title: Self-measured blood pressures at home and during consulting hours: are there any differences?
abstract: Home blood pressures are lower than casual blood pressures and this difference is probably due to physician-patient interaction in a clinical stress situation. In order to prove this assumption we compared the casual blood pressures of 127 subjects, measured by a physician and by the subjects themselves in the presence of the physician, with self-measured values obtained at home over a 7-day observation period. The casual pressures were higher than the home pressures (delta = 7.6/3.9 mmHg) regardless of whether they were taken by the physician or by the subjects themselves in the presence of the physician. The subjects' casual readings (132.9 +/- 17.5/87.6 +/- 12 mmHg) were slightly, but significantly, higher than those measured by the physician (131.9 +/- 18.4/86.3 +/- 12.6 mmHg) and both systolic and diastolic self-measured casual values were highly significantly correlated with the physician's readings (r = 0.92 and 0.91, respectively; P less than 0.01).
authors: Department of Internal Medicine, University Hospital, Zurich.
authors: T
authors: T
authors: Mengden
authors: B
authors: B
authors: Bättig
authors: D
authors: D
authors: Edmonds
authors: T
authors: T
authors: Jeck
authors: R
authors: R
authors: Huss
authors: A
authors: A
authors: Sachindis
authors: M
authors: M
authors: Schubert
authors: H
authors: H
authors: Feltkamp
authors: W
authors: W
authors: Vetter
mesh_terms: D000328:Adult; D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000379:methods*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000517:prevention & control*; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D012017:Referral and Consultation; D012931:Social Environment