Primary Article

Diagnosis of Hypertension in a Family Practice Setting: A Preliminary Study of Published Protocol Versus 24-Hour Ambulatory Blood Pressure Monitoring

Authors: JACQUES PYE MD, JAMES L. FLETCHER Jr. MD, PAUL M. FISCHER MD, FRANCES E. MILLER RN, L MICHAEL PRISANT MD, ALBERT A. CARR MD

Abstract

ABSTRACT: Although there have been many recommendations in the medical literature regarding the proper evaluation of hypertensive patients, there have been few reports regarding physician compliance with such diagnostic protocols. To assess physician compliance with the diagnostic protocol published by the Joint National Committee for the Detection, Evaluation, and Treatment of High Blood Pressure (JNC), we reviewed the records of 181 hypertensive patients in the family practice clinic of a medical university. We found numerous discrepancies between the published protocol and actual practice. Antihypertensive medication was then discontinued in a small subset of the study group, and the diagnosis of hypertension was reevaluated by both JNC criteria and by 24-hour ambulatory blood pressure monitoring. As compared with 24-hour ambulatory measurements, the JNC criteria were ineffective in properly classifying hypertensive status of the patients in this small subset.

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this article or view your purchase options.

Purchase only this article ($15)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References