HOME SELF MEASUREMENT MONITORING OF BLOOD PRESSURE: RELATION TO OFFICE AND AMBULATORY BLOOD PRESSURE MEASUREMENT: PP.14.15

Abstract

The aim of study was to evaluate the blood pressure (BP) level in patients with different grade of arterial hypertension (AH) according to data of office, ambulatory and home self measurement of BP before and after treatment. Also, we try to compare the BP variability measured by home self and ambulatory BP measurements. Patients and Methods: Eighty patients (age from 18 to 72 years) were included in study: n = 20 – with BP <140/90 mm Hg; n = 20-with BP 140–159/90–99 mm Hg; n = 20–with BP 160–179/100–109 mm Hg; n = 20 – with BP>180/110 mm Hg. All patients were done office BP measurement, ambulatory BP monitoring, home self BP measurement (during 5 days, 3 times per day, including weekend, OMRON HEM-705) before and after 10 day treatment. Results: In our study we confirmed, that for diagnosis of AH home self measurement is more informative method, than office BP measurement – mistakes in diagnosis of AH took place in 12(15%) of patients when diagnosis was based only on office measurements and in 3(3,8%) when we used home self measurements data (P < 0,02). 40% of patients with mild AH had white coat hypertension, that was established by ambulatory monitoring and 30% - by home self measurements. Home self BP monitoring was more effective method of BP lowering (especially systolic BP) evaluation during treatment than office measurements. In patients with severe AH data of the different methods of measurements were comparative before and on treatment. In patients with moderate AH for BP lowering evaluation the ambulatory and home self BP monitoring were better methods, than the office measurements. BP variability measured by home BP monitoring was not statistically different from variability measured by ambulatory BP monitoring. Conclusion: Home self BP monitoring is very useful method for AH diagnosis and BP control in patients with moderate or mild hypertension. In patients with severe AH the office BP measurement could be accepted. It is possible to evaluate the BP variability by home self monitoring (OMRON HEM705).