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Automesure tensionnelle : implémentation en médecine générale : intérêts et limites

Abstract : Home Blood Pressure Measurement (HBPM) is recommended by all guidelines for the diagnosis and follow-up of hypertensive patients. After a 2013 literature review, concerning diagnostic, therapeutic and prognostic benefits, we compared similarities and differences between guidelines. We discussed HBPM limits, comparing HBPM with casual office measurements and 24h Ambulatory Blood Pressure Measurements. HBPM implementation among French General Practitioners (GP) is poor. In Greece, GPs more often practice HBPM but reported drawbacks were questionable about reliability of patients’ reports and devices inaccuracy. Guidelines recommend following a precise protocol including rest before HBPM. We showed that rest is not respected by the patients in the real life, and is perhaps unnecessary.
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Submitted on : Thursday, March 29, 2018 - 1:25:42 PM
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  • HAL Id : tel-01751743, version 1


Jean-Marc Boivin. Automesure tensionnelle : implémentation en médecine générale : intérêts et limites. Médecine humaine et pathologie. Université de Lorraine, 2013. Français. ⟨NNT : 2013LORR0357⟩. ⟨tel-01751743⟩



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