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April 19, 1995, Vol 273, No. 15 >
ARTICLE | April 19, 1995

Does This Patient Have Hypertension?: Title and subTitle BreakHow to Measure Blood Pressure FREE

Richard A. Reeves, MD, FRCPC
[+] Author Affiliations

Reprint requests to Bristol-Myers Squibb Pharmaceutical Research Institute, PO Box 4000, Princeton, NJ 08543 (Dr Reeves).

The Rational Clinical Examination section editors: David L. Simel, MD, MHS, Durham Veterans Affairs Medical Center and Duke University Medical Center, Durham, NC; Drummond Rennie, MD, Deputy Editor (West), JAMA.


JAMA. 1995;273(15):1211-1218. doi:10.1001/jama.1995.03520390071036
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References

CLINICAL SCENARIO 

Is This Patient's Blood Pressure Really Elevated?  A 46-year-old man who has recently moved to your neighborhood presents with a painful ankle sprain. Before he leaves, you decide to check his blood pressure (BP) and obtain an initial reading of 164/102mm Hg. He denies having high BP previously.

WHY IS ACCURATE BP MEASUREMENT IMPORTANT?  Elevated arterial BP, or hypertension, is important because it is common, it is clinically silent, it leads to cardiovascular disease (CVD), and it decreases life expectancy. Because surveys find that approximately 20%1-3 of North American adults have an elevated BP (systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg) or are taking antihypertensive medication, physicians are advised to check all patients periodically for BP elevation.3-7 On the other hand, overestimation of BP can erroneously label people as hypertensive and potentially result in unnecessary dietary restrictions, exposure to potential side effects

REFERENCES

1 +
Dept of National Health and Welfare. Main Findings Report of the Canadian Blood Pressure Survey . Ottawa, Ontario: Minister of National Health and Welfare; 1989;:1.
2 +
Hypertension Detection and Follow-up Program.  The Hypertension Detection and Follow-up Program: a progress report. Circ Res . 1977;;40( (suppl I) ):I-106-I-109.
3 +
Joint National Committee.  The fifth report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure (JNC V). Arch Intern Med . 1993;;153:154-183.
4 +
Haynes RB, Lacourciere Y, Rabkin SW, et al.  Report of the Canadian Hypertension Society Consensus Conference, 2: diagnosis of hypertension in adults. Can Med Assoc J . 1993;;149:409-418.
5 +
Zanchetti A, Chalmers JP, Arakawa K, et al.  The 1993 guidelines for the management of mild hypertension: memorandum from a WHO/ISH meeting. Hypertension . 1993;;22:392-403.
6 +
Swales JD, Ramsay LE, Coope JR, et al.  Treating mild hypertension, agreement from the large trials: report of the British Hypertension Society Working Party. BMJ . 1989;;298:694-698.
7 +
Jackson R, Barham P, Bills J, et al.  Management of raised blood pressure in New Zealand: a discussion document. BMJ . 1993;;307:107-110.
8 +
Haynes RB, Sackett DL, Taylor DW, Gibson ES, Johnson AL.  Increased absenteeism from work after detection and labeling of hypertensive patients. N Engl J Med . 1978;;299:741-744.
9 +
Lefebvre RC, Hursey KG, Carleton RA.  Labeling of participants in high blood pressure screening programs: implications for blood cholesterol screenings. Arch Intern Med . 1988;;148:1993-1997.
10 +
MacMahon SW, Cutler JA, Furberg CD, Payne GH.  The effects of drug treatment for hypertension on morbidity and mortality from cardiovascular disease: a review of randomized controlled trials. Prog Cardiovasc Dis . 1986;;29:99-118.
11 +
Collins R, Peto R, MacMahon S, et al.  Blood pressure, stroke, and coronary heart disease, part 2, short-term reductions in blood pressure: overview of randomized drug trials in their epidemiological context. Lancet . 1990;;335:827-838.
12 +
Kannel WB.  Some lessons in cardiovascular epidemiology from Framingham. Am J Cardiol . 1976;; 37:269-282.
13 +
Gordon T, Sorlie P, Kannel WB.  Problems in the assessment of blood pressure: the Framingham Study. Int J Epidemiol . 1976;;5:327-334.
14 +
Waaler HT.  Specificity and sensitivity of blood pressure measurements. J Epidemiol Community Health . 1980;;34:52-58.
15 +
Fujii I, Ueda K, Omae T, et al.  Natural history of borderline hypertension in the Hisayama community, Japan—I: the relative prognostic importance of transient variability in blood pressure. J Chronic Dis . 1984;;37:895-902.
16 +
Beard K, Bulpitt C, Mascie-Taylor H, O'Malley K, Sever P, Webb S.  Management of elderly patients with sustained hypertension. BMJ . 1992;;304: 412-416.
17 +
Jennings D, Netsky MG.  Essential hypertension: a sign in search of a disease. Can Med Assoc J . 1991;;144:973-979.
18 +
Perloff D, Grim C, Flack J, et al.  Human blood pressure determination by sphygmomanometry. Circulation . 1993;;88:2460-2470.
19 +
Petrie JC, O'Brien ET, Littler WA, de Swiet M.  Recommendations on blood pressure measurement. BMJ . 1986;;293:611-615.
20 +
American Society of Hypertension.  Recommendations for routine blood pressure measurement by indirect cuff sphygmomanometry. Am J Hypertens . 1992;;5:207-209.
21 +
Londe S, Klitzner TS.  Auscultatory blood pressure measurement: effect of pressure on the head of the stethoscope. West J Med . 1984;;141:193-195.
22 +
Frohlich ED, Grim C, Labarthe DR, Maxwell MH, Perloff D, Weidman WH.  Recommendations for human blood pressure determination by sphygmomanometers: report of a special task force appointed by the steering committee, AHA. Hypertension . 1988;;11:210a-221a.
23 +
Spence JD, Sibbald WJ, Cape RD.  Pseudohypertension in the elderly. Clin Sci Mol Med . 1978;; 55( (suppl 4) ):399s-402s.
24 +
Messerli FH, Ventura HO, Amodeo C.  Osler's maneuver and pseudohypertension. N Engl J Med . 1985;;312:1548-1551.
25 +
Kuwajima I, Hoh E, Suzuki Y, Matsushita S, Kuramoto K.  Pseudohypertension in the elderly. J Hypertens . 1990;;8:429-432.
26 +
Mengden T, Bättig B, Edmonds D, et al.  Self-measured blood pressures at home and during consulting hours: are there any differences? J Hypertens Suppl . 1990;;8:S15-S19.
27 +
Pickering TG, James GD, Boddie C, Harshfield GA, Blank S, Laragh JH.  How common is white coat hypertension? JAMA . 1988;;259:225-228.
28 +
Shimada K, Ogura H, Kawamoto A, Matsubayashi K, Ishida H, Ozawa T.  Noninvasive ambulatory blood pressure monitoring during clinic visit in elderly hypertensive patients. Clin Exp Hypertens . 1990;;12:151-170.
