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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1997-6-3
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pubmed:abstractText |
Criteria for the diagnosis or exclusion of hypertension using ambulatory blood pressure monitoring have not been agreed upon. We designed this study to provide a statistically based guide for using results of ambulatory blood pressure monitoring to resolve this issue. To generate this information, we used a database of 228 subjects (135 men, 93 women; average age, 45 years) referred by their primary physicians over the past 7 years for evaluation of borderline or stage I hypertension (average blood pressure, 148/92 mm Hg; SD, +/-17.5/12.2 mm Hg). In this population, the pooled SDs of systolic and diastolic ambulatory blood pressures were 13.8 and 11.6 mm Hg, respectively. Using the pooled SD, we calculated the probability that a patient's blood pressure falls within the hypertensive range (> 140/90 mm Hg). The 95% confidence interval for each subject's blood pressure was also determined. For example, if 40 ambulatory blood pressure measurements are performed on a subject and the average systolic ambulatory blood pressure is 137 mm Hg, then there is a 10% probability that the patient's "true" average blood pressure is actually in the hypertensive range. By contrast, if the systolic pressure is 143 mm Hg, there is a 90% probability that the patient is hypertensive. This approach may be useful for clinical decision making and also for the design of clinical trials.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0194-911X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
29
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1109-13
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9149674-Adolescent,
pubmed-meshheading:9149674-Adult,
pubmed-meshheading:9149674-Aged,
pubmed-meshheading:9149674-Aged, 80 and over,
pubmed-meshheading:9149674-Blood Pressure,
pubmed-meshheading:9149674-Blood Pressure Monitoring, Ambulatory,
pubmed-meshheading:9149674-Female,
pubmed-meshheading:9149674-Humans,
pubmed-meshheading:9149674-Hypertension,
pubmed-meshheading:9149674-Male,
pubmed-meshheading:9149674-Middle Aged,
pubmed-meshheading:9149674-Predictive Value of Tests
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pubmed:year |
1997
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pubmed:articleTitle |
Confirmation or exclusion of stage I hypertension by ambulatory blood pressure monitoring.
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pubmed:affiliation |
Hypertension Section-Cardiovascular Institute, Mount Sinai Medical Center, New York, NY, USA.
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pubmed:publicationType |
Journal Article
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