High prevalence of masked hypertension in treated hypertensive patients with type 2 diabetes mellitus
Joint Authors
Soar, Jeffrey
al-Suwayda, Abd al-Karim Umar
Parkes, Robert
Feig, Denice
Logan, Alexander
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 17, Issue 3 (30 Jun. 2006), pp.326-337, 12 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2006-06-30
Country of Publication
Saudi Arabia
No. of Pages
12
Main Subjects
Topics
- Patients
- Therapeutics
- Diabetes
- Blood circulation disorders
- Hypertension
- Complications(Medicine)
- Type 2 diabetes
Abstract EN
This study was undertaken to determine whether self-measured home blood pressure (BP) readings were comparable to clinic visit BP readings in hypertensive type II diabetic patients.
We measured the BP of 27 hypertensive patients at home and during the clinic visits over a three week period.
The BP readings were analyzed using a mixed linear model with mean daytime ambulatory measure as a covariate.
We found that, although there was no significant difference in the mean systolic BP between home and clinic readings (0.6 mm Hg), the mean home BP readings were significantly higher (difference = 6.8 mm p < 0.0006).
The proportion of masked hypertension, defined as elevated home systolic or diastolic BP (or both) values despite normal clinic visit BP values, was 40.7 %.
Three diastolic and one systolic BP measurement at home achieved a reliability coefficient of 0.8.
Self-measurement of BP gave highly reliable readings when they were compared with blind readings taken by a trained professional using a mercury sphygmomanometer.
We conclude that self-measured BP at home identifies a high prevalence of masked hypertension in treated hypertensive type 2 diabetic patients and that it represents a valuable management adjunct to ensure maximum benefit from antihypertensive drug therapy.
American Psychological Association (APA)
al-Suwayda, Abd al-Karim Umar& Parkes, Robert& Soar, Jeffrey& Feig, Denice& Logan, Alexander. 2006. High prevalence of masked hypertension in treated hypertensive patients with type 2 diabetes mellitus. Saudi Journal of Kidney Diseases and Transplantation،Vol. 17, no. 3, pp.326-337.
https://search.emarefa.net/detail/BIM-43320
Modern Language Association (MLA)
Soar, Jeffrey…[et al.]. High prevalence of masked hypertension in treated hypertensive patients with type 2 diabetes mellitus. Saudi Journal of Kidney Diseases and Transplantation Vol. 17, no. 3 (Dec. 2006), pp.326-337.
https://search.emarefa.net/detail/BIM-43320
American Medical Association (AMA)
al-Suwayda, Abd al-Karim Umar& Parkes, Robert& Soar, Jeffrey& Feig, Denice& Logan, Alexander. High prevalence of masked hypertension in treated hypertensive patients with type 2 diabetes mellitus. Saudi Journal of Kidney Diseases and Transplantation. 2006. Vol. 17, no. 3, pp.326-337.
https://search.emarefa.net/detail/BIM-43320
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 334-337
Record ID
BIM-43320