29 +
Mancia G, Parati G, Pomidossi G, Grassi G, Casadei R, Zanchetti A.  Alerting reaction and rise in blood pressure during measurement by physician and nurse. Hypertension . 1987;;9:209-215.
30 +
Kenny RA, Brennan M, O'Malley K, O'Brien E.  Blood presure measurements in borderline hypertension. J Hypertens . 1987;;5( (suppl) ):483-485.
31 +
Laughlin KD, Sherrard DJ, Fisher L.  Comparison of clinic and home blood pressure levels in essential hypertension and variables associated with clinic-home differences. J Chronic Dis . 1980;;33:197-206.
32 +
Porchet M, Bussien JP, Waeber B, Nussberger J, Brunner HR.  Unpredictability of blood pressures recorded outside the clinic in the treated hypertensive patient. J Cardiovasc Pharmacol . 1986;;8: 332-335.
33 +
Yagi S, Ichikawa S, Sakamaki T, Takayama Y, Murata K.  Blood pressure in the paretic arms of patients with stroke. N Engl J Med . 1986;;315:836.
34 +
Benowitz NL, Kuyt F, Jacob PI.  Influence of nicotine on cardiovascular and hormonal effects of cigarette smoking. Clin Pharmacol Ther . 1984;;36: 74-81.
35 +
Robertson D, Wade D, Workman R, Woosley RL.  Tolerance to the humoral and hemodynamic effects of caffeine in man. J Clin Invest . 1981;;67: 1111-1117.
36 +
Potter JF, Watson RDS, Skan W, Beevers G.  The pressor and metabolic effects of alcohol in normotensive subjects. Hypertension . 1986;;8:625-631.
37 +
Fagius J, Karhuvaara S.  Sympathetic activity and blood pressure increases with bladder distension in humans. Hypertension . 1989;;14:511-517.
38 +
Lynch JJ, Thomas SA, Long JM, Malinow KL, Friedmann E, Katcher AH.  Blood pressure changes while talking. Isr J Med Sci . 1982;;18:575-579.
39 +
Malinow KL, Lynch JJ, Foreman PJ, Friedmann E, Thomas SA.  Blood pressure increases while signing in a deaf population. Psychosom Med . 1986;; 48:95-101.
40 +
Conceicao S, Ward MK, Kerr DNS.  Defects in sphygmomanometers: an important source of error in blood pressure recording. BMJ . 1976;;1:886-888.
41 +
Shaw A, Deehan C, Lenihan JMA.  Sphygmomanometers: errors due to blocked vents. BMJ . 1979;;1:789-790.
42 +
Steinfeld L, Alexander H, Cohen ML.  Updating sphygmomanometry. Am J Cardiol . 1974;;33: 107-110.
43 +
Russell AE, Wing LMH, Smith SA, et al.  Optimal size of cuff bladder for indirect measurement of arterial pressure in adults. J Hypertens . 1989;; 7:607-613.
44 +
Maxwell MH, Waks AU, Schroth PC, Karam M, Dornfeld LP.  Error in blood-pressure measurement due to incorrect cuff size in obese patients. Lancet . 1982;;2:33-36.
45 +
Webb CH.  The measurement of blood pressure and its interpretation. Primary Care . 1980;;7:637-651.
46 +
Trout KW, Bertrand CA, Williams MH.  Measurement of blood pressure in obese persons. JAMA . 1956;;162:970-971.
47 +
Mitchell PL, Parlin RW, Blackburn H.  Effect of vertical displacement of the arm on indirect blood-pressure measurement. N Engl J Med . 1964;;271: 72-74.
48 +
Neussle WF.  The importance of a tight blood pressure cuff. Am Heart J . 1956;;52:905-907.
49 +
Cushman WC, Cooper KM, Home RA, Meydrech EF.  Effect of back support and stethoscope head on seated blood pressure determinations. Am J Hypertens . 1990;;3:240-241.
50 +
Viol GW, Goebel M, Lorenz GJ, Ing TS.  Seating as a variable in clinical blood pressure measurement. Am Heart J . 1979;;98:813-814.
51 +
Silverberg DS, Shemesh E, Iaina A.  The unsupported arm: a cause of falsely raised blood pressure readings. BMJ . 1977;;2:1331.
52 +
Thulin T, Andersson G, Schersten B.  Measurement of blood pressure: a routine test in need of standardization. Postgrad Med J . 1975;;51:390-395.
53 +
King GE.  Influence of rate of cuff inflation and deflation on observed blood pressure by sphygmomanometry. Am Heart J . 1963;;65:303-306.
54 +
Canner PL, Borhani NO, Oberman A, et al.  The Hypertension Prevention Trial: assessment of the quality of blood pressure measurements. Am J Epidemiol . 1991;;134:379-392.
55 +
Izzo JL, Larrabee PS, Sander E, Lillis LM.  Hemodynamics of seasonal adaptation. Am J Hypertens . 1990;;3:405-407.
56 +
Kunes J, Tremblay J, Bellavance F, Hamet P.  Influence of environmental temperature on the blood pressure of hypertensive patients in Montreal. Am J Hypertens . 1991;;4:422-426.
57 +
Giaconi S, Palombo C, Genovesi-Ebert A, Marabotti C, Volterrani D, Ghione S.  Long-term reproducibility and evaluation of seasonal influences on blood pressure monitoring. J Hypertens . 1988;; 6( (suppl 4) ):S64-S66.
58 +
Mader SL.  Effects of meals and time of day on postural blood pressure responses in young and elderly subjects. Arch Intern Med . 1989;;149:2757-2760.
59 +
Armitage P, Rose GA.  The variability of measurements of casual blood pressure, I: a laboratory study. Clin Sci . 1966;;30:325-335.
60 +
Watson RDS, Lumb R, Young MA, Stallard TJ, Davies P, Littler WA.  Variation in cuff blood pressure in untreated outpatients with mild hypertension: implications for initiating antihypertensive treatment. J Hypertens . 1987;;5:207-211.
61 +
Shepard DS.  Reliability of blood pressure measurements: implications for designing and evaluating programs to control hypertension. J Chronic Dis . 1981;;34:191-209.
62 +
Cohn JN.  Blood pressure measurement in shock: mechanism of inaccuracy in auscultatory and palpatory methods. JAMA . 1967;;199:972-976.
63 +
McKay DW, Campbell NR, Parab LS, Chockalingam A, Fodor JG.  Clinical assessment of blood pressure. J Hum Hypertens . 1990;;4:639-645.
64 +
Patterson HR.  Sources of error in recording the blood pressure of patients with hypertension in general practice. BMJ . 1984;;289:1661-1664.
65 +
Hashimoto F, Hunt WC, Hardy L.  Differences between right and left arm blood pressures in the elderly. West J Med . 1984;;141:189-192.
66 +
van Loo JM, Peer PG, Thien TA.  Twenty-five minutes between blood pressure readings: the influence on prevalence rates of isolated systolic hypertension. J Hypertens . 1986;;4:631-635.
