[Blood pressure measurement--do not sweat the small stuff and it is all small stuff?! Position paper of the Croatian national referral center for hypertension, center of excellence of the European Society of Hypertension]
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| Title: | [Blood pressure measurement--do not sweat the small stuff and it is all small stuff?! Position paper of the Croatian national referral center for hypertension, center of excellence of the European Society of Hypertension] |
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| Authors: | Vrdoljak, Ana, Željković Vrkić, Tajana, Kos, Jelena, Vitale, Ksenija, Premužić, Vedran, Laganović, Mario, Jelaković, Bojan |
| Source: | Liječnički vjesnik CODEN LIVJA5 Volume 136 Issue 1-2 |
| Publisher Information: | Croatian medical association, 2014. |
| Publication Year: | 2014 |
| Subject Terms: | Živa, Practice guidelines as topic, Croatia, International Cooperation, Hrvatska, Hypertension – diagnosis, Kardiovaskularne bolesti, Blood pressure determination – methods, instrumentation, Humans, Societies, Medical, Risk assessment, Kontinuirano mjerenje krvnog tlaka – instrumenti, Blood pressure monitoring, ambulatory – instrumentation, Blood Pressure Determination, Mercury, Sphygmomanometers, Hipertenzija – dijagnoza, 3. Good health, Cardiovascular diseases, Procjena rizika, Cardiovascular Diseases, Hypertension, Practice Guidelines as Topic, Smjernice, Mjerenje krvnog tlaka – metode, instrumenti, Algorithms, Sfigmomanometri |
| Description: | Dijagnoza arterijske hipertenzije, uspješnost liječenja, procjena kardiovaskularnog rizika i epidemiološki podaci tradicionalno su bili bazirani na mjerenjima arterijskoga tlaka učinjenim u liječničkim ordinacijama s pomoću klasičnoga živina tlakomjera. Spoznaje o varijabilnosti tlaka, o utjecaju ambijenta ordinacije i prisutnosti medicinskog osoblja na postignute vrijednosti, ali i toksičnost žive i skoro povlačenje živinih tlakomjera iz kliničke upotrebe doveli su do sve raširenije upotrebe kućnog mjerenja tlaka samomjeračima (MATS) i kontinuiranoga 24-satnog mjerenja arterijskoga tlaka (KMAT). Kombinirana primjena svih triju načina mjerenja omogućava točniju klasifikaciju i precizniji dijagnostički i terapijski algoritam. U ovome preglednom članku opisana je jednostavna tehnika mjerenja tlaka u ordinaciji koja ne smije biti podcijenjena te su prikazani prednosti i nedostaci svakoga pojedinog načina mjerenja i upozoreno je na njihovu kompatibilnost s recentnim preporukama međunarodnih društava. U posebnom odlomku opisano je i mjerenje centralnog arterijskoga tlaka, brzine pulsnog vala i određivanje augmentacijskog indeksa, dodatnih čimbenika u procjeni ukupnoga kardiovaskularnog rizika. Office blood pressure measurement using mercury sphygmomanometer is the gold standard for making diagnoses of hypertension, evaluation of cardiovascular risk and estimation of obtained control of treated hypertensives. The vast majority of epidemiologic data are based on this method. However, the importance of blood pressure variability, white coat effect as well as availability of simple devices, home and ambulatory blood pressure measurements became routine parts in routine clinical work. As mercury will be soon forbidden in clinical work such devices and methodology will be even more important. In everyday clinical practice all three techniques should be implemented and in this paper advantages and drawbacks of all techniques are discussed. In the end, based on recent data and recommendations of international societies, diagnostic algorithm was proposed. Additionally, we described the technique of non-invasive central blood pressure measurement, determination of pulse wave velocity and calculation of augmentation index, new proposed risk factors. |
| Document Type: | Article Review |
| File Description: | application/pdf |
| Language: | Croatian |
| ISSN: | 0024-3477 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/24720154 https://hrcak.srce.hr/file/254653 https://hrcak.srce.hr/172585 https://hrcak.srce.hr/file/254652 https://hrcak.srce.hr/172585 |
| Accession Number: | edsair.pmid.dedup....3e764cf672e62d3f7a03916a5d71c78c |
| Database: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstract: | Dijagnoza arterijske hipertenzije, uspješnost liječenja, procjena kardiovaskularnog rizika i epidemiološki podaci tradicionalno su bili bazirani na mjerenjima arterijskoga tlaka učinjenim u liječničkim ordinacijama s pomoću klasičnoga živina tlakomjera. Spoznaje o varijabilnosti tlaka, o utjecaju ambijenta ordinacije i prisutnosti medicinskog osoblja na postignute vrijednosti, ali i toksičnost žive i skoro povlačenje živinih tlakomjera iz kliničke upotrebe doveli su do sve raširenije upotrebe kućnog mjerenja tlaka samomjeračima (MATS) i kontinuiranoga 24-satnog mjerenja arterijskoga tlaka (KMAT). Kombinirana primjena svih triju načina mjerenja omogućava točniju klasifikaciju i precizniji dijagnostički i terapijski algoritam. U ovome preglednom članku opisana je jednostavna tehnika mjerenja tlaka u ordinaciji koja ne smije biti podcijenjena te su prikazani prednosti i nedostaci svakoga pojedinog načina mjerenja i upozoreno je na njihovu kompatibilnost s recentnim preporukama međunarodnih društava. U posebnom odlomku opisano je i mjerenje centralnog arterijskoga tlaka, brzine pulsnog vala i određivanje augmentacijskog indeksa, dodatnih čimbenika u procjeni ukupnoga kardiovaskularnog rizika.<br />Office blood pressure measurement using mercury sphygmomanometer is the gold standard for making diagnoses of hypertension, evaluation of cardiovascular risk and estimation of obtained control of treated hypertensives. The vast majority of epidemiologic data are based on this method. However, the importance of blood pressure variability, white coat effect as well as availability of simple devices, home and ambulatory blood pressure measurements became routine parts in routine clinical work. As mercury will be soon forbidden in clinical work such devices and methodology will be even more important. In everyday clinical practice all three techniques should be implemented and in this paper advantages and drawbacks of all techniques are discussed. In the end, based on recent data and recommendations of international societies, diagnostic algorithm was proposed. Additionally, we described the technique of non-invasive central blood pressure measurement, determination of pulse wave velocity and calculation of augmentation index, new proposed risk factors. |
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| ISSN: | 00243477 |