Repeated BP Measures Linked to Drop in Initially Elevated BP

Share this content:
Repeated BP Measures Linked to Drop in Initially Elevated BP
Repeated BP Measures Linked to Drop in Initially Elevated BP

TUESDAY, April 17, 2018 (HealthDay News) -- Among patients with hypertension (HTN), repeated measurement of an initially elevated blood pressure (BP) is associated with a reduction in systolic BP, according to a research letter published online April 16 in JAMA Internal Medicine.

Douglas Einstadter, M.D., M.P.H., from Case Western Reserve University in Cleveland, and colleagues examined the effect of a second BP measurement on the rate of BP control among patients with diagnosed HTN. An advisory alert was introduced into the electronic health record to remind staff to remeasure BP when the initial reading was elevated (≥140/90 mm Hg). A total of 38,260 patients with HTN made 80,864 primary care office visits during the study period.

The researchers found that the initial BP was at least 140/90 mm Hg at 39 percent of the visits, and an initially elevated BP was remeasured in 83 percent of cases. The median change in systolic BP was −8 mm Hg. There was a positive correlation for change in systolic BP with initial BP value, with a greater change in the final BP the higher the initial systolic BP. Also, among all the patients with a repeated measurement, 36 percent of final readings were below 140/90 mm Hg.

"Implementing routine repeated measurement for an initially elevated BP may contribute to improved decision making around HTN management and should be considered a standard component of programs to improve BP control," the authors write.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

CDC: Progress in HIV Prevention Has Stalled in the United States

CDC: Progress in HIV Prevention Has Stalled in ...

Agency says effective HIV prevention, treatment not reaching those who could most benefit

AAAAI: Egg Oral Immunotherapy Shows Sustained Benefit in Children

AAAAI: Egg Oral Immunotherapy Shows Sustained Benefit in ...

All children with sustained unresponsiveness ingested concentrated and baked egg

Prenatal Vitamin Intake in Early Pregnancy May Cut Autism Risk

Prenatal Vitamin Intake in Early Pregnancy May Cut ...

ASD risk down for children whose mothers took prenatal vitamins during first month of pregnancy

is free, fast, and customized just for you!




Already a member?

Sign In Now »