[Different uses of home blood pressure measurement in the diagnosis and monitoring of hypertension].
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.
Divisón
Juan Antonio
JA
Grupo de Estudio de Enfermedades Vasculares de Albacete (GEVA), Albacete, España. jdivisong@medynet.com
Sanchis Doménech
Carlos
C
Carrión Valero
Lucinio
L
Massó Orozco
Javier
J
Carbayo Herencia
Julio
J
López de Coca
Enrique
E
Artigao
Luis Miguel
LM
Rodríguez Paños
Beatriz
B
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