67 +
von Eiff AW, Plotz EJ, Beck KJ, Czernik A.  The effect of estrogens and progestins on blood pressure regulation of normotensive women. Am J Obstet Gynecol . 1971;;109:887-892.
68 +
Polefrone JM, Manuck SB.  Effects of menstrual phase and parental history of hypertension on cardiovascular response to cognitive challenge. Psychosom Med . 1988;;50:23-36.
69 +
Myers MG, Reeves RA.  The effect of caffeine on daytime ambulatory blood pressure. Am J Hypertens . 1991;;4:427-431.
70 +
Myers MG, Iazzetta JJ.  Intranasally administered phenylephrine and blood pressure. Can Med Assoc J . 1982;;127:365-368.
71 +
Veerman DP, van Montfrans GA, Karemaker JM, Wieling W.  Inflating one's own cuff does not increase self-recorded blood pressure. J Hypertens . 1992;;6( (suppl 4) ):S77-S78.
72 +
Kraus JF, Conley A, Hardy R, Sexton M, Sweezy Z.  Relationship of demographic characteristics of interviewers to blood pressure measurements. J Community Health . 1982;;8:3-12.
73 +
Reeves RA, Lewis JE, Hebert PC, Kernerman Y, Revah A.  Gender, status and 'white coat' phenomenon in family practice. Clin Invest Med . 1991;; 14( (suppl A) ):A69.
74 +
Holleman DR, Westman EC, McCrory DC, Simel DL.  The effect of sleeved arms on oscillometric blood pressure measurement. J Gen Intern Med . 1993;;8:325-326.
75 +
Hypertension Detection and Follow-up Program.  Variability of blood pressure and the results of screening in the Hypertension Detection and Follow-up Program. J Chronic Dis . 1978;;31:651-667.
76 +
Di Rienzo M, Parati G, Pomidossi G, Veniani M, Pedotti A, Mancia G.  Blood pressure monitoring over short day and night times cannot predict 24-hour average blood pressure. J Hypertens . 1985;;3: 343-349.
77 +
Mancia G, Parati G, Pomidossi G, Casadei R, Di Rienzo M, Zanchetti A.  Arterial baroreflexes and blood pressure and heart rate variabilities in humans. Hypertension . 1986;;8:147-153.
78 +
Watson RDS, Stallard TJ, Flinn RM, Littler WA.  Factors determining direct arterial pressure and its variability in hypertensive man. Hypertension . 1980;;2:333-341.
79 +
Reeves RA.  A review of the stability of ambulatory blood pressure: implications for diagnosis of hypertension. Clin Invest Med . 1991;;14:251-255.
80 +
Reeves RA, Leenen FHH, Joyner CD.  Reproducibility of nurse-measured, exercise and ambulatory blood pressure and echocardiographic left ventricular mass in borderline hypertension. J Hypertens . 1992;;10:1249-1256.
81 +
Sykes D, Dewar R, Mohanaruban K, et al.  Measuring blood pressure in the elderly: does atrial fibrillation increase observer variability? BMJ . 1990;; 300:162-163.
82 +
O'Brien E, Mee F, Atkins N, O'Malley K.  Inaccuracy of seven popular sphygmomanometers for home measurement of blood pressure. J Hypertens . 1990;;8:621-634.
83 +
Scherwitz LW, Evans LA, Hennrikus DJ, Vallbona C.  Procedures and discrepancies of blood pressure measurements in two community health centers. Med Care . 1982;;20:727-738.
84 +
Neufeld PD, Johnson DL.  Observer error in blood pressure measurement. Can Med Assoc J . 1986;;135:633-637.
85 +
White WB, Lund-Johansen P, Omvik P.  Assessment of four ambulatory blood pressure monitors and measurements by clinicians versus intra-arterial blood pressure at rest and during exercise. Am J Cardiol . 1990;;65:60-66.
86 +
Blank SG, West JE, Müller FB, et al.  Wideband external pulse recording during cuff deflation: a new technique for evaluation of the arterial pressure pulse and measurement of blood pressure. Circulation . 1988;;77:1297-1305.
87 +
Taguchi JT, Suwangool P.  Pipe-stem brachial arteries: a cause of pseudohypertension. JAMA . 1974;;228:733.
88 +
Wallace CT, Carpenter FA, Evins SC, Mahaffey JE.  Acute pseudohypertensive crisis. Anesthesiology . 1975;;43:588-589.
89 +
Keenan WF.  Pseudohypertension mimicking a hypertensive emergency. JAMA . 1981;;246:1088.
90 +
Saklayen MG.  Pseudohypertension in a young woman. Am J Med . 1988;;84:794-795.
91 +
O'Rourke M, Kelly R.  Osler's maneuver and pseudohypertension. N Engl J Med . 1985;;313:1300.
92 +
Tifft CP.  Are the days of the sphygmomanometer past? Arch Intern Med . 1988;;148:518-519.
93 +
Hla KM, Samsa GP, Stoneking HT, Feussner JR.  Observer variability of Osler's maneuver in detection of pseudohypertension. J Clin Epidemiol . 1991;;44:513-518.
94 +
Hla KM, Vokaty KA, Feussner JR.  Observer error in systolic blood pressure measurement in the elderly: a case for automatic recorders? Arch Intern Med . 1986;;146:2373-2376.
95 +
Padfield PL, Jyothinagaram SG, Watson DM, Donald P, McGinley IM.  Problems in the measurement of blood pressure. J Hum Hypertens . 1990;;4 ( (suppl 2) ):3-7.
96 +
Smith TD, Clayton D.  Individual variation between general practitioners in labelling of hypertension. BMJ . 1990;;300:74-75.
97 +
Weiland SK, Keil U, Spelsberg A, et al.  Diagnosis and management of hypertension by physicians in the Federal Republic of Germany. J Hypertens . 1991;;9:131-134.
98 +
Wilkinson LS, Perry IJ, Shinton RA, Beevers DG.  An emerging consensus among clinicians on treating mild hypertension but persistent uncertainty as to how blood pressure should be measured. JR Coll Physicians Lond . 1991;;25:116-119.
99 +
Bruce NG, Cook DG, Shaper AG.  Differences between observers in blood pressure measurement with an automatic oscillometric recorder. J Hypertens Suppl . 1990;;8:S11-S13.
100 +
Burke GL, Webber LS, Shear CL, Zinkgraf SA, Smoak CG, Berenson GS.  Sources of error in measurement of children's blood pressure in a large epidemiologic study: Bogalusa Heart Study. J Chronic Dis . 1987;;40:83-89.
101 +
Abella M, Formolo J, Penney DG.  Comparison of the acoustic properties of six popular stethoscopes. J Acoust Soc Am . 1992;;91:2224-2228.
102 +
Sapira JD.  The vital signs.  In: Sapira JD, ed. The Art and Science of Bedside Diagnosis . Baltimore, Md: Urban & Schwarzenberg; 1990;:85-104.
