Abstract

Aims and Objectives: To study Role of 24-hour ambulatory blood pressure recording over office BP recording in clinical practice. Material and Methods: An observational, analytical and population based study was conducted on patients coming to Medicine and Cardiology OPD of TMMC and RC, Moradabad, UP. Sample Size and Selection of Subjects The three consecutive office readings at an interval of 30 minutes were obtained in total 50 patients including both male and female. This study was carried out from July 2015 to Oct 2016. Means and standard deviations of manual and automated systolic and diastolic BP values were calculated. The p-value of <0.05 was considered to be statistically significant and p-value of <0.001 as highly significant. The t statistic test was used to compare difference between BP reading in normotensive patients and hypertensive patients. Result: We have revealed that there is no statistically significant correlation was found between different age groups and blood pressure.MSBP24hr in normotensive was 121 and 154.65 in hypertensive patients. MDBP24hr in normotensive and hypertensive patients was 72.32 and 92.78 respectively. MMAP24hr was 88.72 in normotensive and 113.48 in hypertensive patients. MPP24hr was 48.8 and 62.22 in normotensive and hypertensive patients. The p-valve was 0.01, which is statistically significant. Definite correlation between BMI and Mean Systolic BP. The MSBP off was 97 and MSBP 24hr was 97, as the BMI increased to the maximum of 35.5 the MSBP off and MSBP 24hr also increased to 190 and 184 respectively. Office method overestimates the Hypertensive patients. Conclusion: Our study shows that the ABPM technique is superior to office BP measurement and home BP measurement in diagnosing hypertension in true sense.

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