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
- 2021.10
- 수록면
- 24 - 30 (7page)
- DOI
- 10.1186/s40885-021-00171-5
이용수
초록· 키워드
오류제보하기
Background: It is most important to measure blood pressure (BP) exactly in treating hypertension. Recent recommendations for diagnosing hypertension clearly acknowledge that an increase in BP attributable to the “whitecoat response” is frequently associated with manual BP recordings performed in community-based practice.
However, there was no data about after-consult (AC) BP that could reduce whitecoat effect. So we evaluated before-consult (BC) and AC routine clinic BP and research based automated office blood pressure (AOBP) measured.
Methods: The study population consisted of 82 consecutive patients with hypertension between April 2019 and December 2019. We measured routine clinic BP and AOBP before and after see a doctor, respectively. Seated blood pressure and pulse are measured at each time after a rest period using an automated device as it offers reduced potential for observer biases. AOBP was measured and measuring BP 3 times un-observed. We compared each BP parameter for identifying exact resting BP state.
Results: There was significant difference between BC and AC systolic BP (135.37 ± 16.90 vs. 131.95 ± 16.40 mmHg, p = 0.015). However there was no difference in the BC and AC diastolic blood pressure (73.75 ± 11.85 vs. 74.42 ± 11.71 mmHg, p = 0.415). In the AOBP comparison, there was also significant difference (BC systolic AOBP vs. AC systolic AOBP, 125.17 ± 14.41 vs. 122.98 ± 14.09 mmHg, p = 0.006; BC diastolic ABOB vs. AC diastolic AOBP, 71.99 ± 10.49 vs. 70.99 ± 9.83, p = 0.038).
Conclusions: In our study, AC AOBP was most lowest representing resting state. Although AC BP was higher than BC AOBP, it might be used as alternative measurement for reducing whitecoat effect in the routine clinical practice.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Franklin SS / 1999 / Cardiovascular risks related to increased diastolic, systolic and pulse pressure. An epidemiologist’s point of view / Pathol Biol 47(6):594~603
Agarwal R / 2016 / Longitudinal Study of Left Ventricular Mass Growth : Comparative Study of Clinic and Ambulatory Systolic Blood Pressure in Chronic Kidney Disease / Hypertension 67(4):710~716
Paul K / 2017 / ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines / J Am Soc Hypertens 12(8):579.e1~579.e73
Bryan Williams G / 2018 / 2018 ESC/ESH Guidelines for the management of arterial hypertension / Eur Heart J 39(33):3021~3104
Martin G / 2010 / Measurement of blood pressure in the office : recognizing the problem and proposing the solution / Hypertension 55(2):195~200
Agarwal R / 2016 / Longitudinal Study of Left Ventricular Mass Growth : Comparative Study of Clinic and Ambulatory Systolic Blood Pressure in Chronic Kidney Disease / Hypertension 67(4):710~716
Paul K / 2017 / ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines / J Am Soc Hypertens 12(8):579.e1~579.e73
Bryan Williams G / 2018 / 2018 ESC/ESH Guidelines for the management of arterial hypertension / Eur Heart J 39(33):3021~3104
Martin G / 2010 / Measurement of blood pressure in the office : recognizing the problem and proposing the solution / Hypertension 55(2):195~200
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