103 +
Wietlisbach V, Rickenbach M, Burnand B, Hausser D, Gutzwiller F.  Combining repeated blood pressure measurements to obtain prevalences of high blood pressure. Acta Med Scand Suppl . 1988;; 728:165-168.
104 +
Millar-Craig MW, Bishop CN, Raftery EB.  Circadian variation of blood pressure. Lancet . 1978;; 1:795-797.
105 +
Gould BA, Hornung RS, Cashman PMM, Raftery EB.  Ambulatory blood pressure—direct and indirect.  In: Weber MA, Drayer JIM, eds. Ambulatory Blood Pressure Monitoring . New York, NY: Springer-Verlag NY Inc; 1984;:9-19.
106 +
Littler WA, Honour AJ, Carter RD, Sleight P.  Sleep and blood pressure. BMJ . 1975;;1:346-347.
107 +
Millar-Craig MW, Mann S, Balasubramanian V, Raftery EB.  Blood pressure circadian rhythm in essential hypertension. Clin Sci Mol Med . 1978;;55: 391s-393s.
108 +
Kleinert HD, Harshfield GA, Pickering TG, et al.  What is the value of home blood pressure measurement in patients with mild hypertension? Hypertension . 1984;;6:574-578.
109 +
Ornstein S, Markert G, Litchfield L, Zemp L.  Evaluation of the DINAMAP blood pressure monitor in an ambulatory primary care setting. J Fam Pract . 1988;;26:517-521.
110 +
Myers MG, Reeves RA.  White coat phenomenon in patients receiving antihypertensive therapy. Am J Hypertens . 1991;;4:844-849.
111 +
Silagy CA, McNeil JJ, McGrath BP.  Isolated systolic hypertension: does it really exist on ambulatory blood pressure monitoring? Clin Exp Pharmacol Physiol . 1990;;17:203-206.
112 +
Imai Y, Nakatsuka H, Ikeda M, et al.  A cross-sectional survey of home blood pressure in a rural community in northern Japan. Clin Exp Hypertens . 1990;;12:1095-1106.
113 +
Ellis PJ, Marshall E, Ellis SJ.  Which blood pressure? Lancet . 1988;:2:902-903.
114 +
McGrady A, Higgins JT Jr.  Effect of repeated measurements of blood pressure on blood pressure in essential hypertension: role of anxiety. J Behav Med . 1990;;13:93-101.
115 +
Haynes RB, Logan AG, Flanagan PT, Milne BJ.  The effect of patient 'familiarity' with blood pressure assessment on the accuracy of follow-up readings. J Hypertens . 1983;;1:91-94.
116 +
Hypertension Detection and Follow-up Program Cooperative Group.  Blood pressure studies in 14 communities: a two-stage screen for hypertension. JAMA . 1977;;237:2385-2391.
117 +
Perry HM Jr, Miller JP.  Difficulties in diagnosing hypertension: implications and alternatives. J Hypertens . 1992;;10:887-896.
118 +
Rabkin SW, Mathewson FA, Tate RB.  Relationship of blood pressure in 20- to 39-year-old men to subsequent blood pressure and incidence of hypertension over a 30-year observation period. Circulation . 1982;;65:291-300.
119 +
Thomas CB, Duszynski KR.  Blood pressure levels in young adulthood as predictors of hypertension and the fate of the cold pressor test. Johns Hopkins Med J . 1982;;151:93-100.
120 +
Shear CL, Burke GL, Freedman DS, Berenson GS.  Value of childhood blood pressure measurements and family history in predicting future blood pressure status: results from 8 years of follow-up in the Bogalusa Heart Study. Pediatrics . 1986;; 77:862-869.
121 +
Trembath CR, Hickner JM, Bishop SW.  Incidental blood pressure elevations: a MIRNET project. J Fam Pract . 1991;;32:378-381.
122 +
Management Committee.  The Australian therapeutic trial in mild hypertension. Lancet . 1980;; 1:1261-1267.
123 +
Dlin RA, Hanne N, Silverberg DS, Bar-Or O.  Follow-up of normotensive men with exaggerated blood pressure response to exercise. Am Heart J . 1983;;106:316-320.
124 +
Guerrera G, Melina D, Colivicchi F, Santoliquido A, Folli G.  Abnormal blood pressure response to excercise in borderline hypertension: a two-year follow-up study. Am J Hypertens . 1991;;4:271-273.
125 +
Rose GA.  Standardisation of observers in blood-pressure measurement. Lancet . 1965;;1:673-674.
126 +
Bruce NG, Shaper AG, Walker M, Wannamethee G.  Observer bias in blood pressure studies. J Hypertens . 1988;;6:375-380.
127 +
Warshaw LJ.  Physicians: check that blood pressure. JAMA . 1989;;262:1775-1776.
128 +
Campbell NR, Chockalingam A, Fodor JG, McKay DW.  Accurate, reproducible measurement of blood pressure. Can Med Assoc J . 1990;;143:19-24.
129 +
O'Brien ET, O'Malley K.  ABC of blood pressure measurement: the observer. BMJ . 1979;;2:775-776.
130 +
O'Brien ET, O'Malley K.  ABC of blood pressure measurement: the sphygmomanometer. BMJ . 1979;;2:851-853.
131 +
O'Brien ET, O'Malley K.  ABC of blood pressure measurement: the patient. BMJ . 1979;;2:920-921.
132 +
O'Brien ET, O'Malley K.  ABC of blood pressure measurement: technique. BMJ . 1979;;2:982-984.
133 +
Segall HN.  A note on the measurement of diastolic and systolic blood pressure by the palpation of arterial vibrations (sounds) over the brachial artery. Can Med Assoc J . 1940;;42:311-313.
134 +
Scordo K.  Using radial artery palpation to monitor blood pressure. Dimens Crit Care Nurs . 1983;;2:75-79.
135 +
Wilson NV, Meyer BM.  Early prediction of hypertension using exercise blood pressure. Prev Med . 1981;;10:62-68.
136 +
Reeves RA, Myers MG.  Ambulatory blood pressure monitoring: an emerging technology. Clin Invest Med . 1991;;14:198-201.
137 +
Health and Public Policy Committee, American College of Physicians.  Automated ambulatory blood pressure monitoring. Ann Intern Med . 1986;; 104:275-278.
138 +
National High Blood Pressure Education Program Coordinating Committee.  National High Blood Pressure Education Program Working Group report on ambulatory blood pressure monitoring. Arch Intern Med . 1990;;150:2270-2280.
139 +
Perloff D, Sokolow M, Cowan R.  The prognostic value of ambulatory blood pressures. JAMA . 1983;;249:2792-2798.
140 +
Reeves RA.  Patient and environmental factors affecting ambulatory blood pressure monitoring. Clin Invest Med . 1991;;14:218-223.
141 +
Clement DL, the Steering Committee.  Office versus ambulatory recordings of blood pressure (OvA): a European multicenter study. J Hypertens Suppl . 1990;;8:S39-S41.
