[Measurement of blood pressure in consultation and automated mesurement (BPTru(®)) to evaluate the white coat effect].

Autor:	García-Donaire JA; Servicio de Nefrología, Hospital 12 de Octubre, Madrid, España. docdonaire@terra.es, Dalfó Baqué A, Sanclemente Ansó C, Urdiales Castillo D, Martínez Debén F, Ortega López N, Pizarro Núñez JL, Martín Oterino JÁ, García-Norro Herreros J, Mediavilla García JD, Vara González LA, Prieto Díaz MÁ, Vila Coll MA, Gómez Fernández P, Rossique Delmas P, Gascón Becerril R, Pérez Álvarez R, Delgado Zamora R, de Vega Santos T, Cerezo Olmos C, Segura de La Morena J, Ruilope LM
Jazyk:	Spanish; Castilian
Zdroj:	Medicina clinica [Med Clin (Barc)] 2012 May 19; Vol. 138 (14), pp. 597-601. Date of Electronic Publication: 2012 Mar 21.
DOI:	10.1016/j.medcli.2011.10.030
Abstrakt:	Background and Objective: White coat effect (WCE) is one of the main bias that can affect office blood pressure (BP) measurement. Therefore, it is a factor must be considered in hypertensives to avoid mistakes in diagnosis and/or treatment. Employment of automated office BP (AOBP) devices could diminish that effect. Methods: Two studies were designed with the objective of evaluating differences between routinely office and AOBP measurements. WCE was also assessed. First, the TRUE-ESP study included normotensive and hypertensive patients attending specialized consultations at Cardiology, Nephrology, Internal Medicine, Endocrinology and Family Practice. Second, the TRUE-HTA study included hypertensives attending a protocoled Hypertension Unit, with a trained staff. Results: TRUE-ESP study included 300 patients, 76% being hypertensives. A significant difference between office BP and AOBP measurement (SBP/DBP 9.8±11.6/3.4±7.9 mmHg, P<.001) was observed. Percentage of patients gathering WCE criteria was 27.7%. TRUE-HTA study included 101 hypertensive patients. A significant difference between office BP and AOBP measurement (SBP/DBP 5.7±9.3/2.1±5.3 mmHg, P<.001) and activity period-ABPM (SBP/DBP 8.5±6.7/3.5±2.5 mmHg, P<.001) was observed. Percentage of WCE patients was 32.1%. Conclusions: Use of AOBP devices can contribute to decrease WCE and to improve accuracy of office BP measurement. (Copyright © 2011 Elsevier España, S.L. All rights reserved.)
Databáze:	MEDLINE
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