Show simple item record

dc.contributor.authorMartin, U.*
dc.contributor.authorHaque, M.S.*
dc.contributor.authorWood, S.*
dc.contributor.authorGreenfield, S.M.*
dc.contributor.authorGill, P.S.*
dc.contributor.authorMant, J.*
dc.contributor.authorMohammed, Mohammed A.*
dc.contributor.authorHeer, G.*
dc.contributor.authorJohal, A.*
dc.contributor.authorKaur, R.*
dc.contributor.authorSchwartz, C.L.*
dc.contributor.authorMcManus, R.J.*
dc.date.accessioned2016-09-21T16:51:53Z
dc.date.available2016-09-21T16:51:53Z
dc.date.issued2015
dc.identifier.citationMartin U, Haque MS, Wood S et al (2015) Ethnicity and differences between clinic and ambulatory blood pressure measurements. American Journal of Hypertension. 28(6): 729-738.
dc.identifier.urihttp://hdl.handle.net/10454/9264
dc.descriptionYes
dc.description.abstractThis study investigated the relationship of ethnicity to the differences between blood pressure (BP) measured in a clinic setting and by ambulatory blood pressure monitoring (ABPM) in individuals with a previous diagnosis of hypertension (HT) and without a previous diagnosis of hypertension (NHT). A cross-sectional comparison of BP measurement was performed in 770 participants (white British (WB, 39%), South Asian (SA, 31%), and African Caribbean (AC, 30%)) in 28 primary care clinics in West Midlands, United Kingdom. Mean differences between daytime ABPM, standardized clinic (mean of 3 occasions), casual clinic (first reading on first occasion), and last routine BP taken at the general practitioner practice were compared in HT and NHT individuals. Daytime systolic and diastolic ABPM readings were similar to standardized clinic BP (systolic: 128 (SE 0.9) vs. 125 (SE 0.9) mm Hg (NHT) and 132 (SE 0.7) vs. 131 (SE 0.7) mm Hg (HT)) and were not associated with ethnicity to a clinically important extent. When BP was taken less carefully, differences emerged: casual clinic readings were higher than ABPM, particularly in the HT group where the systolic differences approached clinical relevance (131 (SE 1.2) vs. 129 (SE 1.0) mm Hg (NHT) and 139 (SE 0.9) vs. 133 (SE 0.7) mm Hg (HT)) and were larger in SA and AC hypertensive individuals (136 (SE 1.5) vs. 133 (SE 1.2) mm Hg (WB), 141 (SE 1.7) vs. 133 (SE 1.4) mm Hg (SA), and 142 (SE 1.6) vs. 134 (SE 1.3) mm Hg (AC); mean differences: 3 (0-7), P = 0.03 and 4 (1-7), P = 0.01, respectively). Differences were also observed for the last practice reading in SA and ACs. BP differences between ethnic groups where BP is carefully measured on multiple occasions are small and unlikely to alter clinical management. When BP is measured casually on a single occasion or in routine care, differences appear that could approach clinical relevance.
dc.rights© 2014 American Journal of Hypertension, Ltd. All rights reserved. Reproduced in accordance with the publisher's self-archiving policy.
dc.subjectAdult
dc.subject; Aged
dc.subject; Ambulatory care facilities
dc.subject; Antihypertensive agents
dc.subject; Blood pressure
dc.subject; Blood pressure monitoring
dc.subject; Ethnic groups
dc.subject; Female
dc.subject; Great Britain
dc.subject; Humans
dc.subject; Hypertension
dc.subject; Male
dc.subject; Middle aged
dc.subject; Patient care management
dc.subject; Practice patterns
dc.subject; Ambulatory blood pressure monitoring
dc.subject; Blood pressure
dc.subject; Blood pressure determination
dc.subject; Ethnic group
dc.subject; Hypertension
dc.subject; Systolic pressure
dc.subject; White coat hypertension
dc.titleEthnicity and differences between clinic and ambulatory blood pressure measurements
dc.status.refereedYes
dc.typeArticle
dc.type.versionAccepted Manuscript
dc.identifier.doihttps://doi.org/10.1093/ajh/hpu211
refterms.dateFOA2018-07-25T13:37:53Z


Item file(s)

Thumbnail
Name:
Mohammed_American_Jnl_of_Hyper ...
Size:
900.6Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record