142 +
Canadian Coalition for High Blood Pressure Prevention and Control.  Recommendations on self-measurement of blood pressure. Can Med Assoc J . 1988;;138:1093-1096.
143 +
Pickering TG, James GD.  Some implications of the differences between home, clinic and ambulatory blood pressure in normotensive and hypertensive patients. J Hypertens Suppl . 1989;;7:S65-S72.
144 +
Devereux RB, Pickering TG, Harshfield GA, et al.  Left ventricular hypertrophy in patients with hypertension: importance of blood pressure response to regularly recurring stress. Circulation . 1983;;68: 470-476.
145 +
Midanik LT, Resnick B, Hurley LB, Smith EJ, McCarthy M.  Home blood pressure monitoring for mild hypertensives. Public Health Rep . 1991;;106: 85-89.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Dept of National Health and Welfare. Main Findings Report of the Canadian Blood Pressure Survey . Ottawa, Ontario: Minister of National Health and Welfare; 1989;:1.
2 +
Hypertension Detection and Follow-up Program.  The Hypertension Detection and Follow-up Program: a progress report. Circ Res . 1977;;40( (suppl I) ):I-106-I-109.
3 +
Joint National Committee.  The fifth report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure (JNC V). Arch Intern Med . 1993;;153:154-183.
4 +
Haynes RB, Lacourciere Y, Rabkin SW, et al.  Report of the Canadian Hypertension Society Consensus Conference, 2: diagnosis of hypertension in adults. Can Med Assoc J . 1993;;149:409-418.
5 +
Zanchetti A, Chalmers JP, Arakawa K, et al.  The 1993 guidelines for the management of mild hypertension: memorandum from a WHO/ISH meeting. Hypertension . 1993;;22:392-403.
6 +
Swales JD, Ramsay LE, Coope JR, et al.  Treating mild hypertension, agreement from the large trials: report of the British Hypertension Society Working Party. BMJ . 1989;;298:694-698.
7 +
Jackson R, Barham P, Bills J, et al.  Management of raised blood pressure in New Zealand: a discussion document. BMJ . 1993;;307:107-110.
8 +
Haynes RB, Sackett DL, Taylor DW, Gibson ES, Johnson AL.  Increased absenteeism from work after detection and labeling of hypertensive patients. N Engl J Med . 1978;;299:741-744.
9 +
Lefebvre RC, Hursey KG, Carleton RA.  Labeling of participants in high blood pressure screening programs: implications for blood cholesterol screenings. Arch Intern Med . 1988;;148:1993-1997.
10 +
MacMahon SW, Cutler JA, Furberg CD, Payne GH.  The effects of drug treatment for hypertension on morbidity and mortality from cardiovascular disease: a review of randomized controlled trials. Prog Cardiovasc Dis . 1986;;29:99-118.
11 +
Collins R, Peto R, MacMahon S, et al.  Blood pressure, stroke, and coronary heart disease, part 2, short-term reductions in blood pressure: overview of randomized drug trials in their epidemiological context. Lancet . 1990;;335:827-838.
12 +
Kannel WB.  Some lessons in cardiovascular epidemiology from Framingham. Am J Cardiol . 1976;; 37:269-282.
13 +
Gordon T, Sorlie P, Kannel WB.  Problems in the assessment of blood pressure: the Framingham Study. Int J Epidemiol . 1976;;5:327-334.
14 +
Waaler HT.  Specificity and sensitivity of blood pressure measurements. J Epidemiol Community Health . 1980;;34:52-58.
15 +
Fujii I, Ueda K, Omae T, et al.  Natural history of borderline hypertension in the Hisayama community, Japan—I: the relative prognostic importance of transient variability in blood pressure. J Chronic Dis . 1984;;37:895-902.
16 +
Beard K, Bulpitt C, Mascie-Taylor H, O'Malley K, Sever P, Webb S.  Management of elderly patients with sustained hypertension. BMJ . 1992;;304: 412-416.
17 +
Jennings D, Netsky MG.  Essential hypertension: a sign in search of a disease. Can Med Assoc J . 1991;;144:973-979.
18 +
Perloff D, Grim C, Flack J, et al.  Human blood pressure determination by sphygmomanometry. Circulation . 1993;;88:2460-2470.
19 +
Petrie JC, O'Brien ET, Littler WA, de Swiet M.  Recommendations on blood pressure measurement. BMJ . 1986;;293:611-615.
20 +
American Society of Hypertension.  Recommendations for routine blood pressure measurement by indirect cuff sphygmomanometry. Am J Hypertens . 1992;;5:207-209.
21 +
Londe S, Klitzner TS.  Auscultatory blood pressure measurement: effect of pressure on the head of the stethoscope. West J Med . 1984;;141:193-195.
22 +
Frohlich ED, Grim C, Labarthe DR, Maxwell MH, Perloff D, Weidman WH.  Recommendations for human blood pressure determination by sphygmomanometers: report of a special task force appointed by the steering committee, AHA. Hypertension . 1988;;11:210a-221a.
23 +
Spence JD, Sibbald WJ, Cape RD.  Pseudohypertension in the elderly. Clin Sci Mol Med . 1978;; 55( (suppl 4) ):399s-402s.
24 +
Messerli FH, Ventura HO, Amodeo C.  Osler's maneuver and pseudohypertension. N Engl J Med . 1985;;312:1548-1551.
25 +
Kuwajima I, Hoh E, Suzuki Y, Matsushita S, Kuramoto K.  Pseudohypertension in the elderly. J Hypertens . 1990;;8:429-432.
26 +
Mengden T, Bättig B, Edmonds D, et al.  Self-measured blood pressures at home and during consulting hours: are there any differences? J Hypertens Suppl . 1990;;8:S15-S19.
27 +
Pickering TG, James GD, Boddie C, Harshfield GA, Blank S, Laragh JH.  How common is white coat hypertension? JAMA . 1988;;259:225-228.
28 +
Shimada K, Ogura H, Kawamoto A, Matsubayashi K, Ishida H, Ozawa T.  Noninvasive ambulatory blood pressure monitoring during clinic visit in elderly hypertensive patients. Clin Exp Hypertens . 1990;;12:151-170.
29 +
Mancia G, Parati G, Pomidossi G, Grassi G, Casadei R, Zanchetti A.  Alerting reaction and rise in blood pressure during measurement by physician and nurse. Hypertension . 1987;;9:209-215.
30 +
Kenny RA, Brennan M, O'Malley K, O'Brien E.  Blood presure measurements in borderline hypertension. J Hypertens . 1987;;5( (suppl) ):483-485.
31 +
Laughlin KD, Sherrard DJ, Fisher L.  Comparison of clinic and home blood pressure levels in essential hypertension and variables associated with clinic-home differences. J Chronic Dis . 1980;;33:197-206.
32 +
Porchet M, Bussien JP, Waeber B, Nussberger J, Brunner HR.  Unpredictability of blood pressures recorded outside the clinic in the treated hypertensive patient. J Cardiovasc Pharmacol . 1986;;8: 332-335.
