Abstract
Background: Hypertension is a chronic disease that requires lifelong medical treatment. Guidelines offer blood pressure monitoring office or house follow up. We hypothesized in this study education level of the patient may effect diagnostic approach. Objective: Objective of this study was the reliability of home blood pressure measurement and relation between the education period and patient characteristics. Methods: This study includes 120 patients who were followed by our outpatient clinic. Consecutive 120 patients enrolled to the study. Patient's blood pressure measured at least 10 days and ambulatory blood pressure monitors. Education groups were divided according to country education system. Group 1: primary education (at least 5 years), group 2: secondary (6–11 years), group 3: higher education (> 11 years). Both of the blood pressure mean values and the group's characteristics were compared. Each groups consist of consecutive 40 patients. Results: 42 of the patients (35%) were female, mean age was 57+- 11(20- 77). Group 3 office and ambulatory mean systolic (MS) and diastolic (MD) values are almost similar (p > 0, 05). On the other hand group 2 values statistically insignificant (p > 0, 05). Group 1 values were statistically different (p < 0, 05). Other findings of our study were values were statistically differentiated with increased in BMI and usage of more than two antihypertensive drugs in all groups (p < 0,05). 26 patients of (74%) Group 1 BP measurement lower than ambulatory BP values, 10 patients BP is higher than ABPM values. Comparison according to the values; 39.6% were lower and 9,6% were higher than AMBP. 49 of the patient were (40.8%) overweight, 22 were obese (18,3%). Discussion and conclusion: Higher education group's blood pressure values are more similar than other two groups as literature (1). Not only the education level but also BMI and increased number of antihypertensive drugs were also affecting the blood pressure monitoring differences. According to our study increase in BMI and usage of more than 2 antihypertensive drugs also decrease the reliability of house measuring BP (2). Increase in BMI and usage of 2 or more antihypertensive drug are derivative of cognitive function (3).
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