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BEST BLOOD
PRESSURE
DOCUMENTATION
AND
DYNAMIC
MONITORING
Blood pressure is best measured
at
home because it
would
assist the
doctor diagnosing hypertension
(high
blood pressure);
it
facilitates
minor ad-
justment
of
drug
dosage;
allows minor
changes of drugs according to whether
conditions, e.9., in warm whether, dila-
tation
of
vessels tend to
lower
the blood
pressure and
vice versa.
There
is also
a
significant
variation
during
the
day,
e.g.
a
peak during 5
p.m.
to
8
p.m.;a
trough
during
sleep
in
mid-night.
ln 5% of pa-
tients,
notably
older
ones,
there
is
a
single
but
obvious peak early
in the
morning,
this
may
even be accompa-
nied by insufficient heart function
ne-
cessitating hospitalization.
Dynamic
pressure monitoring helps to screen
for
early hypertensives; to identify second-
ary
hypertensives (with correctable
cause
of
high blood pressure)
-
sus-
tained high blood pressure even during
sleep
at
night;
document high
blood
pressure due to stress of clinic atten-
dance; pick
up
"nocturnal hypertensives'
and adjust medication accordingly
so
that
blood
pressure control
can be
much
more precise.
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36