33 +
Yagi S, Ichikawa S, Sakamaki T, Takayama Y, Murata K.  Blood pressure in the paretic arms of patients with stroke. N Engl J Med . 1986;;315:836.
34 +
Benowitz NL, Kuyt F, Jacob PI.  Influence of nicotine on cardiovascular and hormonal effects of cigarette smoking. Clin Pharmacol Ther . 1984;;36: 74-81.
35 +
Robertson D, Wade D, Workman R, Woosley RL.  Tolerance to the humoral and hemodynamic effects of caffeine in man. J Clin Invest . 1981;;67: 1111-1117.
36 +
Potter JF, Watson RDS, Skan W, Beevers G.  The pressor and metabolic effects of alcohol in normotensive subjects. Hypertension . 1986;;8:625-631.
37 +
Fagius J, Karhuvaara S.  Sympathetic activity and blood pressure increases with bladder distension in humans. Hypertension . 1989;;14:511-517.
38 +
Lynch JJ, Thomas SA, Long JM, Malinow KL, Friedmann E, Katcher AH.  Blood pressure changes while talking. Isr J Med Sci . 1982;;18:575-579.
39 +
Malinow KL, Lynch JJ, Foreman PJ, Friedmann E, Thomas SA.  Blood pressure increases while signing in a deaf population. Psychosom Med . 1986;; 48:95-101.
40 +
Conceicao S, Ward MK, Kerr DNS.  Defects in sphygmomanometers: an important source of error in blood pressure recording. BMJ . 1976;;1:886-888.
41 +
Shaw A, Deehan C, Lenihan JMA.  Sphygmomanometers: errors due to blocked vents. BMJ . 1979;;1:789-790.
42 +
Steinfeld L, Alexander H, Cohen ML.  Updating sphygmomanometry. Am J Cardiol . 1974;;33: 107-110.
43 +
Russell AE, Wing LMH, Smith SA, et al.  Optimal size of cuff bladder for indirect measurement of arterial pressure in adults. J Hypertens . 1989;; 7:607-613.
44 +
Maxwell MH, Waks AU, Schroth PC, Karam M, Dornfeld LP.  Error in blood-pressure measurement due to incorrect cuff size in obese patients. Lancet . 1982;;2:33-36.
45 +
Webb CH.  The measurement of blood pressure and its interpretation. Primary Care . 1980;;7:637-651.
46 +
Trout KW, Bertrand CA, Williams MH.  Measurement of blood pressure in obese persons. JAMA . 1956;;162:970-971.
47 +
Mitchell PL, Parlin RW, Blackburn H.  Effect of vertical displacement of the arm on indirect blood-pressure measurement. N Engl J Med . 1964;;271: 72-74.
48 +
Neussle WF.  The importance of a tight blood pressure cuff. Am Heart J . 1956;;52:905-907.
49 +
Cushman WC, Cooper KM, Home RA, Meydrech EF.  Effect of back support and stethoscope head on seated blood pressure determinations. Am J Hypertens . 1990;;3:240-241.
50 +
Viol GW, Goebel M, Lorenz GJ, Ing TS.  Seating as a variable in clinical blood pressure measurement. Am Heart J . 1979;;98:813-814.
51 +
Silverberg DS, Shemesh E, Iaina A.  The unsupported arm: a cause of falsely raised blood pressure readings. BMJ . 1977;;2:1331.
52 +
Thulin T, Andersson G, Schersten B.  Measurement of blood pressure: a routine test in need of standardization. Postgrad Med J . 1975;;51:390-395.
53 +
King GE.  Influence of rate of cuff inflation and deflation on observed blood pressure by sphygmomanometry. Am Heart J . 1963;;65:303-306.
54 +
Canner PL, Borhani NO, Oberman A, et al.  The Hypertension Prevention Trial: assessment of the quality of blood pressure measurements. Am J Epidemiol . 1991;;134:379-392.
55 +
Izzo JL, Larrabee PS, Sander E, Lillis LM.  Hemodynamics of seasonal adaptation. Am J Hypertens . 1990;;3:405-407.
56 +
Kunes J, Tremblay J, Bellavance F, Hamet P.  Influence of environmental temperature on the blood pressure of hypertensive patients in Montreal. Am J Hypertens . 1991;;4:422-426.
57 +
Giaconi S, Palombo C, Genovesi-Ebert A, Marabotti C, Volterrani D, Ghione S.  Long-term reproducibility and evaluation of seasonal influences on blood pressure monitoring. J Hypertens . 1988;; 6( (suppl 4) ):S64-S66.
58 +
Mader SL.  Effects of meals and time of day on postural blood pressure responses in young and elderly subjects. Arch Intern Med . 1989;;149:2757-2760.
59 +
Armitage P, Rose GA.  The variability of measurements of casual blood pressure, I: a laboratory study. Clin Sci . 1966;;30:325-335.
60 +
Watson RDS, Lumb R, Young MA, Stallard TJ, Davies P, Littler WA.  Variation in cuff blood pressure in untreated outpatients with mild hypertension: implications for initiating antihypertensive treatment. J Hypertens . 1987;;5:207-211.
61 +
Shepard DS.  Reliability of blood pressure measurements: implications for designing and evaluating programs to control hypertension. J Chronic Dis . 1981;;34:191-209.
62 +
Cohn JN.  Blood pressure measurement in shock: mechanism of inaccuracy in auscultatory and palpatory methods. JAMA . 1967;;199:972-976.
63 +
McKay DW, Campbell NR, Parab LS, Chockalingam A, Fodor JG.  Clinical assessment of blood pressure. J Hum Hypertens . 1990;;4:639-645.
64 +
Patterson HR.  Sources of error in recording the blood pressure of patients with hypertension in general practice. BMJ . 1984;;289:1661-1664.
65 +
Hashimoto F, Hunt WC, Hardy L.  Differences between right and left arm blood pressures in the elderly. West J Med . 1984;;141:189-192.
66 +
van Loo JM, Peer PG, Thien TA.  Twenty-five minutes between blood pressure readings: the influence on prevalence rates of isolated systolic hypertension. J Hypertens . 1986;;4:631-635.
67 +
von Eiff AW, Plotz EJ, Beck KJ, Czernik A.  The effect of estrogens and progestins on blood pressure regulation of normotensive women. Am J Obstet Gynecol . 1971;;109:887-892.
68 +
Polefrone JM, Manuck SB.  Effects of menstrual phase and parental history of hypertension on cardiovascular response to cognitive challenge. Psychosom Med . 1988;;50:23-36.
69 +
Myers MG, Reeves RA.  The effect of caffeine on daytime ambulatory blood pressure. Am J Hypertens . 1991;;4:427-431.
70 +
Myers MG, Iazzetta JJ.  Intranasally administered phenylephrine and blood pressure. Can Med Assoc J . 1982;;127:365-368.
