Recent advances in automated blood pressure measurement.
During the past 15 years, clinical outcome studies have consistently reported that home and 24-hour ambulatory blood pressure recordings provide a significantly better measure of cardiovascular risk than do manual blood pressure readings taken in the office or clinic. The advent of automated sphygmomanometers that record blood pressure with the patient alone in the examining room will be the next major change in our approach to recording blood pressure. These automated devices virtually eliminate the white coat response and their readings correlate significantly better with the ambulatory blood pressure compared with manual office blood pressure readings. The principal finding from recent research into automated blood pressure measurement is that the presence of an observer during the actual reading in itself provokes the white coat response.
Myers
Martin G
MG
Sunnybrook Health Sciences Centre, A-202, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada. martin.myers@sunnybrook.ca
D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure; D018660:Blood Pressure Monitoring, Ambulatory / Q000295:instrumentation / Q000379:methods; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy; D012307:Risk Factors
D000959:Antihypertensive Agents
Prev Med. 2008 Jun;46(6):537-44
18372036
Blood Press Monit. 2007 Dec;12(6):391-2
18277318
Blood Press Monit. 2001 Apr;6(2):107-10
11433132
Am Heart J. 1962 May;63:663-8
13907544
Blood Press Monit. 2006 Apr;11(2):59-62
16534406
Am J Hypertens. 2003 Jun;16(6):494-7
12799100
Am J Hypertens. 1996 May;9(5):419-25
8735171
BMC Cardiovasc Disord. 2005 Jun 28;5(1):18
15985180
Blood Press Monit. 2001 Jun;6(3):161-5
11518840
JAMA. 1983 May 27;249(20):2792-8
6842787
Circulation. 1966 Aug;34(2):279-98
5969359
Am J Hypertens. 2005 Oct;18(10):1369-74
16202864