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Home Blood Pressure DeterminationValue in Borderline ("Labile") Hypertension
Stevo Julius, MD;
Charles N. Ellis;
Arturo V. Pascual, MD;
Michele Matice;
Lennart Hansson, MD;
Stephen N. Hunyor, MD;
Lee N. Sandler
JAMA. 1974;229(6):663-666.
Abstract
Self-determined home blood pressure readings taken by 112 patients with borderline hypertension were compared to values of 49 normotensive controls. Thirty percent of patients with borderline hypertensive readings in the clinic were hypertensive at home; only 28% of patients were clearly normotensive. Clinic blood pressure levels, family history, body weight, and heart rate failed as predictors of which patients were likely to be hypertensive at home. Self-determined home blood pressures are suggested for identification of individual patients with borderline hypertension who require continuous and close observation.
(JAMA 229:663-666, 1974)
Author Affiliations
From the Department of Internal Medicine, Hypertension Section, University of Michigan Medical Center, Ann Arbor. Dr. Pascual is now at the Hypertension Section, Henry Ford Hospital, Detroit; Dr. Hansson is now at the Department of Internal Medicine, Sahlgrenska Hospital, University of Gothenburg, Gothenburg, Sweden; and Dr. R. Hunyor is now at the Repatriation Department, Repatriation General Hospital, Concord, NSW, Australia.
Footnotes
Reprint requests to Department of Internal Medicine, University Hospital, 1405 E Ann St, Ann Arbor, MI 48104 (Dr. Julius).
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