Abstract:
In SPRINT (Systolic Blood Pressure Intervention Trial), use of the Omron 907XL blood pressure (BP) monitor set at 5 minutes of antecedent rest to record BP produced an automated office BP value 7/6 mm Hg lower than awake ambulatory BP at 27 months. The authors studied the impact on automated office BP of setting the Omron 907XL to 0 minutes instead of 5 minutes of rest in patients with readings in the lower normal BP range, similar to on-treatment BP in the SPRINT intensive therapy group. Patients (n = 100) in cardiac rehabilitation were randomized to three BP readings at 1-minute intervals using an Omron 907XL BP device set for 5 or 0 minutes of antecedent rest. Mean (±standard deviation) automated office BP (mm Hg) after 5 minutes of rest (120.2 ± 14.6/66.9 ± 8.6 mm Hg) was lower (P < .001/P < .01) than without rest (124.2 ± 16.4/67.9 ± 9.1 mm Hg). When target BP is in the lower normal range, automated office BP recorded without antecedent rest using an Omron 907XL device should be higher and closer to the awake ambulatory BP, compared with readings taken after 5 minutes of rest.
摘要:
在SPRINT(收缩压干预试验)中,使用Omron907XL血压(BP)监测仪设定在前休息5分钟时记录血压,在27个月时,自动办公室血压值比清醒时的动态血压低7/6mmHg.作者研究了将Omron907XL设置为0分钟而不是5分钟的休息对血压读数在低于正常范围内的患者的自动办公室血压的影响,与SPRINT强化治疗组的治疗中BP相似.心脏康复患者(n=100)使用Omron907XLBP装置设置为5或0分钟的先行休息,以1分钟的间隔随机分配至3个BP读数。休息5分钟后的平均(±标准偏差)自动办公室血压(mmHg)(120.2±14.6/66.9±8.6mmHg)低于不休息(124.2±16.4/67.9±9.1mmHg)(P<.001/P<.01)。当目标血压处于低值正常范围时,使用Omron907XL设备在没有先前休息的情况下记录的自动办公室血压应更高,更接近清醒的动态血压,与休息5分钟后的读数进行比较。