Objective: This study aims to compare 24 hour-Ambulatory Blood Pressure Monitorization and Home BloodPressure Monitorization (HBPM) and Office Blood Pressure Monitorization (OBPM) of hypertension patients whoseBP was thought to be not under control despite appropriate medication and to decide the method that could beused in family medicine practice.Method: Fifty patients whose BP values measured in office setting whose blood pressures were not under controldespite antihypertensive treatment Each patient was assessed with at least 3 OBPMs, 7 day-monitorization of BPmeasurements at home (HBPM) and ambulatory blood pressure monitorization (ABPM) for 24 hours.Results: A moderately positive correlation was detected between ABPM, OBPM and weekly HBPM.Conclusion: The results of this study have shown that ABPM which is a gold standard is in good agreement withBPMH, but weakly compatible with OBPM Therefore, in hypertension patients with higher BP measurementsdetected in office, priorly ambulatory blood pressure measurements should be performed, if not possible, bloodpressures should be monitored for at least 3-4 days at home.
📌 3 Key Takeaways
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Objective & Hypothesis:Objective: This study aims to compare 24 hour-Ambulatory Blood Pressure Monitorization and Home BloodPressure Monitorization (HBPM) and Office Blood Pressure Monitorization (OBPM) of hypertension patients whoseBP was thought to be not under control despite appropriate medication and to decide the method that could beused in family medicine practice.Method: Fifty patients whose BP values measured in office setting whose blood pressures were not under controldespite antihypertensive treatment Each patient was assessed with at least 3 OBPMs, 7 day-monitorization of BPmeasurements at home (HBPM) and ambulatory blood pressure monitorization (ABPM) for 24 hours.Results: A moderately positive correlation was detected between ABPM, OBPM and weekly HBPM.Conclusion: The results of this study have shown that ABPM which is a gold standard is in good agreement withBPMH, but weakly compatible with OBPM Therefore, in hypertension patients with higher BP measurementsdetected in office, priorly ambulatory blood pressure measurements should be performed, if not possible, bloodpressures should be monitored for at least 3-4 days at home.
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Key Findings & Data:Objective: This study aims to compare 24 hour-Ambulatory Blood Pressure Monitorization and Home BloodPressure Monitorization (HBPM) and Office Blood Pressure Monitorization (OBPM) of hypertension patients whoseBP was thought to be not under control despite appropriate medication and to decide the method that could beused in family medicine practice.Method: Fifty patients whose BP values measured in office setting whose blood pressures were not under controldespite antihypertensive treatment Each patient was assessed with at least 3 OBPMs, 7 day-monitorization of BPmeasurements at home (HBPM) and ambulatory blood pressure monitorization (ABPM) for 24 hours.Results: A moderately positive correlation was detected between ABPM, OBPM and weekly HBPM.Conclusion: The results of this study have shown that ABPM which is a gold standard is in good agreement withBPMH, but weakly compatible with OBPM Therefore, in hypertension patients with higher BP measurementsdetected in office, priorly ambulatory blood pressure measurements should be performed, if not possible, bloodpressures should be monitored for at least 3-4 days at home.
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Conclusion & Impact:Objective: This study aims to compare 24 hour-Ambulatory Blood Pressure Monitorization and Home BloodPressure Monitorization (HBPM) and Office Blood Pressure Monitorization (OBPM) of hypertension patients whoseBP was thought to be not under control despite appropriate medication and to decide the method that could beused in family medicine practice.Method: Fifty patients whose BP values measured in office setting whose blood pressures were not under controldespite antihypertensive treatment Each patient was assessed with at least 3 OBPMs, 7 day-monitorization of BPmeasurements at home (HBPM) and ambulatory blood pressure monitorization (ABPM) for 24 hours.Results: A moderately positive correlation was detected between ABPM, OBPM and weekly HBPM.Conclusion: The results of this study have shown that ABPM which is a gold standard is in good agreement withBPMH, but weakly compatible with OBPM Therefore, in hypertension patients with higher BP measurementsdetected in office, priorly ambulatory blood pressure measurements should be performed, if not possible, bloodpressures should be monitored for at least 3-4 days at home.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
Objective: This study aims to compare 24 hour-Ambulatory Blood Pressure Monitorization and Home BloodPressure Monitorization (HBPM) and Office Blood Pressure Monitorization (OBPM) of hypertension patients whoseBP was thought to be not under control despite appropriate medication and to decide the method that could beused in family medicine practice.Method: Fifty patients whose BP values measured in office setting whose blood pressures were not under controldespite antihypertensive treatment Each patient was assessed with at least 3 OBPMs, 7 day-monitorization of BPmeasurements at home (HBPM) and ambulatory blood pressure monitorization (ABPM) for 24 hours.Results: A moderately positive correlation was detected between ABPM, OBPM and weekly HBPM.Conclusion: The results of this study have shown that ABPM which is a gold standard is in good agreement withBPMH, but weakly compatible with OBPM Therefore, in hypertension patients with higher BP measurementsdetected in office, priorly ambulatory blood pressure measurements should be performed, if not possible, bloodpressures should be monitored for at least 3-4 days at home.
Özet
Amaç: Bu çalışmanın amacı, tansiyon ilacı kullanmasına rağmen ofis ölçümlerine göre kan basınçları kontrol altında olmadığı düşünülen hipertansiyon hastalarında, 24 saatlik ambulatuar kan basıncı monitorizasyonu ile ofis ve evde tansiyon ölçümlerini karşılaştırmak ve aile hekimliğinde kullanılabilecek yönteme karar vermektir Yöntem: Çalışmaya antihipertansif tedavi almakta olan ve ofis ölçümlerinde kan basınçları kontrol altında olmayan 50 hasta alındı. Tüm hastalara üç ofis kan basıncı ölçümü, yedi günlük evde kan basıncı takibi ve 24 saatlik ambulatuar kan basıncı monitorizasyonu ölçümü uygulandı. Bulgular: Ambulatuar kan basıncı monitorizasyonu ile ofis kan basıncı ölçümü ve evde haftalık kan basıncı takipleri arasında genel olarak pozitif yönde ve orta kuvvette bir ilişki saptandı. Sonuç: Bu çalışmanın sonuçları, altın standart olan ambulatuar kan basıncı ölçümü ile evde yapılan kan basıncı ölçümünün uyumlu olduğu, ofis ölçümlerinin ise zayıf uyumlu olduğunu gösterdi. Bu sebeple ofis kan basıncı ölçümleri yüksek tespit edilen hipertansiyon hastalarında, öncelikli olarak ambulatuar kan basıncı ile ölçüm yapılmalı, ambulatuar kan basıncı takibi yapılamıyor ise evde en az 3-4 günlük kan basıncı takibi yapılmalıdır.
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Cite This Article
ZARARSIZ, G. E., ARIK, B. E., MISTIK, S., ARIK, F., ÜNALAN, D., OĞUZHAN, A., TOKGÖZ, B. (2022). Comparison of Three Methods in Determining the Change in the Treatment of Hypertension in Family Medicine. İzmir Tepecik Eğitim Hastanesi Dergisi, Cilt: 30 - Sayı: 2, 182–189. https://ajindex.com/articles/558075
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