{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T04:03:45Z","timestamp":1682654625604},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"811","license":[{"start":{"date-parts":[[1993,5,1]],"date-time":"1993-05-01T00:00:00Z","timestamp":736214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,5,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>We have retrospectively compared the blood pressure load derived from 24 hour ambulatory blood pressure monitoring in patients with all clinic blood pressure readings elevated with those with only some elevated pressures to establish whether clinic readings alone are good predictors of blood pressure status. Fifty-seven patients attending a district general hospital hypertension clinic who were not on anti-hypertensive treatment were selected.<\/jats:p>\n               <jats:p>Between two and six clinic readings were taken over a period of 1-6 months. Forty out of 57 patients had at least one clinic diastolic blood pressure reading of &amp;lt; 90 mmHg and, of these, 14 (35%) had a high blood pressure load and 26 (65%) had a normal blood pressure load. Patients with all diastolic blood pressure readings &amp;gt; 90 mmHg totalled 17 and of these 11 (65%) had high load and six (35%) had normal load. Patients with clinic diastolic blood pressure &amp;gt; 90 mmHg were significantly more likely to be truly hypertensive on the basis of blood pressure load than if one or more clinic readings was below 90 mmHg (P &amp;lt; 0.05). Diastolic pressures have some predictive power as to the blood pressure status defined by blood pressure load, but even consistently raised diastolic pressures do not necessarily indicate hypertension. Likewise one or more clinic diastolic blood pressure &amp;lt; 90 mmHg does not assuredly indicate normotension. Twenty-four hour ambulatory blood pressure monitoring may have an increasingly important role in the assessment of hypertension.<\/jats:p>","DOI":"10.1136\/pgmj.69.811.370","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:25:21Z","timestamp":1230585921000},"page":"370-372","source":"Crossref","is-referenced-by-count":0,"title":["Clinic blood pressure measurements and blood pressure load in the diagnosis of hypertension"],"prefix":"10.1093","volume":"69","author":[{"given":"D R","family":"Lee","sequence":"first","affiliation":[{"name":"Basildon Hospital , Nethermayne, Basildon, Essex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Sivakumaran","sequence":"additional","affiliation":[{"name":"Basildon Hospital , Nethermayne, Basildon, Essex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Brown","sequence":"additional","affiliation":[{"name":"Basildon Hospital , Nethermayne, Basildon, Essex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,5,1]]},"reference":[{"key":"ref_1","first-page":"24","article-title":"Twenty four hour blood pressure variability: clinical implications","volume":"37","author":"Parati, G.; Omboni, S.; Di-Rienzo, M.; Frattola, A.; Albini, F.; Mancia, G.","year":"1992","unstructured":"Parati, G., Omboni, S., Di-Rienzo, M., Frattola, A., Albini, F. & Mancia, G. Twenty four hour blood pressure variability: clinical implications. Kidney Int Suppl (June) 1992, 37: S24-28.","journal-title":"Kidney Int Suppl"},{"key":"ref_2","first-page":"212","article-title":"Clinical applications of ambulatory blood pressure monitoring: the white coat effect","volume":"14","author":"Pickering, T.G.","year":"1991","unstructured":"Pickering, T.G. Clinical applications of ambulatory blood pressure monitoring: the white coat effect. Clin Invest Med 1991, 14: 212-217.","journal-title":"Clin Invest Med"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/0002-8703(89)90593-0","article-title":"Assessment of the daily blood pressure load as a determinant of cardiac function in patients with mild to moderate hypertension","volume":"118","author":"White, W.B.; Dey, H.M.; Schulman, P.","year":"1989","unstructured":"White, W.B., Dey, H.M. & Schulman, P. Assessment of the daily blood pressure load as a determinant of cardiac function in patients with mild to moderate hypertension. Am Heart J 1989, 118: 782-795.","journal-title":"Am Heart J"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0167-5273(92)90032-X","article-title":"Blood pressure load determines left ventricular mass in essential hypertension","volume":"34","author":"Bauwens, F.; Duprez, D.; De-Buyere, M.; Clement, D.L.","year":"1992","unstructured":"Bauwens, F., Duprez, D., De-Buyere, M. & Clement, D.L. Blood