Journal of hypertension
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Journal of hypertension · Jun 2015
6A.09: DIAGNOSIS OF SODIUM SENSITIVITY FROM MEAN ARTERIAL PRESSURE MEASURED AT THE ARM OR AT THE FINGER.
The severity of sodium sensitivity is quantified or 1) by the difference in mean arterial pressure (MAP) between high- and low-sodium diets (δMAP), or 2) by the sodium-sensitivity index (SSI), i.e. ratio between δMAP and the difference in urinary sodium excretion rates at the end of the two diets. MAP is usually measured with an arm cuff but the use of finger blood pressure monitors is rapidly increasing. Thus, our aim is to evaluate whether finger measures of MAP can be reliably used for assessing sodium sensitivity. ⋯ : The assessment of sodium sensitivity depends strongly on the MAP measurement site, with important discrepancies between brachial and finger measures.
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Journal of hypertension · May 2015
Multicenter Study Observational StudyRelative systolic blood pressure reduction and clinical outcomes in hyperacute intracerebral hemorrhage: the SAMURAI-ICH observational study.
Blood pressure lowering is often performed as a part of general acute management in acute intracerebral hemorrhage (ICH) patients. The relationship between relative blood pressure reduction and clinical outcomes is not fully known. ⋯ Insufficient relative SBP reduction after standardized antihypertensive therapy in hyperacute ICH was independently associated with poor clinical outcomes. Aggressive antihypertensive treatment may improve clinical outcomes.
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Journal of hypertension · Apr 2015
Accuracy of self-monitored blood pressure for diagnosing hypertension in primary care.
To assess the diagnostic accuracy of recommendations for self-monitoring blood pressure (BP) for diagnosing hypertension in primary care. ⋯ Hypertension can be ruled out in the majority of patients with elevated clinic BP using the average of the first 5 consecutive days of self-monitored BP, supporting lower limits for self-monitoring readings in current guidelines. Performing readings beyond day 5 and including readings taken on the first day had no clinical impact on diagnostic accuracy.