Gülsüm Özkan MD, Şükrü Ulusoy MD, Rahmi Yılmaz MD, Serpil Müge Değer MD, Ülver Derici MD, Turgay Arınsoy MD, Yunus Erdem MD, Turkish Society of Hypertension and Renal Diseases
{"title":"我们应该在办公室测量多少次血压?","authors":"Gülsüm Özkan MD, Şükrü Ulusoy MD, Rahmi Yılmaz MD, Serpil Müge Değer MD, Ülver Derici MD, Turgay Arınsoy MD, Yunus Erdem MD, Turkish Society of Hypertension and Renal Diseases","doi":"10.1111/jch.14825","DOIUrl":null,"url":null,"abstract":"<p>No consensus has emerged among different guidelines concerning how many blood pressure (BP) measurements should be performed at office visits in the diagnosis of hypertension. The purpose of this study was to examine the compatibility of various multiple average office BP measurements and 24-h BP monitoring (ABPM) in patients followed up in the posthoc analysis of the Cappadocia hypertension cohort. A total 1158 office BP measurements by 207 patients were examined. The results were then classified as G1 (average of the 1<sup>st</sup> and 2<sup>nd</sup> BP), G2 (average of the 2<sup>nd</sup> and 3<sup>rd</sup>), G3 (average of the 2<sup>nd</sup>, 3<sup>rd</sup>, and 4<sup>th</sup>), G4 (average of the 2nd, 3rd, 4<sup>th</sup>, and 5<sup>th</sup>), and G5 (average of all five measurements). Compatibility between the average values in the groups and concomitant 24-h ABPM data was examined. While a significant difference was observed between daytime 24-h ABPM SBP and G1 (<i>p</i> = .002), no difference was found in the other groups. Office DBP approached the daytime 24-h ABPM values as the number of measurements in the five groups increased, although average office DBP data in all groups were higher than daytime 24-h ABPM DBP (<i>p</i> = .000 for all). In light of our study results, we recommend that three office BP measurements be performed and that the average of the 2<sup>nd</sup> and 3<sup>rd</sup> measurements be used for SBP, while in terms of DBP, we recommend that as many measurements as possible be taken without the 1<sup>st</sup> value being included in the average.</p>","PeriodicalId":50237,"journal":{"name":"Journal of Clinical Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14825","citationCount":"0","resultStr":"{\"title\":\"How many blood pressure measurements should we take in the office?\",\"authors\":\"Gülsüm Özkan MD, Şükrü Ulusoy MD, Rahmi Yılmaz MD, Serpil Müge Değer MD, Ülver Derici MD, Turgay Arınsoy MD, Yunus Erdem MD, Turkish Society of Hypertension and Renal Diseases\",\"doi\":\"10.1111/jch.14825\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>No consensus has emerged among different guidelines concerning how many blood pressure (BP) measurements should be performed at office visits in the diagnosis of hypertension. The purpose of this study was to examine the compatibility of various multiple average office BP measurements and 24-h BP monitoring (ABPM) in patients followed up in the posthoc analysis of the Cappadocia hypertension cohort. A total 1158 office BP measurements by 207 patients were examined. The results were then classified as G1 (average of the 1<sup>st</sup> and 2<sup>nd</sup> BP), G2 (average of the 2<sup>nd</sup> and 3<sup>rd</sup>), G3 (average of the 2<sup>nd</sup>, 3<sup>rd</sup>, and 4<sup>th</sup>), G4 (average of the 2nd, 3rd, 4<sup>th</sup>, and 5<sup>th</sup>), and G5 (average of all five measurements). Compatibility between the average values in the groups and concomitant 24-h ABPM data was examined. While a significant difference was observed between daytime 24-h ABPM SBP and G1 (<i>p</i> = .002), no difference was found in the other groups. Office DBP approached the daytime 24-h ABPM values as the number of measurements in the five groups increased, although average office DBP data in all groups were higher than daytime 24-h ABPM DBP (<i>p</i> = .000 for all). 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How many blood pressure measurements should we take in the office?
No consensus has emerged among different guidelines concerning how many blood pressure (BP) measurements should be performed at office visits in the diagnosis of hypertension. The purpose of this study was to examine the compatibility of various multiple average office BP measurements and 24-h BP monitoring (ABPM) in patients followed up in the posthoc analysis of the Cappadocia hypertension cohort. A total 1158 office BP measurements by 207 patients were examined. The results were then classified as G1 (average of the 1st and 2nd BP), G2 (average of the 2nd and 3rd), G3 (average of the 2nd, 3rd, and 4th), G4 (average of the 2nd, 3rd, 4th, and 5th), and G5 (average of all five measurements). Compatibility between the average values in the groups and concomitant 24-h ABPM data was examined. While a significant difference was observed between daytime 24-h ABPM SBP and G1 (p = .002), no difference was found in the other groups. Office DBP approached the daytime 24-h ABPM values as the number of measurements in the five groups increased, although average office DBP data in all groups were higher than daytime 24-h ABPM DBP (p = .000 for all). In light of our study results, we recommend that three office BP measurements be performed and that the average of the 2nd and 3rd measurements be used for SBP, while in terms of DBP, we recommend that as many measurements as possible be taken without the 1st value being included in the average.
期刊介绍:
The Journal of Clinical Hypertension is a peer-reviewed, monthly publication that serves internists, cardiologists, nephrologists, endocrinologists, hypertension specialists, primary care practitioners, pharmacists and all professionals interested in hypertension by providing objective, up-to-date information and practical recommendations on the full range of clinical aspects of hypertension. Commentaries and columns by experts in the field provide further insights into our original research articles as well as on major articles published elsewhere. Major guidelines for the management of hypertension are also an important feature of the Journal. Through its partnership with the World Hypertension League, JCH will include a new focus on hypertension and public health, including major policy issues, that features research and reviews related to disease characteristics and management at the population level.