Sequential evaluation of the supine hypertension or 'roll-over' test in a high risk population.
The supine hypertensive or 'roll-over' test (ROT) was performed serially in 24 primigravid patients between 27 and 35 weeks of gestational age. Pregnancy-induced hypertension (PIH) developed in 3 women (12.5%). Test producibility one week to the next in the same patient was poor. A false-positive ROT was noted for 83% of our patients a false-negative test for 12.5%. We conclude that serial testing reveals marked variations in response that reflect inherent biologic fluctuations that limit the predictive value of the ROT for screening outpatients.
D000293:Adolescent; D000328:Adult; D001795:Blood Pressure Determination / Q000379:methods*; D003951:Diagnostic Errors; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D008722:Methods; D010298:Parity; D011187:Posture; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis*; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D012306:Risk