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High levels of discordance between office-based and ambulatory blood pressure measurements for diagnosing optimal blood pressure control in high-risk diabetic populations from a developing country

Lookup NU author(s): Dr Eugene Sobngwi


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This study investigated the concordance between office-based blood pressure (BP) readings and ambulatory BP monitoring (ABPM) in 51 consenting type 2 diabetes patients (25 males) in Cameroon with hypertension who had been receiving stable treatment for at least 3 months. The prevalence of optimal BP control was 63% based on office measurements and 23% based on ABPM. Agreement between the two methods was poor (kappa statistic: 0.15; 95% confidence interval: -0.08 to 0.29). Using ABPM as the standard, office BP was helpful for ruling out optimal BP control (specificity: 75%), but not for ruling it in (sensitivity: 41%). Our results suggest that ABPM should be recommended in such settings as ours only for those patients who have already achieved stable optimal BP control according to office measurements. (C) 2012 Published by Elsevier Masson SAS.

Publication metadata

Author(s): Nong-Libend C, Menanga AP, Kengne AP, Dehayem M, Sobngwi E, Kingue S

Publication type: Article

Publication status: Published

Journal: Diabetes & Metabolism

Year: 2012

Volume: 38

Issue: 3

Pages: 271-272

Print publication date: 01/06/2012

ISSN (print): 1262-3636

ISSN (electronic): 1878-1780

Publisher: Elsevier Masson


DOI: 10.1016/j.diabet.2012.02.004


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