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. 2008 Dec 10;35(4):208–212. [Article in Spanish] doi: 10.1157/13072592

Efectividad de la automedida de la presión arterial en el diagnóstico de la hipertensión clínica aislada. Justificación y diseño del estudio☆

Efectiveness of selfmonitoring of blood pressure in white coat hypertension diagnosis. rationale and design

J Bayó Llibre a,⁎, C Roca Saumell a, A Dalfó Baqué b, FX Cos Claramunt c, MM Martín Baranera d, A Botey Puig e; por el grupo AMPAAP1
PMCID: PMC7684422  PMID: 15766497

Abstract

Objective

To assess the efectiveness of blood pressure self-monitoring at home in front of 24-h blood pressure ambulatory measurement in isolated clinical hypertension diagnosis.

Design

Comparative study of repeated measurements of self-monitoring home BP and 24-h ambulatory BP measurement in a hypertensive pacients sample.

Setting and subjects to study

Mild-moderate essential hipertensive patients newly diagnosed or previously diagnosed in wich suspect isolated clinical hypertension (BP>140/90 mm Hg in clinical setting repeatedly). It needs a sample of 182 hypertensive patients seen at urban primary health care.

Principal measurements

We compute the isolated clinical hypertension prevalence, the sensibility, specificity and positive and negative predictive values, with 95% confidence intervals.

Discusion

Prove the efectiveness of blood pressure self-monitoring at home in insolated clinical hypertension diagnosis, can involve an important cost saving for health care system as in hypertensive patient management (medicines and office visits), as in diagnosis equipment.

Key words: Blood pressure self-monitoring, White coat hypertension, 24-h ambulatory blood pressure monitoring

Footnotes

☆

El trabajo ha sido financiado completamente con una beca FIS (Fondo Investigaciones Sanitarias) expediente 03/0121 (28 de noviembre de 2003) y con el 2.° premio de los III Ajuts a la Recerca de la Societat Catalana de Medicina Familiar i Comunitària (11 de diciembre de 2003).

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