Changes in blood pressure in 10 or 15 min periods during which a doctor repeatedly measured blood pressure by the cuff method were monitored by a continuous intra-arterial recorder. In almost all the 48 normotensive and hypertensive subjects tested the doctor's arrival at the bedside induced immediate rises in systolic and diastolic blood pressures peaking within 1 to 4 min (mean 26.7 +/- 2.3 mm Hg and 14.9 +/- 1.6 mm Hg above pre-visit values). There were large differences between individuals in the peak response (range, 4--75 mm Hg systolic and 1--36 mm Hg diastolic) unrelated to age, sex, baseline blood pressure, or blood-pressure variability. There was concomitant tachycardia (average peak response 15.9 +/- 1.5 beats/min, range 4--45 beats/min) which was only slightly correlated with the blood-pressure rise. After the peak response blood pressure declined and at the end of the visit was only slightly above the pre-visit level. A second visit by the same doctor did not change the average size of the early pressor response or the slope of its subsequent decline

Mancia, G., Bertinieri, G., Grassi, G., Parati, G., Pomidossi, G., Ferrari, A., et al. (1983). Effects of blood-pressure measurement by the doctor on patient's blood pressure and heart rate. THE LANCET, 2(8352), 695-698 [10.1016/S0196-0644(84)80540-5].

Effects of blood-pressure measurement by the doctor on patient's blood pressure and heart rate

MANCIA, GIUSEPPE
Primo
;
GRASSI, GUIDO;PARATI, GIANFRANCO;FERRARI, ALBERTO;
1983

Abstract

Changes in blood pressure in 10 or 15 min periods during which a doctor repeatedly measured blood pressure by the cuff method were monitored by a continuous intra-arterial recorder. In almost all the 48 normotensive and hypertensive subjects tested the doctor's arrival at the bedside induced immediate rises in systolic and diastolic blood pressures peaking within 1 to 4 min (mean 26.7 +/- 2.3 mm Hg and 14.9 +/- 1.6 mm Hg above pre-visit values). There were large differences between individuals in the peak response (range, 4--75 mm Hg systolic and 1--36 mm Hg diastolic) unrelated to age, sex, baseline blood pressure, or blood-pressure variability. There was concomitant tachycardia (average peak response 15.9 +/- 1.5 beats/min, range 4--45 beats/min) which was only slightly correlated with the blood-pressure rise. After the peak response blood pressure declined and at the end of the visit was only slightly above the pre-visit level. A second visit by the same doctor did not change the average size of the early pressor response or the slope of its subsequent decline
Articolo in rivista - Articolo scientifico
Adolescent; Adult; Aged; Female; Humans; Male; Middle Aged; Monitoring, Physiologic; Patients; Blood Pressure; Blood Pressure Determination; Heart Rate; Physicians
English
1983
2
8352
695
698
none
Mancia, G., Bertinieri, G., Grassi, G., Parati, G., Pomidossi, G., Ferrari, A., et al. (1983). Effects of blood-pressure measurement by the doctor on patient's blood pressure and heart rate. THE LANCET, 2(8352), 695-698 [10.1016/S0196-0644(84)80540-5].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/170904
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