A recently published editorial in the Journal of the American Society of Hypertension (JASH), "Ambulatory Blood Pressure Monitoring Should Be Included in the National Health and Nutritional Examination Survey (NHANES)," recognizes the importance of this national survey instrument but questions the efficiency of its diagnostic methods in assessing hypertension in the population.*
Since the 1960s, CDC has utilized traditional blood pressure screening using a sphygmomanometer to measure the brachial artery pressure (a diagnostic instrument used since 1880). Drs. William B. White, President of the American Society of Hypertension, Inc. (ASH), Thomas D. Giles, a Past President of ASH, and colleagues have expressed concern regarding this methodology and its limitations in accurately detecting hypertension in patients. Their editorial strongly recommends that the CDC utilize a more sensitive and specific tool for assessing blood pressure in its national surveys.
Their recommendation for improving national statistics on hypertension is the inclusion of ambulatory BP monitoring in the NHANES' methodology. Among many physicians and hypertension specialists, ambulatory BP monitoring has been recognized as a superior and accurate method for detecting hypertension. The utilization of this advanced diagnostic method may bring to light many mitigating factors that affect the proper diagnosis of this condition, such as white coat hypertension, resistant hypertension, and nocturnal hypertension. Leading hypertension specialists around the country recognize that ABPM can not only detect hypertension in cases in which the disease actually exists, but also identify who is really in control and who is not.
As a supplement to clinical office blood pressure measurements, ABPM allows physicians and health care providers to properly diagnose patients. As a screening tool used in national health surveys, ABPM will provide for a more accurate representation of the hypertension epidemic in America, thus allowing for the development of more appropriate national health initiatives to decrease rates of uncontrolled hypertension.
* On September 4, 2012, the Centers for Disease Control and Prevention (CDC) identified hypertension as the leading cardiovascular disease risk factor in its most recent Morbidity and Mortality Weekly Report (MMWR). The numbers presented in the National Health and Nutrition Examination Survey (NHANES) report painted a rather worrisome picture of the nation's health status in relation to hypertension and its deleterious effects, noting that
- roughly 36 million people have uncontrolled high blood pressure, about 26 million with uncontrolled blood pressure have seen a doctor at least twice the past year
- nearly 22 million know they have high blood pressure, but don't have it under control
- 16 million take medicine, but still don't have their blood pressure under control
Barbara Escobar | EurekAlert!
Spanish scientists create a 3-D bioprinter to print human skin
24.01.2017 | Carlos III University of Madrid
Tracking movement of immune cells identifies key first steps in inflammatory arthritis
23.01.2017 | Massachusetts General Hospital
A Swedish-German team of researchers has cleared up a key process for the artificial production of silk. With the help of the intense X-rays from DESY's...
For the first time ever, a cloud of ultra-cold atoms has been successfully created in space on board of a sounding rocket. The MAIUS mission demonstrates that quantum optical sensors can be operated even in harsh environments like space – a prerequi-site for finding answers to the most challenging questions of fundamental physics and an important innovation driver for everyday applications.
According to Albert Einstein's Equivalence Principle, all bodies are accelerated at the same rate by the Earth's gravity, regardless of their properties. This...
An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...
Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...
Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.
While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...
19.01.2017 | Event News
10.01.2017 | Event News
09.01.2017 | Event News
24.01.2017 | Physics and Astronomy
24.01.2017 | Life Sciences
24.01.2017 | Health and Medicine