Identification of missed hypertension and hypertensive arteriopathy with home versus ambulatory blood pressure measurement in patients with tia or minor stroke.

Hypertension is a major treatable cause of incident and recurrent stroke. However, it can be missed by one-off clinic measurements. Hypertension guidelines therefore currently recommend ambulatory monitoring (ABPM) prior to treatment in primary prevention. Given high rates of under-treatment of hype...

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Hlavní autoři: Webb, A, Li, L, Simoni, M, Wilson, M, Paul, N, Tarassenko, L, Rothwell, P
Médium: Journal article
Jazyk:English
Vydáno: 2013
Popis
Shrnutí:Hypertension is a major treatable cause of incident and recurrent stroke. However, it can be missed by one-off clinic measurements. Hypertension guidelines therefore currently recommend ambulatory monitoring (ABPM) prior to treatment in primary prevention. Given high rates of under-treatment of hypertension in secondary prevention after TIA and stroke, we compared Bluetooth home BP monitoring (HBPM) and ABPM in identifying hypertension missed at initial assessment, with validation against pre-morbid BP and markers of hypertensive arteriopathy.