지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 241 - 250 (10page)
이용수
초록· 키워드
오류제보하기
Manual blood pressure (BP) recorded in routine clinical practice is relatively inaccurate and associated with higher readings compared to BP measured in research studies in accordance with standardized measurement guidelines. The increase in routine office BP is the result of several factors, especially the presence of office staff, which tends to make patients nervous and also allows for conversation to occur. With the disappearance of the mercury sphygmomanometer because of environmental concerns, there is greater use of oscillometric BP recorders, both in the office setting and elsewhere. Although oscillometric devices may reduce some aspects of observer BP measurement error in the clinical setting, they are still associated with higher BP readings, known as white coat hypertension (for diagnosis) or white coat effect (with treated hypertension). Now that fully automated sphygmomanometers are available which are capable of recording several readings with the patient resting quietly, there is no longer any need to have office staff present when BP is being recorded. Such readings are called automated office blood pressure (AOBP) and they are both more accurate than conventional manual office BP and not associated with the white coat phenomena. AOBP readings are also similar to the awake ambulatory BP and home BP, both of which are relatively good predictors of cardiovascular risk. The available evidence suggests that AOBP should now replace manual or electronic office BP readings when screening patients for hypertension and also after antihypertensive drug therapy is initiated.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Myers MG / 1995 / Prevalence of white coat effect in treated hypertensive patients in the community / Am J Hypertens 8:591~597
Myers MG / 1997 / The impact of physician vs automated blood pressure readings on office-induced hypertension / J Hum Hypertens 11:491~493
Myers MG / 2003 / Use of an automated blood pressure recording device, the BpTRU, to reduce the "white coat effect" in routine practice / Am J Hypertens 16:494~497
Myers MG / 2010 / Measurement of blood pressure in the office: recognizing the problem and proposing the solution / Hypertension 55:195~200
Chambers LW / 2013 / Comparison of blood pressure measurements using an automated blood pressure device in community pharmacies and family physicians' offices: a randomized controlled trial / CMAJ Open 1:E37~E42
Myers MG / 1997 / The impact of physician vs automated blood pressure readings on office-induced hypertension / J Hum Hypertens 11:491~493
Myers MG / 2003 / Use of an automated blood pressure recording device, the BpTRU, to reduce the "white coat effect" in routine practice / Am J Hypertens 16:494~497
Myers MG / 2010 / Measurement of blood pressure in the office: recognizing the problem and proposing the solution / Hypertension 55:195~200
Chambers LW / 2013 / Comparison of blood pressure measurements using an automated blood pressure device in community pharmacies and family physicians' offices: a randomized controlled trial / CMAJ Open 1:E37~E42
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