Repeated BP measures linked to drop in initially elevated BP

April 17, 2018

(HealthDay)—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 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.

Explore further: Visit-to-visit SBP variability not linked to major cardiac events

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

Related Stories

Visit-to-visit SBP variability not linked to major cardiac events

June 23, 2015
(HealthDay)—Inadequate blood pressure (BP) control, but not visit-to-visit variability of systolic BP, is associated with major adverse cardiac events (MACE) among patients with hypertension and coronary artery disease ...

Research shows importance of second pediatric blood-pressure screening

January 12, 2018
Nearly one-quarter of children and teens who had their blood pressure screened at a primary care appointment showed a reading in the hypertensive range, but less than half of those readings could be confirmed after the blood ...

Severe pre-eclampsia often leads to undetected high blood pressure after pregnancy

February 5, 2018
Lingering hypertension is common and may go unnoticed among women who have severe pre-eclampsia during pregnancy, according to new research in the American Heart Association's journal Hypertension.

Extreme swings in blood pressure are just as deadly as having consistently high blood pressure

November 9, 2017
Extreme ups and downs in systolic blood pressure may be just as deadly as having consistently high blood pressure, according to a new study from the Intermountain Medical Center Heart Institute in Salt Lake City.

Hospital or outpatient care when patients present with hypertensive urgency?

June 13, 2016
Do ambulatory patients who present in office settings with hypertensive urgency - systolic blood pressure (BP) at least 180mm HG and diastolic BP at least 110 mm Hg - do better when they are referred to the hospital or when ...

Community intervention among low-income patients results in improved blood pressure control

September 19, 2017
Low-income patients in Argentina with uncontrolled high blood pressure who participated in a community health worker-led multicomponent intervention experienced a greater decrease in systolic and diastolic blood pressure ...

Recommended for you

Research team traces pathway to cardioprotection in post-ischemic heart failure

December 11, 2018
During an ischemic attack, the heart is temporarily robbed of its blood supply. The aftermath is devastating: reduced heart contractility, heart cell death, and heart failure. Contributing to these detrimental changes is ...

Macrophage cells key to helping heart repair—and potentially regenerate, new study finds

December 11, 2018
Scientists at the Peter Munk Cardiac Centre have identified the type of cell key to helping the heart repair and potentially regenerate following a heart attack.

Study reveals new link between atrial fibrillation and mutations in heart disease gene

December 11, 2018
Atrial fibrillation (Afib), a heart condition that causes a rapid, irregular heartbeat that increases a person's risk of stroke and heart failure, is fairly common among older adults. However, its early onset form is relatively ...

Workplace exposure to pesticides and metals linked to heightened heart disease risk

December 11, 2018
Workplace exposure to metals and pesticides is linked to a heightened risk of heart disease in Hispanic and Latino workers, reveals research published online in the journal Heart.

Researchers have found that incidence of heart failure was around two-fold higher in people with diabetes

December 11, 2018
Researchers have found that incidence of heart failure was around two-fold higher in people with diabetes.

Study: Age, race differences determine risk of stroke in women and men

December 11, 2018
A new study found that, between the ages of 45 and 74 years, white women were less likely to have a stroke than white men, but at age 75 and older, there was no difference in stroke risk between white women and men. In contrast, ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.