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Pregled bibliografske jedinice broj: 760728

Deep breathing : A simple test for white coat effect detection in primary care


Tomičić, Marion; Petric, Dragomir; Rumboldt, Mirjana; Carević, Vedran; Rumboldt, Zvonko
Deep breathing : A simple test for white coat effect detection in primary care // Blood pressure, 24 (2015), 3; 158-163 doi:10.3109/08037051.2014.997102 (međunarodna recenzija, članak, znanstveni)


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Naslov
Deep breathing : A simple test for white coat effect detection in primary care

Autori
Tomičić, Marion ; Petric, Dragomir ; Rumboldt, Mirjana ; Carević, Vedran ; Rumboldt, Zvonko

Izvornik
Blood pressure (0803-7051) 24 (2015), 3; 158-163

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Ambulatory blood pressure monitoring; deep breath test; white coat hypertension

Sažetak
White coat hypertension (WCH) is hard to differentiate from sustained hypertension without the use of 24-h ambulatory blood pressure monitoring (ABPM). This invaluable procedure is nevertheless cumbersome and expensive. A simple test of deep breathing over 30 s (DBT) was proposed as a method to unveil WCH. METHODS: Two hundred and fourteen outpatients referred for the evaluation of uncontrolled hypertension (blood pressure, BP > 140/90 mmHg despite therapy) were enrolled in a controlled clinical trial. The examinees were randomly divided in two groups: control (n = 108 ; sequential standard BP measurement only) and intervention (n = 106 ; the same+DBT), using ABPM as the reference standard. RESULTS: The relative decrease in BP was significantly larger in the intervention group than in the control group, by 15/4 mmHg (p = 0.005). The best detection of WCH was obtained at ≥ 15% systolic BP reduction following DBT, with a positive predictive value of 94.0% (95% CI 72.0-100.0). BP reduction of ≤ 8% may rule WCH out with a negative predictive value of 78.4% (95% CI 64.0 - 85.9). CONCLUSION: DBT is a reliable, inexpensive and fast test for the detection of WCH in primary care.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita



POVEZANOST RADA


Ustanove:
KBC Split,
Medicinski fakultet, Split

Poveznice na cjeloviti tekst rada:

doi www.tandfonline.com dx.doi.org

Citiraj ovu publikaciju:

Tomičić, Marion; Petric, Dragomir; Rumboldt, Mirjana; Carević, Vedran; Rumboldt, Zvonko
Deep breathing : A simple test for white coat effect detection in primary care // Blood pressure, 24 (2015), 3; 158-163 doi:10.3109/08037051.2014.997102 (međunarodna recenzija, članak, znanstveni)
Tomičić, M., Petric, D., Rumboldt, M., Carević, V. & Rumboldt, Z. (2015) Deep breathing : A simple test for white coat effect detection in primary care. Blood pressure, 24 (3), 158-163 doi:10.3109/08037051.2014.997102.
@article{article, year = {2015}, pages = {158-163}, DOI = {10.3109/08037051.2014.997102}, keywords = {Ambulatory blood pressure monitoring, deep breath test, white coat hypertension}, journal = {Blood pressure}, doi = {10.3109/08037051.2014.997102}, volume = {24}, number = {3}, issn = {0803-7051}, title = {Deep breathing : A simple test for white coat effect detection in primary care}, keyword = {Ambulatory blood pressure monitoring, deep breath test, white coat hypertension} }
@article{article, year = {2015}, pages = {158-163}, DOI = {10.3109/08037051.2014.997102}, keywords = {Ambulatory blood pressure monitoring, deep breath test, white coat hypertension}, journal = {Blood pressure}, doi = {10.3109/08037051.2014.997102}, volume = {24}, number = {3}, issn = {0803-7051}, title = {Deep breathing : A simple test for white coat effect detection in primary care}, keyword = {Ambulatory blood pressure monitoring, deep breath test, white coat hypertension} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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