Office blood pressure measurement types: Different methodology—Different clinical conclusions
| Autor: | George S. Stergiou, Konstantinos G. Kyriakoulis, Anastasios Kollias |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Office Visits Endocrinology Diabetes and Metabolism Blood Pressure 030204 cardiovascular system & hematology Automation 03 medical and health sciences 0302 clinical medicine Oscillometry Internal Medicine medicine Humans Blood pressure monitoring 030212 general & internal medicine Practice Patterns Physicians' Hypertension diagnosis Intensive care medicine Randomized Controlled Trials as Topic Practice patterns business.industry Reproducibility of Results Blood Pressure Determination Blood Pressure Measurement Blood Pressure Monitoring Ambulatory Device type Clinical Practice Multiple factors Blood pressure Auscultation Hypertension Cardiology and Cardiovascular Medicine business Research setting |
| Zdroj: | J Clin Hypertens (Greenwich) |
| ISSN: | 1751-7176 1524-6175 |
| DOI: | 10.1111/jch.13420 |
| Popis: | The measurement of blood pressure in the office (OBP) remains the basis for hypertension diagnosis and management for more than half a century. Despite the increasing use of out‐of‐office blood pressure measurement using home and less so ambulatory monitoring and their endorsement by hypertension societies, at present and for some time to come it is likely that in many people the diagnosis and management of hypertension will be based on OBP measurement alone. OBP measurement is a very variable method affected by multiple factors, which have major impact on the OBP level, reproducibility and prognostic ability. Thus, there are several types of OBP measurement, depending on the device type, conditions, observer’s presence and the number of readings. The 4 main OBP types are: Type I: Auscultatory OBP in clinical practice; Type II: Automated attended OBP in clinical practice; Type III: Research setting OBP; Type IV: Unattended automated OBP. These OBP types have different standardization level, different reproducibility, different clinical relevance and different thresholds for hypertension diagnosis. Unless the methodological details of OBP measurement are reported, any conclusions based on such measurements in clinical research and in practice are questionable. |
| Databáze: | OpenAIRE |
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