Home blood pressure levels in pregnant women with chronic hypertension.
OBJECTIVE
To explore the difference between office and home blood pressure (BP) monitoring in normotensive and hypertensive pregnant women.


METHODS
We compared the mean of 1 week home BP with office BP, measured by aneroid devices, in 20 normotensive women (68 BP assessments) and 100 women with mild essential chronic hypertension without superimposed gestational hypertension (429 BP assessments). Different approaches were used including the Bland-Altman method to investigate the discrepancies between office and home BP.


RESULTS
Systolic office BP in normotensive women (p = 0.004) and diastolic office BP in hypertensive women (p = 0.001) were lower than home BP. The concordance between office and home BPs was better for diastolic BP than for systolic BP. Only a small number of hypertensive women presented home BP >or=135/85 mm Hg.


CONCLUSIONS
In our study population, the concurrence between office and home BPs is good with the exception of systolic BP in normotensive women. Home blood pressure measurement criteria used in nonpregnant individuals are not adequate in pregnancy.
Rey
Evelyne
E
Internal Medicine Service, Department of Obstetrics and Gynaecology, CHU Sainte-Justine and Université de Montréal, Montréal, Canada. evelyne_rey@ssss.gouv.qc.ca
Pilon
Francine
F
Boudreault
Jocelyne
J
D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001724:Birth Weight; D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory; D003971:Diastole / Q000502:physiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D007231:Infant, Newborn; D010298:Parity; D010824:Physicians' Offices; D011247:Pregnancy / Q000502:physiology*; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000503:physiopathology; D011264:Pregnancy Trimesters; D011446:Prospective Studies; D019722:Sphygmomanometers; D013599:Systole / Q000502:physiology
D000959:Antihypertensive Agents