Using 15-Minute Serial Blood Pressures as an Alternative to Measuring a Single Blood Pressure.

Autor: Philbrick AM; University of Minnesota, College of Pharmacy., Carlin CS; University of Minnesota, Medical School., Harris IM; University of Minnesota, Medical School., Fallert C; University of Minnesota, Medical School.
Jazyk: angličtina
Zdroj: Innovations in pharmacy [Innov Pharm] 2023 Nov 20; Vol. 14 (4). Date of Electronic Publication: 2023 Nov 20 (Print Publication: 2023).
DOI: 10.24926/iip.v14i4.5565
Abstrakt: Thirty-minute office blood pressure (OBP-30) is an alternative to ambulatory blood pressure (BP) measurement, yet is impractical to implement. This study aimed to determine whether unattended BP readings over 15 minutes would result in a similar probability of obtaining a BP of <140/90. Sixty-seven adults self-described as having high BP were analyzed. BP was measured at baseline and every 5 minutes for 15 minutes with the initial reading compared to the average of the last three readings (OBP-15). Compared to baseline, there was a decline in both average systolic (4.2 points) and diastolic (2.8 points) BP. The probability of BP control predicted by multivariate model was 71.6% at baseline and 78.0% using OBP-15 (p=0.011). The increase in BP control from initial to OBP-15 measurement was significant for indigenous or persons of color compared to whites, and men compared to women. OBP-15 is convenient and results in lower BP readings and higher probability of BP control compared to the initial reading.
(© Individual authors.)
Databáze: MEDLINE