THE CONCERNS OF BLOOD PRESSURE MONITORING IN ARTERIAL HYPERTENSION OUTPATIENTS
https://doi.org/10.15829/1560-4071-2016-4-47-51
Abstract
Aim. To analyze correctness of office blood pressure (BP) measurement by physicians and home-based BP monitoring (HBPM) — by the patients, and to assess the efficacy of patients teaching for correct BP self-measurement and control.
Material and methods. Totally, 46 physicians questioned (32 local internists and 14 general practitioners with experience 2-27 years) and 290 patients with arterial hypertension (AH).
Results. It was revealed that the following parameters were not unified: choice of arm, size of a cuff, times BP measured, time interval for repeated measurement, recording of BP by patients and physicians. These parameters did not suffice totally the Russian guidelines on diagnostics and treatment of arterial hypertension. About a half of BP patients by themselves corrected antihypertension treatment and dealt with the “crises”.
Conclusion. Education of patients for BP measurement rules must be performed in “AH schools” and in offices (prevention departments) under supervision of local internists and general practitioners. Such events, as regular update of sphygmomanometers and supply physicians by cuffs of various size, will help to achieve better BP measurement quality in office, as in screening.
About the Authors
E. M. FilipchenkoRussian Federation
Krasnodar
V. V. Gorban
Krasnodar
References
1. Diagnosis and treatment of hypertension. Russian recommendations (fourth revision). Sistemnye gipertenzii. 2010; 3: 5-26. Russian (Диагностика и лечение артериальной гипертензии. Российские рекомендации (четвертый пересмотр). Системные гипертензии. 2010; 3: 5-26).
2. Recommendations for treatment of hypertension. ESH/ESC 2013. Russ J Cardiol 2014, 1 (105): 7-94. Russian (Рекомендации по лечению артериальной гипертонии. ESH/ESC 2013. Российский кардиологический журнал. 2014; 1(105): 7-94).
3. Ezzati M, Riboli E. Behavioral and Dietary Risk Factors for Noncommunicable Diseases. N. Engl. J. Med. 2013; 369(10): 954-64.
4. Cardiovascular prevention. National recommendations. Cardiovascular Therapy and Prevention. 2011; 10(6): Suppl. 2: 64 p. Russian (Кардиоваскулярная профилактика. Национальные рекомендации. Кардиоваскулярная терапия и профилактика. 2011; 10(6): приложение 2: 64 с).
5. Taylor BC, Wilt TJ, Welch HG. Impact of diastolic and systolic blood pressure on mortality: implications for the definition of “normal”. J Gen Intern Med. 2011; 26: 685-90.
6. Palatini P, Parati G. Blood pressure measurement in very obese patients: a challenging problem. J. Hypertens. 2011; 29: 425-29.
7. Parati G, Faini A, Castiglioni P. Accuracy of blood pressure measurement: sphygmomanometer calibration and beyond. J Hypertens. 2006; 24(10): 1915-8.
8. Handler J. The importance of accurate blood pressure measurement. Perm J. 2009; 13: 51-4.
9. McManus RJ, Mant J, Haque MS, et al. Effect of Self-monitoring and Medication Selftitration on Systolic Blood Pressure in Hypertensive Patients at High Risk of Cardiovascular Disease. JAMA. 2014; 312 (8): 799-808.
10. Clark CE, Campbell JL, Evans PH, et al. Prevalence and clinical implications of the interarm blood pressure difference: A systematic review. J Hum Hypertens. 2006; 20(12): 923-31.
11. Parati G, Omboni S, Palatini P, et al. Italian Society of Hypertension Guidelines for conventional and automated blood pressure measurement in the office, at home and over 24 hours. High Blood Press Cardiovasc Prev. 2008; 15 (4): 283-310.
12. Ogedegbe G, Pickering T. Principles and techniques of blood pressure measurement. Cardiol Clin. 2010; 28(4): 571-86.
Review
For citations:
Filipchenko E.M., Gorban V.V. THE CONCERNS OF BLOOD PRESSURE MONITORING IN ARTERIAL HYPERTENSION OUTPATIENTS. Russian Journal of Cardiology. 2016;(4):47-51. (In Russ.) https://doi.org/10.15829/1560-4071-2016-4-47-51