[Comparison of conventional versus 24-hour blood pressure measurement. How often do variations in diagnostic/therapeutic evaluation occur?].
OBJECTIVE
The question as to whether and to what extent 24-hour blood pressure measurement (Holter monitoring) is capable of improving the diagnosis and treatment of arterial hypertension was investigated.


METHODS
For this purpose, 50 patients with the diagnosis--based on random blood pressure measurement--of, or receiving treatment for, hypertension were referred to our hospital by general practitioners. In 26 patients, the diagnosis hypertension, and in 24 patients the "well-controlled hypertension" were checked with the aid of 24-hour ambulatory monitoring.


RESULTS
Of the patients referred with the diagnosis hypertension, 27% were shown by 24-hour blood pressure measurement not to be suffering from hypertension. The treatment of the 24 patients considered to be "well-controlled hypertensives" was validated by 24-hour blood pressure measurement in only 13 cases.
von Hoyningen-Huene
K
K
Medizinische Klinik I, Universität München.
Schmid
R
R
Höfling
B
B
D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects; D015924:Blood Pressure Monitors; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy*; D008297:Male; D008838:Microcomputers; D008875:Middle Aged; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation
D000959:Antihypertensive Agents
Vergleich konventionelle versus 24-Stunden-Blutdruckmessung. Wie oft Abweichung in der diagnostischen/therapeutischen Beurteilung?