71 +
Veerman DP, van Montfrans GA, Karemaker JM, Wieling W.  Inflating one's own cuff does not increase self-recorded blood pressure. J Hypertens . 1992;;6( (suppl 4) ):S77-S78.
72 +
Kraus JF, Conley A, Hardy R, Sexton M, Sweezy Z.  Relationship of demographic characteristics of interviewers to blood pressure measurements. J Community Health . 1982;;8:3-12.
73 +
Reeves RA, Lewis JE, Hebert PC, Kernerman Y, Revah A.  Gender, status and 'white coat' phenomenon in family practice. Clin Invest Med . 1991;; 14( (suppl A) ):A69.
74 +
Holleman DR, Westman EC, McCrory DC, Simel DL.  The effect of sleeved arms on oscillometric blood pressure measurement. J Gen Intern Med . 1993;;8:325-326.
75 +
Hypertension Detection and Follow-up Program.  Variability of blood pressure and the results of screening in the Hypertension Detection and Follow-up Program. J Chronic Dis . 1978;;31:651-667.
76 +
Di Rienzo M, Parati G, Pomidossi G, Veniani M, Pedotti A, Mancia G.  Blood pressure monitoring over short day and night times cannot predict 24-hour average blood pressure. J Hypertens . 1985;;3: 343-349.
77 +
Mancia G, Parati G, Pomidossi G, Casadei R, Di Rienzo M, Zanchetti A.  Arterial baroreflexes and blood pressure and heart rate variabilities in humans. Hypertension . 1986;;8:147-153.
78 +
Watson RDS, Stallard TJ, Flinn RM, Littler WA.  Factors determining direct arterial pressure and its variability in hypertensive man. Hypertension . 1980;;2:333-341.
79 +
Reeves RA.  A review of the stability of ambulatory blood pressure: implications for diagnosis of hypertension. Clin Invest Med . 1991;;14:251-255.
80 +
Reeves RA, Leenen FHH, Joyner CD.  Reproducibility of nurse-measured, exercise and ambulatory blood pressure and echocardiographic left ventricular mass in borderline hypertension. J Hypertens . 1992;;10:1249-1256.
81 +
Sykes D, Dewar R, Mohanaruban K, et al.  Measuring blood pressure in the elderly: does atrial fibrillation increase observer variability? BMJ . 1990;; 300:162-163.
82 +
O'Brien E, Mee F, Atkins N, O'Malley K.  Inaccuracy of seven popular sphygmomanometers for home measurement of blood pressure. J Hypertens . 1990;;8:621-634.
83 +
Scherwitz LW, Evans LA, Hennrikus DJ, Vallbona C.  Procedures and discrepancies of blood pressure measurements in two community health centers. Med Care . 1982;;20:727-738.
84 +
Neufeld PD, Johnson DL.  Observer error in blood pressure measurement. Can Med Assoc J . 1986;;135:633-637.
85 +
White WB, Lund-Johansen P, Omvik P.  Assessment of four ambulatory blood pressure monitors and measurements by clinicians versus intra-arterial blood pressure at rest and during exercise. Am J Cardiol . 1990;;65:60-66.
86 +
Blank SG, West JE, Müller FB, et al.  Wideband external pulse recording during cuff deflation: a new technique for evaluation of the arterial pressure pulse and measurement of blood pressure. Circulation . 1988;;77:1297-1305.
87 +
Taguchi JT, Suwangool P.  Pipe-stem brachial arteries: a cause of pseudohypertension. JAMA . 1974;;228:733.
88 +
Wallace CT, Carpenter FA, Evins SC, Mahaffey JE.  Acute pseudohypertensive crisis. Anesthesiology . 1975;;43:588-589.
89 +
Keenan WF.  Pseudohypertension mimicking a hypertensive emergency. JAMA . 1981;;246:1088.
90 +
Saklayen MG.  Pseudohypertension in a young woman. Am J Med . 1988;;84:794-795.
91 +
O'Rourke M, Kelly R.  Osler's maneuver and pseudohypertension. N Engl J Med . 1985;;313:1300.
92 +
Tifft CP.  Are the days of the sphygmomanometer past? Arch Intern Med . 1988;;148:518-519.
93 +
Hla KM, Samsa GP, Stoneking HT, Feussner JR.  Observer variability of Osler's maneuver in detection of pseudohypertension. J Clin Epidemiol . 1991;;44:513-518.
94 +
Hla KM, Vokaty KA, Feussner JR.  Observer error in systolic blood pressure measurement in the elderly: a case for automatic recorders? Arch Intern Med . 1986;;146:2373-2376.
95 +
Padfield PL, Jyothinagaram SG, Watson DM, Donald P, McGinley IM.  Problems in the measurement of blood pressure. J Hum Hypertens . 1990;;4 ( (suppl 2) ):3-7.
96 +
Smith TD, Clayton D.  Individual variation between general practitioners in labelling of hypertension. BMJ . 1990;;300:74-75.
97 +
Weiland SK, Keil U, Spelsberg A, et al.  Diagnosis and management of hypertension by physicians in the Federal Republic of Germany. J Hypertens . 1991;;9:131-134.
98 +
Wilkinson LS, Perry IJ, Shinton RA, Beevers DG.  An emerging consensus among clinicians on treating mild hypertension but persistent uncertainty as to how blood pressure should be measured. JR Coll Physicians Lond . 1991;;25:116-119.
99 +
Bruce NG, Cook DG, Shaper AG.  Differences between observers in blood pressure measurement with an automatic oscillometric recorder. J Hypertens Suppl . 1990;;8:S11-S13.
100 +
Burke GL, Webber LS, Shear CL, Zinkgraf SA, Smoak CG, Berenson GS.  Sources of error in measurement of children's blood pressure in a large epidemiologic study: Bogalusa Heart Study. J Chronic Dis . 1987;;40:83-89.
101 +
Abella M, Formolo J, Penney DG.  Comparison of the acoustic properties of six popular stethoscopes. J Acoust Soc Am . 1992;;91:2224-2228.
102 +
Sapira JD.  The vital signs.  In: Sapira JD, ed. The Art and Science of Bedside Diagnosis . Baltimore, Md: Urban & Schwarzenberg; 1990;:85-104.
103 +
Wietlisbach V, Rickenbach M, Burnand B, Hausser D, Gutzwiller F.  Combining repeated blood pressure measurements to obtain prevalences of high blood pressure. Acta Med Scand Suppl . 1988;; 728:165-168.
104 +
Millar-Craig MW, Bishop CN, Raftery EB.  Circadian variation of blood pressure. Lancet . 1978;; 1:795-797.
105 +
Gould BA, Hornung RS, Cashman PMM, Raftery EB.  Ambulatory blood pressure—direct and indirect.  In: Weber MA, Drayer JIM, eds. Ambulatory Blood Pressure Monitoring . New York, NY: Springer-Verlag NY Inc; 1984;:9-19.
106 +
Littler WA, Honour AJ, Carter RD, Sleight P.  Sleep and blood pressure. BMJ . 1975;;1:346-347.
