Cardiovascular Diseases, Hypertension
Conditions
Brief summary
The Hypertension Canada Clinical Practice Guidelines for blood pressure measurement using AOBP recommend against any wait time prior to commencing the measurement. The recent AHA guidelines however call for a 5-minute rest first. In uncontrolled hypertension, AOBP is typically higher than the daytime readings from ambulatory blood pressure monitoring (ABPM), but this is not the case for patients with controlled hypertension.
Detailed description
Objective: Does a 5 minute rest or no rest before measurement using AOBP provide the most accurate reading in patients with controlled and uncontrolled hypertension, and in patients with white coat hypertension compared to daytime ABPM? Implications: Through this study, we hope to: (i) Advance the understanding of the role of AOBP in measuring blood pressure. (ii) Determine whether a 5-minute rest, or no rest at all is needed prior to AOBP measurement. (iii) Assess the relationship of AOBP to daytime ABPM for patient with controlled and uncontrolled hypertension and in patients with white coat hypertension.
Interventions
To compare the difference between the daytime ABPM and AOBP with zero or five minutes wait time.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years or older * Referred for ABPM * Written informed consent
Exclusion criteria
* Unable to perform AOBP or ABPM for some reason
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in systolic and diastolic BP in patients randomized to zero or five minutes wait before the AOBP measurement. | 4 months - 1 yr | difference in blood pressure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Difference in systolic and diastolic BP between the AOBP and daytime ABPM in patients randomized to zero or five minutes wait before the AOBP measurement. | 4 months - 1yr | difference in blood pressure |
Countries
Canada