Screening for orthostatic hypotension using home blood pressure measurements
Journal of Hypertension Apr 03, 2019
Cremer A, et al. - In this study that included 505 patients (mean age: 68 years; 93% hypertensives), researchers investigated the impact of home blood pressure measurements (HBPM) for orthostatic hypotension screening on the diagnosis of orthostatic hypotension. Specifically, they assessed whether screening with HBPM could be done without compromising the quality of the blood pressure readings. Participants performed a series of HBPMs and were instructed to end each series with a measurement in standing position. In all, 91% of participants measured their blood pressure levels at least once in standing position, and 88% recorded all six standing measurements. The investigators noted that it was feasible to measure blood pressure levels in a standing position during HBPM; no change in the quality of the blood pressure readings in a seated position was evident. Compared with the doctor's office, patients' significantly more often detected orthostatic hypotension at home, thus quicker initiation of preventive and therapeutic strategies may be possible.
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