Management of hypertension after ambulatory blood pressure monitoring
Article Abstract:
Physicians referring patients with high blood pressure for outpatient monitoring are using the results of that testing to modify diagnosis and treatment plans. With ambulatory blood pressure monitoring, readings can be taken regularly throughout the day. This allows for readings which more accurately reflect a patient's blood pressure during daily activities. In a study the most common reasons physicians referred patients for ambulatory blood pressure monitoring were to assess borderline hypertensive states, to monitor blood pressure during drug therapy and to determine if a patient was suffering from "white coat" hypertension (high blood pressure only in the doctor's office). Of the 122 patients monitored, diagnosis was changed for 41% and the antihypertensive therapy was changed in 46%. Three months after the initial monitoring, 72% of the patients had lower blood pressure.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1993
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Hypertension guidelines promote aggressive therapy
Article Abstract:
The National Heart, Lung, and Blood Institute has published the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The guidelines classify blood pressure into high-normal, stage 1 hypertension and stages 2-3 hypertension and recommend various treatments depending on the patient's medical history. Those with no risk factors for hypertension and no evidence of hypertension-related disease can be treated with diet and exercise. Patients with risk factors or related disease should will probably need medication in addition to diet and exercise.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1998
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Home monitoring service improves blood pressure control in patients with high blood pressure
Article Abstract:
A home blood pressure monitor that sends results to doctors over the phone may help patients control their blood pressure. In a study of 121 patients with hypertension, African-Americans seemed to benefit even more than whites from this system.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 2001
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