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Antihypertensive treatment based on conventional or ambulatory blood pressure measurement: a randomized controlled trial

Article Abstract:

Ambulatory blood pressure monitoring can reduce dependency on antihypertensive drugs but may not reduce costs. This involves a device that patients wear throughout the day, which provides a 24-hour evaluation of their blood pressure. Researchers randomly assigned 419 hypertensive patients to have a conventional blood pressure (CBP) measurement in a doctor's office or ambulatory blood pressure (ABP) monitoring. By the end of the study, 26% of the ABP group had stopped taking drugs compared to 7% of the CPB group. Blood pressure was similar in both groups, however, the savings in drug costs were offset by the cost of ABP monitoring.

Author: Fagard, Robert, Staessen, Jan A., Celis, Hilde, O'Brien, Eoin T., Buntinx, Frank, Byttebier, Geert
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1997
Hypertension, Drug therapy

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Predicting Cardiovascular Risk Using Conventional vs Ambulatory Blood Pressure in Older Patients With Systolic Hypertension

Article Abstract:

Ambulatory blood pressure (BP) monitoring may be more accurate in detecting dangerously high blood pressure than a single reading in a doctor's office. Ambulatory BP monitoring involves giving patients an instrument that measures blood pressure which they can wear all day and night. In a study of 808 older patients with hypertension, ambulatory BP monitoring more accurately identified those who had a high risk of death from cardiovascular disease compared to a single measurement. Blood pressure readings at night were more accurate than blood pressure readings during the day.

Author: Fagard, Robert, Tuomilehto, Jaakko, Webster, John, Staessen, Jan A., Mancia, Giuseppe, O'Brien, Eoin T., Thijs, Lutgarde, Palatini, Paolo, Clement, Denis, de Leeuw, Peter W., Nachev, Choudomir, Parati, Gianfranco
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1999
Statistical Data Included, Cardiovascular diseases, Diagnosis

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Antihypertensive treatment based on blood pressure measurement at home or in the physician's office

Article Abstract:

Self-measurement of blood pressure (BP) at home is less expensive in comparison with ambulatory monitoring. If applied in a standardized way, self-measurement accomplishes several advantages of ambulatory monitoring and may lead to fewer clinic visits.

Author: Fagard, Robert, Staessen, Jan A., Hond, Elly Den, Celis, Hilde, Keary, Louis, Vandenhoven, Guy, O'Brien, Eoin T.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2004
Economic aspects, Influence, Physician services utilization, Self-examination, Medical, Self examination (Medical)

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Subjects list: Evaluation, Measurement, Blood pressure, Ambulatory medical care, Ambulatory care, Blood pressure measurement
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