Ambulatory blood pressure monitoring: is it necessary for the routine assessment of hypertension in people with diabetes?
Aims The British Hypertension Society (BHS) has recommended that, for people with diabetes, the target ‘clinic’ blood pressure should be
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| Veröffentlicht in: | Diabetic medicine 2002-09, Vol.19 (9), p.787-789 |
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| container_title | Diabetic medicine |
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| creator | Strachan, M. W. J. Gough, K. McKnight, J. A. Padfield, P. L. |
| description | Aims The British Hypertension Society (BHS) has recommended that, for people with diabetes, the target ‘clinic’ blood pressure should be |
| doi_str_mv | 10.1046/j.1464-5491.2002.00771.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764167676</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>764167676</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4641-25fa30105373cbdf897e0523a6447c83f9ee248ccb72bba31a1cb3be075ff0e73</originalsourceid><addsrcrecordid>eNqNkV9v0zAUxS0EYt3gKyC_AE8J_pPECUJC0xgd0gAJDXi0HPeauiR2sB2t_fZzabW9IeQHWz6_c--1D0KYkpKSqnmzKWnVVEVddbRkhLCSECFouX2EFvfCY7QgomIFJ4KeoNMYN4RQ1vHuKTqhjBHR0naBdudjPw8q-bDD_eD9Ck8BYpwD4NE7m--t-_UW24htwg501lRGjQ84rQEHPyfrAKsYszKCS9gbvN5NEBK4aL3D1uEJ_DQAvrVpjVdW9ZAgvn-Gnhg1RHh-3M_Q94-XNxdXxfXX5aeL8-tC55fQgtVGcUJJzQXX_cq0nQBSM66aqhK65aYDYFWrdS9Y3ytOFdU974GI2hgCgp-h14e6U_B_ZohJjjZqGAblwM9RitylEXll8tW_SUbqhtc8g-0B1MHHGMDIKdgx_4ukRO4Dkhu5z0Huc5D7gOTfgOQ2W18ce8z9CKsH4zGRDLw8AipqNZignLbxgeMdZU21H_bdgbu1A-z-ewD54fNlPmR7cbDbmGB7b1fht2wEF7X8-WUpl6K5-cZ-XMma3wG80bzY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72056353</pqid></control><display><type>article</type><title>Ambulatory blood pressure monitoring: is it necessary for the routine assessment of hypertension in people with diabetes?</title><source>Wiley-Blackwell Journals</source><source>MEDLINE</source><creator>Strachan, M. W. J. ; Gough, K. ; McKnight, J. A. ; Padfield, P. L.</creator><creatorcontrib>Strachan, M. W. J. ; Gough, K. ; McKnight, J. A. ; Padfield, P. L.</creatorcontrib><description>Aims The British Hypertension Society (BHS) has recommended that, for people with diabetes, the target ‘clinic’ blood pressure should be < 140/80 mmHg. Ambulatory monitoring of blood pressure (ABPM) is used widely in the assessment of hypertension and the BHS has recommended that the target ‘awake’ ambulatory blood pressure for people with diabetes should be < 130/75 mmHg. The purpose of the present study was to determine the utility of ABPM in the assessment of hypertension in patients with diabetes, over and above a careful ‘clinic’ measurement of blood pressure.
Methods The records of 540 patients with diabetes who underwent ABPM (using SpaceLabs monitors) were retrospectively analysed. With respect to current BHS recommendations, the positive and negative predictive values of ‘clinic’ blood pressure (measured by trained nurses using mercury sphygmomanometers) on ‘awake’ ambulatory blood pressure (ABP) were calculated.
Results The positive predictive value of the ‘clinic’ BP, its ability to detect patients whose ABP was above BHS targets, was 99%. The negative predictive value of ‘clinic’ blood pressure was 27%.
