Pozuelo G, Molina L, Buitrago F
Centro de Salud La Paz, Unidad Docente de Medicina Familiar y Comunitaria.
Aten Primaria. 1993 Sep 15;12(4):197-200.
To compare the clinical diagnosis of light arterial hypertension with a system of out-patient monitoring of arterial pressure (OMAP).
Observational study.
An urban health centre.
People diagnosed as suffering from light hypertension (diastolic pressure > 90 and < or = 104 mmHg).
The recordings obtained on a Spacelabs 90202 model over 24 hours for 42 patients diagnosed with light Arterial Hypertension were analysed. The arterial pressure load or average deviation index (the average percentage of the systolic and diastolic measurements above the established criteria: 140/90 mmHg) as well as the systolic and diastolic arterial pressures (the arithmetical mean of the valid recordings) were calculated.
At least 35.7% of the patients showed normal tension in the OMAP, presenting an arterial pressure load < or = 15% and mean systolic and diastolic arterial pressures of 117.6 +/- 7.5 and 72.7 +/- 5.6 mmHg, respectively. Out of 42 patients, 29 were male (69%) and 13 women (31%). 57% presented some degree of obesity or hypercholesterolemia and 24% were smokers.
The high percentage of "white gown" hypertensive patients should be noted. It is important to unify OMAP analysis criteria.
比较轻度动脉性高血压的临床诊断与动脉压门诊监测系统（OMAP）。
观察性研究。
城市健康中心。
被诊断为患有轻度高血压（舒张压>90且<或=104 mmHg）的人。
分析了42例被诊断为轻度动脉性高血压患者使用Spacelabs 90202型号设备进行24小时记录的数据。计算动脉压负荷或平均偏差指数（收缩压和舒张压测量值高于既定标准140/90 mmHg的平均百分比）以及收缩压和舒张压（有效记录的算术平均值）。
至少35.7%的患者在OMAP中显示血压正常，动脉压负荷<或=15%，平均收缩压和舒张压分别为117.6±7.5和72.7±5.6 mmHg。42例患者中，29例为男性（69%），13例为女性（31%）。57%的患者有某种程度的肥胖或高胆固醇血症，24%为吸烟者。
应注意“白大衣”高血压患者的高比例。统一OMAP分析标准很重要。