107 +
Millar-Craig MW, Mann S, Balasubramanian V, Raftery EB.  Blood pressure circadian rhythm in essential hypertension. Clin Sci Mol Med . 1978;;55: 391s-393s.
108 +
Kleinert HD, Harshfield GA, Pickering TG, et al.  What is the value of home blood pressure measurement in patients with mild hypertension? Hypertension . 1984;;6:574-578.
109 +
Ornstein S, Markert G, Litchfield L, Zemp L.  Evaluation of the DINAMAP blood pressure monitor in an ambulatory primary care setting. J Fam Pract . 1988;;26:517-521.
110 +
Myers MG, Reeves RA.  White coat phenomenon in patients receiving antihypertensive therapy. Am J Hypertens . 1991;;4:844-849.
111 +
Silagy CA, McNeil JJ, McGrath BP.  Isolated systolic hypertension: does it really exist on ambulatory blood pressure monitoring? Clin Exp Pharmacol Physiol . 1990;;17:203-206.
112 +
Imai Y, Nakatsuka H, Ikeda M, et al.  A cross-sectional survey of home blood pressure in a rural community in northern Japan. Clin Exp Hypertens . 1990;;12:1095-1106.
113 +
Ellis PJ, Marshall E, Ellis SJ.  Which blood pressure? Lancet . 1988;:2:902-903.
114 +
McGrady A, Higgins JT Jr.  Effect of repeated measurements of blood pressure on blood pressure in essential hypertension: role of anxiety. J Behav Med . 1990;;13:93-101.
115 +
Haynes RB, Logan AG, Flanagan PT, Milne BJ.  The effect of patient 'familiarity' with blood pressure assessment on the accuracy of follow-up readings. J Hypertens . 1983;;1:91-94.
116 +
Hypertension Detection and Follow-up Program Cooperative Group.  Blood pressure studies in 14 communities: a two-stage screen for hypertension. JAMA . 1977;;237:2385-2391.
117 +
Perry HM Jr, Miller JP.  Difficulties in diagnosing hypertension: implications and alternatives. J Hypertens . 1992;;10:887-896.
118 +
Rabkin SW, Mathewson FA, Tate RB.  Relationship of blood pressure in 20- to 39-year-old men to subsequent blood pressure and incidence of hypertension over a 30-year observation period. Circulation . 1982;;65:291-300.
119 +
Thomas CB, Duszynski KR.  Blood pressure levels in young adulthood as predictors of hypertension and the fate of the cold pressor test. Johns Hopkins Med J . 1982;;151:93-100.
120 +
Shear CL, Burke GL, Freedman DS, Berenson GS.  Value of childhood blood pressure measurements and family history in predicting future blood pressure status: results from 8 years of follow-up in the Bogalusa Heart Study. Pediatrics . 1986;; 77:862-869.
121 +
Trembath CR, Hickner JM, Bishop SW.  Incidental blood pressure elevations: a MIRNET project. J Fam Pract . 1991;;32:378-381.
122 +
Management Committee.  The Australian therapeutic trial in mild hypertension. Lancet . 1980;; 1:1261-1267.
123 +
Dlin RA, Hanne N, Silverberg DS, Bar-Or O.  Follow-up of normotensive men with exaggerated blood pressure response to exercise. Am Heart J . 1983;;106:316-320.
124 +
Guerrera G, Melina D, Colivicchi F, Santoliquido A, Folli G.  Abnormal blood pressure response to excercise in borderline hypertension: a two-year follow-up study. Am J Hypertens . 1991;;4:271-273.
125 +
Rose GA.  Standardisation of observers in blood-pressure measurement. Lancet . 1965;;1:673-674.
126 +
Bruce NG, Shaper AG, Walker M, Wannamethee G.  Observer bias in blood pressure studies. J Hypertens . 1988;;6:375-380.
127 +
Warshaw LJ.  Physicians: check that blood pressure. JAMA . 1989;;262:1775-1776.
128 +
Campbell NR, Chockalingam A, Fodor JG, McKay DW.  Accurate, reproducible measurement of blood pressure. Can Med Assoc J . 1990;;143:19-24.
129 +
O'Brien ET, O'Malley K.  ABC of blood pressure measurement: the observer. BMJ . 1979;;2:775-776.
130 +
O'Brien ET, O'Malley K.  ABC of blood pressure measurement: the sphygmomanometer. BMJ . 1979;;2:851-853.
131 +
O'Brien ET, O'Malley K.  ABC of blood pressure measurement: the patient. BMJ . 1979;;2:920-921.
132 +
O'Brien ET, O'Malley K.  ABC of blood pressure measurement: technique. BMJ . 1979;;2:982-984.
133 +
Segall HN.  A note on the measurement of diastolic and systolic blood pressure by the palpation of arterial vibrations (sounds) over the brachial artery. Can Med Assoc J . 1940;;42:311-313.
134 +
Scordo K.  Using radial artery palpation to monitor blood pressure. Dimens Crit Care Nurs . 1983;;2:75-79.
135 +
Wilson NV, Meyer BM.  Early prediction of hypertension using exercise blood pressure. Prev Med . 1981;;10:62-68.
136 +
Reeves RA, Myers MG.  Ambulatory blood pressure monitoring: an emerging technology. Clin Invest Med . 1991;;14:198-201.
137 +
Health and Public Policy Committee, American College of Physicians.  Automated ambulatory blood pressure monitoring. Ann Intern Med . 1986;; 104:275-278.
138 +
National High Blood Pressure Education Program Coordinating Committee.  National High Blood Pressure Education Program Working Group report on ambulatory blood pressure monitoring. Arch Intern Med . 1990;;150:2270-2280.
139 +
Perloff D, Sokolow M, Cowan R.  The prognostic value of ambulatory blood pressures. JAMA . 1983;;249:2792-2798.
140 +
Reeves RA.  Patient and environmental factors affecting ambulatory blood pressure monitoring. Clin Invest Med . 1991;;14:218-223.
141 +
Clement DL, the Steering Committee.  Office versus ambulatory recordings of blood pressure (OvA): a European multicenter study. J Hypertens Suppl . 1990;;8:S39-S41.
142 +
Canadian Coalition for High Blood Pressure Prevention and Control.  Recommendations on self-measurement of blood pressure. Can Med Assoc J . 1988;;138:1093-1096.
143 +
Pickering TG, James GD.  Some implications of the differences between home, clinic and ambulatory blood pressure in normotensive and hypertensive patients. J Hypertens Suppl . 1989;;7:S65-S72.
144 +
Devereux RB, Pickering TG, Harshfield GA, et al.  Left ventricular hypertrophy in patients with hypertension: importance of blood pressure response to regularly recurring stress. Circulation . 1983;;68: 470-476.
145 +
Midanik LT, Resnick B, Hurley LB, Smith EJ, McCarthy M.  Home blood pressure monitoring for mild hypertensives. Public Health Rep . 1991;;106: 85-89.

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