Conclusions With regard to current BHS guidelines, ABPM is generally unnecessary in the assessment of hypertension in patients with diabetes, provided careful ‘clinic’ measurements of blood pressure are made.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1046/j.1464-5491.2002.00771.x</identifier><identifier>PMID: 12207818</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; ambulatory blood pressure monitoring ; Biological and medical sciences ; Blood Pressure Monitoring, Ambulatory - statistics & numerical data ; diabetes ; Diabetes Mellitus - physiopathology ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Female ; Humans ; hypertension ; Hypertension - diagnosis ; Male ; Management. Various non-drug treatments. Langerhans islet grafts ; Medical sciences ; Middle Aged ; Practice Guidelines as Topic ; Predictive Value of Tests ; Primary Health Care - standards ; Retrospective Studies</subject><ispartof>Diabetic medicine, 2002-09, Vol.19 (9), p.787-789</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4641-25fa30105373cbdf897e0523a6447c83f9ee248ccb72bba31a1cb3be075ff0e73</citedby><cites>FETCH-LOGICAL-c4641-25fa30105373cbdf897e0523a6447c83f9ee248ccb72bba31a1cb3be075ff0e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1464-5491.2002.00771.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1464-5491.2002.00771.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13912646$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12207818$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Strachan, M. W. J.</creatorcontrib><creatorcontrib>Gough, K.</creatorcontrib><creatorcontrib>McKnight, J. A.</creatorcontrib><creatorcontrib>Padfield, P. L.</creatorcontrib><title>Ambulatory blood pressure monitoring: is it necessary for the routine assessment of hypertension in people with diabetes?</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims The British Hypertension Society (BHS) has recommended that, for people with diabetes, the target ‘clinic’ blood pressure should be < 140/80 mmHg. Ambulatory monitoring of blood pressure (ABPM) is used widely in the assessment of hypertension and the BHS has recommended that the target ‘awake’ ambulatory blood pressure for people with diabetes should be < 130/75 mmHg. The purpose of the present study was to determine the utility of ABPM in the assessment of hypertension in patients with diabetes, over and above a careful ‘clinic’ measurement of blood pressure.
Methods The records of 540 patients with diabetes who underwent ABPM (using SpaceLabs monitors) were retrospectively analysed. With respect to current BHS recommendations, the positive and negative predictive values of ‘clinic’ blood pressure (measured by trained nurses using mercury sphygmomanometers) on ‘awake’ ambulatory blood pressure (ABP) were calculated.
Results The positive predictive value of the ‘clinic’ BP, its ability to detect patients whose ABP was above BHS targets, was 99%. The negative predictive value of ‘clinic’ blood pressure was 27%.
Conclusions With regard to current BHS guidelines, ABPM is generally unnecessary in the assessment of hypertension in patients with diabetes, provided careful ‘clinic’ measurements of blood pressure are made.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>ambulatory blood pressure monitoring</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure Monitoring, Ambulatory - statistics & numerical data</subject><subject>diabetes</subject><subject>Diabetes Mellitus - physiopathology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Humans</subject><subject>hypertension</subject><subject>Hypertension - diagnosis</subject><subject>Male</subject><subject>Management. Various non-drug treatments. Langerhans islet grafts</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Practice Guidelines as Topic</subject><subject>Predictive Value of Tests</subject><subject>Primary Health Care - standards</subject><subject>Retrospective Studies</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV9v0zAUxS0EYt3gKyC_AE8J_pPECUJC0xgd0gAJDXi0HPeauiR2sB2t_fZzabW9IeQHWz6_c--1D0KYkpKSqnmzKWnVVEVddbRkhLCSECFouX2EFvfCY7QgomIFJ4KeoNMYN4RQ1vHuKTqhjBHR0naBdudjPw8q-bDD_eD9Ck8BYpwD4NE7m--t-_UW24htwg501lRGjQ84rQEHPyfrAKsYszKCS9gbvN5NEBK4aL3D1uEJ_DQAvrVpjVdW9ZAgvn-Gnhg1RHh-3M_Q94-XNxdXxfXX5aeL8-tC55fQgtVGcUJJzQXX_cq0nQBSM66aqhK65aYDYFWrdS9Y3ytOFdU974GI2hgCgp-h14e6U_B_ZohJjjZqGAblwM9RitylEXll8tW_SUbqhtc8g-0B1MHHGMDIKdgx_4ukRO4Dkhu5z0Huc5D7gOTfgOQ2W18ce8z9CKsH4zGRDLw8AipqNZignLbxgeMdZU21H_bdgbu1A-z-ewD54fNlPmR7cbDbmGB7b1fht2wEF7X8-WUpl6K5-cZ-XMma3wG80bzY</recordid><startdate>200209</startdate><enddate>200209</enddate><creator>Strachan, M. W. J.