Comparison Of Three Methods In Determining The Change In The Treatment Of Hypertension In Family Medicine
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Clinical Research

Comparison Of Three Methods In Determining The Change In The Treatment Of Hypertension In Family Medicine

Anatol J Gen Med Res 2020;30(2):182-189 DOI: 10.5222/terh.2020.78055
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Abstract

INTRODUCTION

This study aims to compare 24 hour-Ambulatory Blood Pressure Monitorization and Home Blood Pressure Monitorization (HBPM) and Office Blood Pressure Monitorization (OBPM) of hypertension patients whose BP was thought to be not under control despite appropriate medication and to decide the method that could be used in family medicine practice.

METHODS

Fifty patients whose BP values measured in office setting whose blood pressures were not under control despite antihypertensive treatment Each patient was assessed with at least 3 OBPMs, 7 day-monitorization of BP measurements at home (HBPM) and ambulatory blood pressure monitorization (ABPM) for 24 hours.

RESULTS

A moderately positive correlation was detected between ABPM, OBPM and weekly HBPM.

DISCUSSION AND CONCLUSION

The results of this study have shown that ABPM which is a gold standard is in good agreement with BPMH, but weakly compatible with OBPM Therefore, in hypertension patients with higher BP measurements detected in office, priorly ambulatory blood pressure measurements should be performed, if not possible, blood pressures should be monitored for at least 3-4 days at home.

Keywords: Hypertension, Ambulatory blood pressure, Office Blood pressure, Home blood pressure