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Judd E. Hollander, MD; Adam J. Singer, MD
Stony Brook, NY

Arch Intern Med. 1997;157(7):818.

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

We thank Bursztyn for his interest in our article¹ and for the opportunity to expand on the differences between the evaluation of hypertension in the office setting and obtaining BP measurements in the emergency department (ED). Reeves² suggested that, when the first 2 measurements differ by more than 5 mm Hg diastolic, additional BP readings should be obtained until a stable level is reached. Cushman³ recommended that the details about smoking, alcohol, caffeine, pain, and anxiety be taken into account and that patients sit for 5 minutes in quiet room without talking or crossing their legs. Although these procedures may be followed in the office setting, they are clearly impractical in the ED setting.

Our study simulated the manner in which BP measurements are routinely obtained in the ED. We found that the use of common ED methods for obtaining BP readings result in the identification of . . . [Full Text PDF of this Article]

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