</creator><creator>Gough, K.</creator><creator>McKnight, J. A.</creator><creator>Padfield, P. L.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200209</creationdate><title>Ambulatory blood pressure monitoring: is it necessary for the routine assessment of hypertension in people with diabetes?</title><author>Strachan, M. W. J. ; Gough, K. ; McKnight, J. A. ; Padfield, P. L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4641-25fa30105373cbdf897e0523a6447c83f9ee248ccb72bba31a1cb3be075ff0e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>ambulatory blood pressure monitoring</topic><topic>Biological and medical sciences</topic><topic>Blood Pressure Monitoring, Ambulatory - statistics & numerical data</topic><topic>diabetes</topic><topic>Diabetes Mellitus - physiopathology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Humans</topic><topic>hypertension</topic><topic>Hypertension - diagnosis</topic><topic>Male</topic><topic>Management. Various non-drug treatments. Langerhans islet grafts</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Practice Guidelines as Topic</topic><topic>Predictive Value of Tests</topic><topic>Primary Health Care - standards</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Strachan, M. W. J.</creatorcontrib><creatorcontrib>Gough, K.</creatorcontrib><creatorcontrib>McKnight, J. A.</creatorcontrib><creatorcontrib>Padfield, P. L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Strachan, M. W. J.</au><au>Gough, K.</au><au>McKnight, J. A.</au><au>Padfield, P. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ambulatory blood pressure monitoring: is it necessary for the routine assessment of hypertension in people with diabetes?</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2002-09</date><risdate>2002</risdate><volume>19</volume><issue>9</issue><spage>787</spage><epage>789</epage><pages>787-789</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims The British Hypertension Society (BHS) has recommended that, for people with diabetes, the target ‘clinic’ blood pressure should be < 140/80 mmHg. Ambulatory monitoring of blood pressure (ABPM) is used widely in the assessment of hypertension and the BHS has recommended that the target ‘awake’ ambulatory blood pressure for people with diabetes should be < 130/75 mmHg. The purpose of the present study was to determine the utility of ABPM in the assessment of hypertension in patients with diabetes, over and above a careful ‘clinic’ measurement of blood pressure.
Methods The records of 540 patients with diabetes who underwent ABPM (using SpaceLabs monitors) were retrospectively analysed. With respect to current BHS recommendations, the positive and negative predictive values of ‘clinic’ blood pressure (measured by trained nurses using mercury sphygmomanometers) on ‘awake’ ambulatory blood pressure (ABP) were calculated.
Results The positive predictive value of the ‘clinic’ BP, its ability to detect patients whose ABP was above BHS targets, was 99%. The negative predictive value of ‘clinic’ blood pressure was 27%.
Conclusions With regard to current BHS guidelines, ABPM is generally unnecessary in the assessment of hypertension in patients with diabetes, provided careful ‘clinic’ measurements of blood pressure are made.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12207818</pmid><doi>10.1046/j.1464-5491.2002.00771.x</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over ambulatory blood pressure monitoring Biological and medical sciences Blood Pressure Monitoring, Ambulatory - statistics & numerical data diabetes Diabetes Mellitus - physiopathology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Female Humans hypertension Hypertension - diagnosis Male Management. Various non-drug treatments. Langerhans islet grafts Medical sciences Middle Aged Practice Guidelines as Topic Predictive Value of Tests Primary Health Care - standards Retrospective Studies |
| title | Ambulatory blood pressure monitoring: is it necessary for the routine assessment of hypertension in people with diabetes? |
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