoring on the diagnosis and cost of treatment for mild hypertension.

Abstract：

:Detection of mild hypertension by a small number of casual blood pressures may be inaccurate for the determination of average blood pressure. Nonetheless, casual pressures remain the basis for the diagnosis and treatment of hypertensive patients. We compared casual and noninvasive ambulatory blood pressure monitoring in a consecutive series of 60 subjects evaluated for possible mild hypertension on the basis of casual pressures. Ambulatory blood pressure monitoring was performed on days of usual activity. Correlations between casual systolic and average ambulatory systolic pressures or casual diastolic and average ambulatory diastolic pressures were not significant. Nearly half of the subjects had average ambulatory systolic pressures less than 130 mm Hg. Sixty percent had average ambulatory diastolic pressures less than 85 mm Hg. Nearly 40% had both systolic and diastolic pressures less than those limits. A preliminary analysis of the effects of these results on the short-term cost of antihypertensive treatment was made, assuming that treatment could be withheld from those with average ambulatory pressures less than 130/85 mm Hg. This approach suggests that ambulatory blood pressure monitoring need not increase overall cost, if the results of this evaluation are used in the decision to treat.

journal_name

Am Heart J

journal_title

American heart journal

authors

Krakoff LR,Eison H,Phillips RH,Leiman SJ,Lev S

doi

10.1016/0002-8703(88)90180-9

subject

Has Abstract

pub_date

1988-10-01 00:00:00

pages

1152-4

issue

4

eissn

0002-8703

issn

1097-6744

pii

0002-8703(88)90180-9

journal_volume

116

pub_type

杂志文章

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