Thirty-Minute Office Blood Pressure Monitoring In Primary Care

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Révision datée du 4 décembre 2025 à 07:51 par Mollie9943 (discussion | contributions) (Page créée avec « <br>In our examine, set in a major health care center, blood strain readings obtained with OBP30 have been on average a lot decrease than routine OBP readings (22.Eight mm... »)
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In our examine, set in a major health care center, blood strain readings obtained with OBP30 have been on average a lot decrease than routine OBP readings (22.Eight mm Hg systolic, 11.6 mm Hg diastolic). The variations between OBP and OBP30 had been greater for patients aged 70 years or older. Whereas family physicians would have intensified the antihypertensive treatment regimens in 79.1% of the patients primarily based on OBP alone, this proportion was 24.9% with OBP30 accessible. Our examine has several strengths. First, for the reason that examine was set in a main health care center with out the usage of research workers, the outcomes are generalizable to main care. Second, OBP30 turned accessible in our heart very not too long ago. Therefore, the collaborating physicians could realistically estimate how they might have coped with out OBP30 results. Third, all data have been collected prospectively. The examine additionally had quite a few limitations. First, the collaborating physicians have been asked solely after they obtained OBP30 outcomes how they would have treated the patients based mostly on OBP alone.



This timing could have influenced their response to the query. Second, our examine was performed in a single site. It's conceivable that at a different center, OBP or OBP30 results can be totally different due to differences in populations served or measurement techniques used. Third, physicians ordered OBP30 primarily upon observing high blood pressure readings. Therefore regression towards the mean may have played a task: repeated OBP readings, if ordered, might additionally on average have been decrease than the index readings. Two notable earlier research have investigated OBP30 on the whole follow. One found that systolic blood strain measured with OBP30 was similar to that measured with daytime ambulatory blood stress monitoring.5 The opposite discovered that OBP30 readings had been on average 7.6 mm Hg lower than OBP measurements.Eight In contrast to ours, the latter study included patients not selected by their family physicians and used standardized OBP as an alternative of routine OBP. Further research on this topic is required: our outcomes must be replicated in other sites. OBP30 needs to be compared with other automated office-based means which have the potential to tell apart between white-coat hypertension and sustained hypertension, such because the BpTRU (BpTRU Medical Devices Ltd).9 Finally, the influence of OBP30-primarily based blood stress therapy on the variety of medications prescribed, and on the incidence of side effects and cardiovascular morbidity and mortality ought to be evaluated. In conclusion, OBP30 yields decrease blood strain readings than routine OBP in patients chosen by their household physicians, even patients not suspected of having white-coat hypertension. In our examine, the use of OBP30 in this select affected person population led to a lot much less intensification of anti-hypertensive medications regimens. OBP30 is a promising method to cut back overtreatment of white-coat hypertension in primary health care.



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