High prevalence of newly detected hypertension in hospitalized patients: the value of inhospital 24-h blood pressure measurement
| Autor: | André P. Perruchoud, Bernd M. Leimenstoll, Benedict Martina, David Conen |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Ambulatory blood pressure Physiology Hospitalized patients Prehypertension Internal medicine Internal Medicine medicine Humans Blood pressure monitoring Aged High prevalence business.industry Blood Pressure Monitoring Ambulatory Middle Aged Surgery Hospitalization Blood pressure Hypertension Ambulatory Orthopedic surgery Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Hypertension. 24:301-306 |
| ISSN: | 0263-6352 |
| DOI: | 10.1097/01.hjh.0000200510.95076.2d |
| Popis: | Objective Screening for hypertension in hospitalized patients could reduce the number of individuals with unrecognized hypertension. We hypothesized that 24-h blood pressure monitoring is an adequate tool to detect unrecognized hypertension among inpatients. Methods Clinically stable inpatients in the Department of Internal Medicine, Department of Visceral Surgery and Department of Orthopaedics were included in the cross-sectional study. Every patient underwent inhospital 24-h blood pressure measurement. Previously unknown hypertension was defined as 24-h blood pressure of at least 125/80 mmHg in the absence of known hypertension. Forty-two patients had an additional 24-h blood pressure measurement after discharge, to compare mean inhospital and outpatient 24-h blood pressure values. Results In 314 consecutive inpatients, 24-h blood pressure measurement was performed. Among 139 patients without known hypertension, 53 were hypertensive. The mean routine and 24-h blood pressures in these patients were 135/77 and 137/82 mmHg, respectively. Thirty-seven of these patients had normal routine blood pressure and could be detected only by 24-h blood pressure measurement. Patients with unknown hypertension had a marked cardiovascular risk profile, 26 being at high or very high cardiovascular risk. However, documented cardiovascular disease was present in only seven patients, suggesting that effective treatment could prevent a considerable number of cardiovascular events. The agreement between inhospital and outpatient 24-h blood pressure measurement in 42 patients was good. Conclusions By performing inhospital 24-h blood pressure measurement, a considerable number of patients with previously unknown hypertension can be detected. |
| Databáze: | OpenAIRE |
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