Hypertension, Vol 6, 574-578, Copyright © 1984 by American Heart Association
HD Kleinert, GA Harshfield, TG Pickering, RB Devereux, PA Sullivan, RM Marion, WK Mallory and JH Laragh
To investigate the value of home blood pressure (BP) measurements, the BP
was recorded daily by the patient at home and compared with recordings in
the physician's office and with a 24-hour BP recording taken with a
noninvasive ambulatory BP recorder in a group of 93 patients with mild
untreated hypertension. Office BPs (mean 148/94 mm Hg) were higher than
either home (138/89 mm Hg) or average 24-hour BPs (131/89 mm Hg). For
systolic BP, home and office measurements gave similar correlations with
24-hour BP (0.67 and 0.55). For diastolic BP, however, home readings were
lower and more accurate (0.76 vs 0.36). Thus, our findings indicate that
home readings reflect the overall level of BP more reliably than office
readings, and if due consideration is given to the fact that they are
usually lower than office readings, they may be used as an alternative and
cost-effective means of evaluating patients with mild hypertension.
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What is the value of home blood pressure measurement in patients with mild hypertension?
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