• Am. J. Med. · Aug 2024

    Case Reports

    Serial Home Blood Pressure and Heart Rate Measurements for Optimized Management.

    • John E Madias.
    • Icahn School of Medicine at Mount Sinai, New York, NY; Division of Cardiology, Elmhurst Hospital Center, NY. Electronic address: madiasj@nychhc.org.
    • Am. J. Med. 2024 Aug 1; 137 (8): 782783782-783.

    BackgroundSerial blood pressure and heart rate measurements, particularly obtained by the patients at home, are currently recommended for the management of patients.MethodsHome blood pressure and heart rate measurements were obtained by an 81-year old husband and his 74-year old wife in the morning and evening, over the course of an entire month.ResultsMorning and evening systolic blood pressure (129.9 ± 5.5, 125.9 ± 10.2, respectively), and diastolic blood pressure (69.2 ± 4.0, 70.1 ± 5.3) were not different (P > .05), heart rate (61.2 ± 2.9, 69.0 ± 5.5) was higher in the evening (P = .00001) in the husband, while systolic blood pressure (134.7 ± 9.6, 119.0 ± 12.0) and diastolic blood pressure (78.6 ± 5.6, 72.1 ± 7.3) were higher in the morning (P = .00001, P = .00031), and heart rate (62.7 ± 4.7, 68.2 ± 4.6) was higher in the evening (P = .00017) in the wife.ConclusionsPatient-generated serial home blood pressure and heart rate logs provide essential data for the patients' management and could potentially be useful in research; circadian variation of blood pressure and heart rate calls for implementation of chronotherapeutic principles for the time of drug administration.Copyright © 2024 Elsevier Inc. All rights reserved.

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