title: [Hypertensive patients with poor blood pressure control in clinic. Study using ambulatory blood pressure monitoring].
abstract: OBJECTIVE
  To describe the characteristics of hypertensive patients with poor clinical control of their blood pressure (BP > 140/90 mmHg), by examining the level of control indicated by out-patient monitoring of BP (OMBP).
  
  
  METHODS
  An observational study with diagnostic intervention.
  
  
  METHODS
  Urban health centre.
  
  
  METHODS
  Hypertensive patients > 15 years old, with poor control of their BP and on the lists of 11 family doctor practices.
  
  
  METHODS
  Hypertensive patients with their BP > 140/90 mmHg, measured in base conditions with a mercury Sphygmomanometer, were studied through a 24-hour OMBP (SpaceLabs 90202-90207). Good pressure using OMBP was defined as: BP mean in the monitoring period < 140/90 mmHg.
  
  
  RESULTS
  The study included 247 hypertensive patients (53.8% women, age 53); 39.3% treated with drugs. Patients with BP appearing well-controlled through OMBP (51%) were mainly women, with less damage to target organs, less evolution, less variability and less day and night pressure loads, when compared with the hypertensive patients with BP showing poor control in OMBP. No significant differences were detected between the two groups for the consumption of medicine.
  
  
  CONCLUSIONS
  In our survey half the hypertensive patients who recorded high BP in the clinic showed their pressure well-controlled when using OMBP. A more conservative therapeutic approach is suggested for these cases.
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria de Barcelona.
authors.forename: E
authors.initials: E
authors.lastname: Vinyoles
authors.forename: M
authors.initials: M
authors.lastname: de la Figuera
mesh_terms: D018660:Blood Pressure Monitoring, Ambulatory; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D012737:Sex Factors