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A Clinical Dilemma

Arch Intern Med. 2001;161:2655-2656.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN THIS ISSUE OF THE ARCHIVES, Grandi et al¹ describe changes in left ventricular (LV) function and size in isolated office hypertensives compared with matched groups of normotensives and sustained hypertensives. Patients with in-office blood pressures (BPs) greater than 140/90 mm Hg but daytime ambulatory BPs less than 130/80 mm Hg were compared with normotensive individuals (in-office systolic BP <135 and/or diastolic <85 mm Hg and daytime ambulatory BP <130/80 mm Hg) and sustained or persistent hypertensives (in-clinic and daytime ambulatory systolic BP >140 and/or diastolic >90 mm Hg). Their findings are of more than academic interest.

Whether isolated office or clinic hypertension is of clinical importance and should be treated poses a dilemma—"to treat or not to treat." In the past 10 years, numerous studies have addressed this problem. Some studies have suggested that casual office BP elevations with normal at-home or ambulatory BPs do not pose an important . . . [Full Text of this Article]

EVIDENCE FOR USING CASUAL BPs FOR MONITORING TREATMENT DECISIONS


WHICH BPs SHOULD BE USED TO GUIDE TREATMENT DECISIONS?


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Left Ventricular Changes in Isolated Office Hypertension: A Blood Pressure–Matched Comparison With Normotension and Sustained Hypertension
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