Ambulatory blood pressure monitoring. A tool for more comprehensive assessment.

Ambulatory blood pressure monitoring. A tool for more comprehensive assessment. Research Abstract Details 

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Ambulatory blood pressure monitoring. A tool for more comprehensive assessment. Abstract Text:

AIMS. To investigate the usefulness of more comprehensive blood pressure measurements, made during daily life, in the diagnosis and treatment of hypertension. METHODS. A blood pressure screening was carried out in middle-aged men and women in Kävlinge, a municipality in southern Sweden. Subjects were classified according to Swedish standard criteria. Ambulatory blood pressure (amb-BP) was recorded in a random sample of normotensives and borderline hypertensives as well as in all the untreated hypertensives identified at screening and willing to participate. A subgroup of borderline hypertensives also carried out self-measurements of blood pressure (self-BP) both at work and at home. The blood pressure lowering efficacy of atenolol 50 mg o.d. and enalapril 20 mg o.d. was compared in hypertensives at rest, during 24 hours, and during dynamic and isometric exercise. The efficacy of enalapril and lisinopril (two ACE inhibitors with different durations of action) were also compared, with special focus on the early morning hours. RESULTS. Men and women classified as normotensives clearly differed from those with hypertension, also when blood pressure was recorded with ambulatory technique. The number of correctly classified subjects did not differ between self-BP and office-BP; combining the two added little. Atenolol reduced blood pressure better during dynamic exercise than did enalapril, while there was no significant difference in effect between enalapril and lisinopril, not even 18-24 hours post-dose. CONCLUSION. More comprehensive blood pressure measurements should be considered in the evaluation of hypertension treatment. Office BP, however, seems a reasonably good tool for diagnosing hypertension.

Ambulatory blood pressure monitoring. A tool for more comprehensive assessment. Publishing Authors By Initials

For similar diagnosis: diagnostic techniques and procedures: monitoring, physiologic research abstracts see: diagnosis: diagnostic techniques and procedures: monitoring, physiologic research

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Ambulatory blood pressure monitoring. A tool for more comprehensive assessment. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Blood pressure. Supplement

VOLUME: 5

Page Numbers: 1-27

Journal Abbreviation:

ISSN: 0803-8023

DAY: 26

MONTH: 02

YEAR: 1992

Ambulatory blood pressure monitoring. A tool for more comprehensive assessment. Information

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LANGUAGE: eng

NlmUniqueID: 9300787

Ambulatory blood pressure monitoring. A tool for more comprehensive assessment. Keywords Mesh Terms:

KEYWORDS: Monitoring, Physiologic

MESH TERMS: drug therapy

Chemical & Substance for Abstract: Ambulatory blood pressure monitoring. A tool for more comprehensive assessment. Information

Substance Name: Enalapril

Registry Number: 75847-73-3

Grant and Affiliation Information for Ambulatory blood pressure monitoring. A tool for more comprehensive assessment.

AFFILIATION: Department of Community Health Sciences, Lund University, Dalby, Sweden.

Country: NORWAY

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MEDLINETA: Blood Press Suppl

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