title: [Different uses of home blood pressure measurement in the diagnosis and monitoring of hypertension].
abstract: OBJECTIVE
  To find differences between measurements of clinical blood pressure and self-monitored home blood pressure measurement (HBPM).
  
  
  METHODS
  Descriptive study developed in a general population census.
  
  
  METHODS
  Primary care.
  
  
  METHODS
  A total of 1411 subjects > or =18 years old were selected by stratified randomized sampling.
  
  
  METHODS
  A skilled nurse made 3 clinical blood pressure (CBP) measurements, and trained patients or their relatives in HBPM, doing 12 in one day. CBP and HBPM employed an electronic device (OMRON 705CP).
  
  
  RESULTS
  A total of 12 HBPM from 1184 subjects (52% women) were completed, with a mean age of 47.6 (SD, 17.2); 195 subjects were known to have hypertension. White-coat effect was diagnosed in 14.9% of subjects with normal pressure, 22.3% of hypertense patients treated and 57.6% of subjects with suspicion of isolated clinical hypertension. Possible isolated clinical hypertension was diagnosed in 10% of subjects without hypertension. White Coat normal pressure was found in 2.3% of untreated subjects and 4.7% of subjects with treated hypertension. 20.7% of subjects with hypertension poorly controlled in the clinic were considered pseudo-refractory (11.4% at the end of dosage interval). 77% of subjects conducted HBPM on their own and 89% thought it easy to do so.
  
  
  CONCLUSIONS
  Incorporation of HBPM into daily medical practice could avoid 20%-30% of possible mistakes in diagnosis and monitoring of hypertense patients.
authors.affiliation: Grupo de Estudio de Enfermedades Vasculares de Albacete (GEVA), Albacete, España. jdivisong@medynet.com
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Divisón
authors.forename: Carlos
authors.initials: C
authors.lastname: Sanchis Doménech
authors.forename: Lucinio
authors.initials: L
authors.lastname: Carrión Valero
authors.forename: Javier
authors.initials: J
authors.lastname: Massó Orozco
authors.forename: Julio
authors.initials: J
authors.lastname: Carbayo Herencia
authors.forename: Enrique
authors.initials: E
authors.lastname: López de Coca
authors.forename: Luis Miguel
authors.initials: LM
authors.lastname: Artigao
authors.forename: Beatriz
authors.initials: B
authors.lastname: Rodríguez Paños
mesh_terms: D000328:Adult; D001795:Blood Pressure Determination / Q000379:methods*; D018660:Blood Pressure Monitoring, Ambulatory; D015924:Blood Pressure Monitors; D016009:Chi-Square Distribution; D003627:Data Interpretation, Statistical; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D019722:Sphygmomanometers; D013997:Time Factors