33466
document
Home blood pressure monitoring : advantages and limitations . Home blood pressure monitoring is a useful tool for clinical management of patients with hypertension . Its major advantages are the ease with which the techniques can be learned , reproducibility of values , sensitivity of measurement and availability of normotensive data . In spite of the ability to tell whether a subject has normal or abnormal values , because of the lack of prospective mortality/morbidity data , home blood pressure monitoring can not be used to decide whether treatment is indicated . The treatment decision must be based on repeated clinic blood pressure readings . After that the home blood pressure monitoring can be used to exclude individuals who are at risk for side effects due to low out-of-office blood pressure readings and to precisely monitor the blood pressure response to therapy . Home blood pressure monitoring is frequently used to find subjects with 'white-coat ' hypertension . In our study of borderline hypertension in Tecumseh , white-coat hypertension is present in 7.1 % of the whole population and in 58 % of all subjects with elevated blood pressures in the clinic . Subjects with white-coat hypertension in Tecumseh appear to be at an increased risk for coronary heart disease : they show repeated elevated clinic readings throughout their life time , their parents have higher blood pressure , their high-density lipoprotein is decreased and insulin , cholesterol and triglycerides are elevated . Whereas subjects with white-coat hypertension should not be treated with antihypertensive agents , they must be followed and managed through non-pharmacologic means .
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Intervention_Physical
Home blood pressure monitoring
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Intervention_Physical
Home blood pressure monitoring
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Intervention_Educational
home blood pressure monitoring
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Intervention_Physical
clinic blood pressure
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Intervention_Physical
home blood pressure monitoring
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Intervention_Physical
Home blood pressure monitoring
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Intervention_Physical
non-pharmacologic means
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Outcome_Physical
blood pressure
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Outcome_Physical
clinical management
33476
Outcome_Physical
clinic blood pressure readings
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Outcome_Physical
blood pressure
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Outcome_Physical
blood pressure
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Outcome_Physical
blood pressure response
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Outcome_Physical
'white-coat ' hypertension .
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Outcome_Physical
blood pressures
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Outcome_Physical
coronary heart disease
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Outcome_Physical
clinic readings
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Outcome_Physical
blood pressure
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Outcome_Physical
high-density lipoprotein
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Outcome_Physical
insulin
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Outcome_Physical
cholesterol
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Outcome_Physical
triglycerides
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Participant_Condition
hypertension
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Participant_Condition
borderline hypertension