Antecedent rest may not be necessary for automated office blood pressure at lower treatment targets

作者：Colella Tracey J F; Tahsinul Anam; Gatto Hannah; Oh Paul; Myers Martin G

来源：Journal of Clinical Hypertension, 2018, 20(8): 1160-1164.

DOI：10.1111/jch.13319

• automated blood pressure measurement
• systolic hypertension
• target blood pressure

In SPRINT (Systolic Blood Pressure Intervention Trial), use of the Omron 907XL blood pressure (BP) monitor set at 5minutes of antecedent rest to record BP produced an automated office BP value 7/6mmHg lower than awake ambulatory BP at 27months. The authors studied the impact on automated office BP of setting the Omron 907XL to 0minutes instead of 5minutes of rest in patients with readings in the lower normal BP range, similar to on-treatment BP in the SPRINT intensive therapy group. Patients (n=100) in cardiac rehabilitation were randomized to three BP readings at 1-minute intervals using an Omron 907XL BP device set for 5 or 0minutes of antecedent rest. Mean (+/- standard deviation) automated office BP (mmHg) after 5minutes of rest (120.2 +/- 14.6/66.9 +/- 8.6 mm Hg) was lower (P<.001/P<.01) than without rest (124.2 +/- 16.4/67.9 +/- 9.1 mm Hg). When target BP is in the lower normal range, automated office BP recorded without antecedent rest using an Omron 907XL device should be higher and closer to the awake ambulatory BP, compared with readings taken after 5minutes of rest.

• 出版日期2018-8