Marija Petek Šter (Author), Janko Kersnik (Author)

Abstract

Background Ambulatory blood pressure monitoring (ABPM) gives important additional information to office blood-pressure measurements in diagnostic andtreatment of patients with high blood pressure. The aim of our survey is tofind out the impact of ABPM on management of arterial hypertension in primary care.Patients and We included 339 consecutive patients with uncontrolled arterial hypertension, treated with methods at least two different antihypertensive drug classes in 38 general practitionerćs offices in Slovenia. We randomly divided patients into the test (ABPM) and the controlgroup (office measurements only). After 12 weeks we assessed the impactof ABPM on management of arterial hypertension. results We analysed dataof 339 patients: 160 in the testing and 179 in the control group, aged from 34 to 80 years (mean 61.4 years, SD 9.8 years) with mean systolic blood pressure 159.2 (SD 12.5) mm Hg and mean diastolic blood pressure 92.1 (SD 8.7)mm Hg. 45 (28.1 %) of patients after ABPM have controlled blood pressure. Possibility for controlled blood pressure is higher in female (OR = 5.445, 95 % CI: 2.16-13.76) and patients with lower mean office blood pressure (OR = 0.931, 95 % CI: 0.84-0.97). Performance of ABPM did not have impact on the number of hypertension related office visits (1.6 in tested vs. 1.7 in controlgroup, p = 0.306). Patients in the testing group less often underwent changes of antihypertensive drug therapy (52.5 % vs. 66.5 % in the control group, p = 0.009). Conclusions White coat effect is common in patients on combined antihypertensive therapy in primary care. APBM did not reduce the number of office visits, but reduced the probability of antihypertensive drug changes.

Keywords

arterijska hipertenzija;ambulanta družinske medicine;24-urno neinvazivno merjenje krvnega tlaka;spremljanje;zdravljenje z zdravili;

Data

Language: Slovenian
Year of publishing:
Typology: 1.01 - Original Scientific Article
Organization: UM MF - Faculty of Medicine
Publisher: Slovensko zdravniško društvo
UDC: 614
COBISS: 25971929 Link will open in a new window
ISSN: 1318-0347
Parent publication: Zdravniški vestnik
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Other data

Secondary language: English
Secondary title: Impact of 24-hours non-invasive blood pressure monitoring on hypertension management in general practice
Secondary abstract: Background: Ambulatory blood pressure monitoring (ABPM) gives important additional information to office blood-pressure measurements in diagnostic andtreatment of patients with high blood pressure. The aim of our survey is to find out the impact of ABPM on management of arterial hypertension in primary care. Patients and methods: We included 339 consecutive patients with uncontrolled arterial hypertension, treated with methods at least two different antihypertensive drug classes in 38 general practitioner's offices in Slovenia. We randomly divided patients into the test (ABPM) and the control group (office measurements only). After 12 weeks we assessed the impact of ABPM on management of arterial hypertension. Results: We analysed data of 339 patients: 160 in the testing and 179 in the control group, aged from 34 to 80 years (mean 61.4 years, SD 9.8 years) with mean systolic blood pressure 159.2 (SD 12.5) mm Hg and mean diastolic blood pressure 92.1 (SD 8.7)mm Hg. 45 (28.1 %) of patients after ABPM have controlled blood pressure. Possibility for controlled blood pressure is higher in female (OR = 5.445, 95 % CI: 2.16-13.76) and patients with lower mean office blood pressure (OR = 0.931, 95 % CI: 0.84-0.97). Performance of ABPM did not have impact on the number of hypertension related office visits (1.6 in tested vs. 1.7 in controlgroup, p = 0.306). Patients in the testing group less often underwent changes of antihypertensive drug therapy (52.5 % vs. 66.5 % in the control group, p = 0.009). Conclusions: White coat effect is common in patients on combined antihypertensive therapy in primary care. APBM did not reduce the number of office visits, but reduced the probability of antihypertensive drug changes.
Secondary keywords: Hypertension;Drug Therapy;Blood Pressure Monitoring, Ambulatory;Antihypertensive Agents;Family Practice;Krvni pritisk, ambulantno merjenje;Antihipertenzivi;Družinska medicina;Hipertenzija;
URN: URN:NBN:SI
Type (COBISS): Scientific work
Pages: str. 295-301
Volume: ǂLetn. ǂ78
Issue: ǂšt. ǂ6/7
Chronology: 2009
ID: 9594779