[Incidental high blood pressure in family practice: due to hypertension and/or left ventricular hypertrophy in more than half of the patients]

Autor: I, Boekhout, H W, Van Marwijk, H, Petri, J J, Schipperheyn, J, Hermans, M P, Springer
Jazyk: Dutch; Flemish
Rok vydání: 1998
Předmět:
Zdroj: Nederlands tijdschrift voor geneeskunde. 142(44)
ISSN: 0028-2162
Popis: To determine if patients with incidentally high blood pressure actually have hypertension and if these patients have an increased left ventricular mass.Cross-sectional study.Two family practices with 8 general practitioners in Leiden and Noordwijk, the Netherlands.From the Family Practice Network in the Leiden area 133 (67%) out of 200 patients with incidental high blood pressure, who did not receive antihypertensive medication, participated in the study. Their blood pressure was measured 6 times with a mercury manometer, an automatic, non-invasive ambulatory blood pressure monitoring during 24 hours was performed once and their left ventricular mass was measured by means of echocardiography.Of the 133 selected patients 46% had a mean diastolic blood pressure95 mmHg measured with the mercury manometer and 64% had a mean 24-hr diastolic blood pressure90 mmHg measured with the ambulatory blood pressure monitor. The correlation between both blood pressure measurements was moderate (correlation coefficient 0.73). Left ventricular hypertrophy was found in 53% of the patients, irrespective of their blood pressures.In this investigation 45-65% of patients with an incidentally high blood pressure had a mean diastolic pressure95 mmHg as measured with a mercury manometer and (or) a mean 24-hr diastolic blood pressure90 mmHg as measured with the ambulatory blood pressure monitor; 53% had left ventricular hypertrophy.
Databáze: OpenAIRE