pressure load determines left ventricular mass in essential hypertension. Int J Cardiol 1992, 34: 335-338.","journal-title":"Int J Cardiol"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1002\/j.1552-4604.1992.tb05771.x","article-title":"Clinical utility of ambulatory blood pressure monitoring in target organ complications and equipment choices","volume":"32","author":"Prisant, L.M.; Bottini, P.B.; Carr, A.A.","year":"1992","unstructured":"Prisant, L.M., Bottini, P.B. & Carr, A.A. Clinical utility of ambulatory blood pressure monitoring in target organ complications and equipment choices. J Clin Pharmacol 1992, 32: 620-626.","journal-title":"J Clin Pharmacol"},{"issue":"6","key":"ref_6","first-page":"1","article-title":"Twenty four hour ambulatory blood pressure monitoring: a review of validation data","volume":"8","author":"O'Brien, E.; O'Malley, K.","year":"1990","unstructured":"O'Brien, E. & O'Malley, K. Twenty four hour ambulatory blood pressure monitoring: a review of validation data. J Hypertens 1990, 8 (Suppl 6): S1 1-S16.","journal-title":"J Hypertens"},{"key":"ref_7","first-page":"1085","article-title":"Blood pressure load - a better determinant","volume-title":"of hypertension. Mayo Clin Proc 1988","volume":"63","author":"Zachariah, P.K.; Sheps, S.G.; Ilstup, D.M.","unstructured":"Zachariah, P.K., Sheps, S.G., Ilstup, D.M. et al. Blood pressure load - a better determinant of hypertension. Mayo Clin Proc 1988, 63: 1085-1091."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1136\/bmj.305.6861.1062","article-title":"Decision to treat mild hypertension after assessment by ambulatory monitoring and World Health Organisation recommendations","volume":"305","author":"Chatellier, G.; Battaglia, C.; Pagny, J.Y.; Plouin, P.F.; Menard, J.","year":"1992","unstructured":"Chatellier, G., Battaglia, C., Pagny, J.Y., Plouin, P.F. & Menard, J. Decision to treat mild hypertension after assessment by ambulatory monitoring and World Health Organisation recommendations. Br Med J 1992, 305: 1062-1066.","journal-title":"Br Med J"},{"key":"ref_9","first-page":"259","article-title":"How common is white coat hypertension?","volume":"1988","author":"Pickering, T.G.; James, G.D.; Boddie, C.; Harshfield, G.A.; Blank, S.; Laragh, J.H.","unstructured":"Pickering, T.G., James, G.D., Boddie, C., Harshfield, G.A., Blank, S. & Laragh, J.H. How common is white coat hypertension? JAMA 1988, 259 225-228.","journal-title":"JAMA"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2270","DOI":"10.1001\/archinte.1990.00390220032008","article-title":"The National High Blood Pressure Educating Program Co-ordinating Committee. National High Blood Pressure Education Working Group Report on ambulatory blood pressure monitoring","volume":"150","year":"1990","unstructured":"The National High Blood Pressure Educating Program Co-ordinating Committee. National High Blood Pressure Education Working Group Report on ambulatory blood pressure monitoring. Arch Intern Med 1990, 150: 2270-2280.","journal-title":"Arch Intern Med"},{"issue":"6","key":"ref_11","first-page":"39","article-title":"Office versus ambulatory recordings of blood pressure (OvA): a European multicentre study","volume":"8","author":"Clement, D.L.","year":"1990","unstructured":"Clement, D.L. Office versus ambulatory recordings of blood pressure (OvA): a European multicentre study. The Steering Committee. J Hypertens 1990, 8 (Suppl 6): S39-S41.","journal-title":"The Steering Committee. J Hypertens"},{"issue":"8","key":"ref_12","first-page":"63","article-title":"The role of twenty four ambulatory blood pressure measurement in clinical practice","volume":"9","author":"O'Brien, E.T.; Cox, J.; O'Malley, K.","year":"1991","unstructured":"O'Brien, E.T., Cox, J. & O'Malley, K. The role of twenty four ambulatory blood pressure measurement in clinical practice. J Hypertens 1991, 9 (Suppl 8): S63-S65.","journal-title":"J Hypertens"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1002\/j.1552-4604.1992.tb05769.x","article-title":"Ambulatory blood pressure monitoring for evaluation and management of hypertensives: effect on outcome and cost effectiveness","volume":"32","author":"Carr, A.A.; Bottini, P.B.; Prisant, L.M.","year":"1992","unstructured":"Carr, A.A., Bottini, P.B. & Prisant, L.M. Ambulatory blood pressure monitoring for evaluation and management of hypertensives: effect on outcome and cost effectiveness. 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