Self monitoring of blood pressure at home
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《英国医生杂志》
EDITOR—The review by Stergiou et al of home blood pressure monitoring sets out recommendations that are similar to those published some years ago as a result of reviewing the literature and a study confirming the feasibility and acceptability of the procedure.1-3
The problem is not in deciding what should be done but in getting recommendations implemented. Primary care, where most British patients with high blood pressure are managed exclusively, remains sceptical about this procedure, although the use of semiautomatic devices is now commonplace. Now, in my dotage, I am on the receiving end of the sphygmomanometer, and I sadly find that my carers are only interested in isolated office readings.
Malcolm Aylett, retired general practitioner
Bath BA2 5EJ Malcolm.aylett@smrl.demon.co.uk
Competing interests: None declared.
References
Stergiou G, Megden T, Padfield PL, Parati G, O'Brien E, Working Group on Blood Pressure Monitoring of the European Society of Hypertension. Self monitoring of blood pressure at home. BMJ 2004;329: 870-1. (16 October.)
Aylett M. Pressure for change: unresolved issues in blood pressure measurement. Br J Gen Pract 1999;49: 136-9.
Aylett MJ. The use of home blood pressure measurements to diagnose white coat hypertension in general practice. J Hum Hypertens 1996;10: 17-20.
The problem is not in deciding what should be done but in getting recommendations implemented. Primary care, where most British patients with high blood pressure are managed exclusively, remains sceptical about this procedure, although the use of semiautomatic devices is now commonplace. Now, in my dotage, I am on the receiving end of the sphygmomanometer, and I sadly find that my carers are only interested in isolated office readings.
Malcolm Aylett, retired general practitioner
Bath BA2 5EJ Malcolm.aylett@smrl.demon.co.uk
Competing interests: None declared.
References
Stergiou G, Megden T, Padfield PL, Parati G, O'Brien E, Working Group on Blood Pressure Monitoring of the European Society of Hypertension. Self monitoring of blood pressure at home. BMJ 2004;329: 870-1. (16 October.)
Aylett M. Pressure for change: unresolved issues in blood pressure measurement. Br J Gen Pract 1999;49: 136-9.
Aylett MJ. The use of home blood pressure measurements to diagnose white coat hypertension in general practice. J Hum Hypertens 1996;10: 17-20.