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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 8 - 14 (7page)
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Abstract Background: Every third patient in the clinic is misdiagnosed due to white-coat phenomenon, necessitating needless and costly treatment. We aimed to study the hemodynamic response of the physician’s visit on hypertensive and normotensive patients by investigating the trend of blood pressure (BP) before, during and 15 min after the physician-patient encounter. Methods: A descriptive, cross-sectional study was conducted over a period of 8 months in the cardiology clinics at the Aga Khan University Hospital, Karachi. Both hypertensive and normotensive patients, aged ≥18 years, were recruited. Pregnant females or those with a history of volume loss were excluded. BP readings were taken using an automated, validated device (Omron-HEM7221-E) at three points: pre-clinic BP by the assessment nurse, in-clinic BP by the attending physician and post-clinic BP 15-min after the physician-patient encounter by a research assistant. Independent samples t-test was used to calculate the statistical difference between hypertensive and normotensive BP values. Results: Of 180 participants, 71% (n = 128) were hypertensive and 57% (n = 103) of all were males. The mean age of the participants was 57 ± 15 years. The mean and standard deviation(±SD) systolic BP (SBP) taken pre-clinic, inclinic and 15-min post-clinic for hypertensive population was 128.7 ± 20 mmHg, 137.1 ± 21 mmHg and 127.9 ± 19 mmHg. The mean and standard deviation(±SD) SBP taken pre-clinic, in-clinic and 15 min post-clinic for normotensive population was 112 ± 16 mmHg, 115.8 ± 20 mmHg and 111.8 ± 15 mmHg. The hypertensive SBP values showed statistically significant difference from the normotensive values (difference in pre-clinic SBP: 16. 7 mmHg, p-value < 0.001; in-clinic SBP: 21.3 mmHg, p-value < 0.001; and 15 min post-clinic: 16.1 mmHg, p-value < 0.001). Conclusions: Hypertensive and normotensive patients display congruent hemodynamics upon visiting the physician, the alert response being accentuated amongst the hypertensive group. In-clinic BP readings are higher for both hypertensive and normotensive patients making them unreliable for screening and management of hypertension amongst both the groups.
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참고문헌 (18)
참고문헌 신청
Lawes CM / 2008 / Global burden of blood-pressurerelated disease, 2001 / Lancet 371(9623):1513~1518
Shafi ST / 2017 / A survey of hypertension prevalence, awareness, treatment, and control in health screening camps of rural Central Punjab, Pakistan / J Epidemiol Glob Health 7(2):135~140
Hyder AA / 2000 / Applying burden of disease methods in developing countries : a case study from Pakistan / Am J Public Health 90(8):1235
Jafar TH / 2018 / Determinants of uncontrolled hypertension in rural communities in South Asia - Bangladesh, Pakistan, and Sri Lanka / Am J Hypertens
Pickering TG / 2008 / When and how to use self(home)and ambulatory blood pressure monitoring / J Am Soc Hypertens 2(3):119~124
Shafi ST / 2017 / A survey of hypertension prevalence, awareness, treatment, and control in health screening camps of rural Central Punjab, Pakistan / J Epidemiol Glob Health 7(2):135~140
Hyder AA / 2000 / Applying burden of disease methods in developing countries : a case study from Pakistan / Am J Public Health 90(8):1235
Jafar TH / 2018 / Determinants of uncontrolled hypertension in rural communities in South Asia - Bangladesh, Pakistan, and Sri Lanka / Am J Hypertens
Pickering TG / 2008 / When and how to use self(home)and ambulatory blood pressure monitoring / J Am Soc Hypertens 2(3):119~124
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