Abstract

SILVA, Giane Christina Alves da  and  PIERIN, Angela Maria Geraldo. Home blood pressure monitoring and control in a group of hypertensive patients. Rev. esc. enferm. USP [online]. 2012, vol.46, n.4, pp. 922-928. ISSN 0080-6234.  http://dx.doi.org/10.1590/S0080-62342012000400020.

This qualitative study was performed with 71 hypertensive patients, with the objectives to compare outpatient and home blood pressure monitoring (HBPM), to assess blood pressure control, and characterize white-coat hypertension. A nurse performed the outpatient blood pressure measurement. The home blood pressure monitoring was carried out over seven days. White-coat hypertension was quantified as a difference between the outpatient measurement and home blood pressure monitoring in the ranges from 1 to 5, 6 to 10 and > 10 mmHg. The outpatient blood pressure measurement was significantly higher (p<0.05) than the home blood pressure measurement. Pressure control corresponded to 9.9% in the outpatient measurement and 23.9% in the home blood pressure measurement. The white-coat effect > 10 mmHg was 57.7% for systolic and 32.4% for diastolic pressure, in the range from 6 to 10 mmHg. Home blood pressure measurement provided a better assessment of hypertensive patients' control.

Keywords : Hypertension; Measures; Monitoring; White coat hypertension; Control.