Thirty years of research on diagnostic and therapeutic thresholds for the self-measured blood pressure at home
Autor: | Theo Thien, Peter W. de Leeuw, Gianfranco Parati, Masahiro Kikuya, Y. Imai, Eoin O'Brien, Lutgarde Thijs, José Boggia, Dirk G. Dechering, Jan A. Staessen, Takayoshi Ohkubo, Tatiana Kuznetsova, Tom Richart, Ahmet Adiyaman |
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Přispěvatelé: | Staessen, J, Thijs, L, Ohkubo, T, Kikuya, M, Richart, T, Boggia, J, Adiyaman, A, Dechering, D, Kuznetsova, T, Thien, T, de Leeuw, P, Imai, Y, O’Brien, E, Parati, G |
Rok vydání: | 2008 |
Předmět: |
Adult
Male medicine.medical_specialty Health aging / healthy living [IGMD 5] medicine.drug_class Diastole Blood Pressure Vascular medicine and diabetes [UMCN 2.2] Assessment and Diagnosis Prehypertension Cohort Studies self-measure home Internal medicine Odds Ratio Internal Medicine medicine Humans Longitudinal Studies Prospective Studies Antihypertensive drug Prospective cohort study Societies Medical Aged Aged 80 and over Advanced and Specialized Nursing Cardiovascular diseases [NCEBP 14] business.industry Research Blood Pressure Determination General Medicine Odds ratio Blood Pressure Monitoring Ambulatory Middle Aged Physicians' Offices Self Care Clinical trial Blood pressure Meta-analysis Hypertension Practice Guidelines as Topic Cardiology Physical therapy Regression Analysis Female Cardiology and Cardiovascular Medicine business |
Zdroj: | Blood Pressure Monitoring, 13, 352-65 Blood Pressure Monitoring, 13, 6, pp. 352-65 |
ISSN: | 1359-5237 |
Popis: | OBJECTIVE: The goal of this review study is to summarize 30 years of research on cut-off limits for the self-measured blood pressure. METHODS: We reviewed two meta-analyses, several prospective outcome studies in populations and hypertensive patients, studies in pregnant women, three clinical trials and the thresholds proposed in earlier and current hypertension guidelines. RESULTS: In line with existing guidelines, prospective studies support that levels of the self-measured blood pressure at home of greater than or equal to 135 mmHg systolic or greater than or equal to 85 mmHg diastolic indicate hypertension. Circumstantial data suggest that levels of the self-measured blood pressure below 120/80 and 130/85 mmHg are optimal and normal, respectively. Therapeutic targets of the self-measured blood pressure to be attained on antihypertensive drug treatment are currently unknown, but should logically be lower ( |
Databáze: | OpenAIRE |
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