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ORIGINAL CONTRIBUTIONCardiovascular Prognosis of “MaskedHypertension” Detected by Blood PressureSelf-measurement in Elderly TreatedHypertensive PatientsGuillaume Bobrie, MDContext Bloodpressure(BP)measurementinclinicians’officeswithamercurysphyg-Gilles Chatellier, MD momanometer has numerous drawbacks. In contrast, the use of home BP measure-ment improves measurement precision and reproducibility. However, data about itsNathalie Genes, MDprognostic value are lacking.Pierre Clerson, MDObjective ToassesstheprognosticvalueofhomevsofficeBPmeasurementbygen-Laurent Vaur, MD eral practitioners in a European population of elderly patients being treated for hy-pertension.Bernard Vaisse, MDDesign, Setting, and Participants Office and home BP and cardiac risk factorsJoe¨l Menard, MDwere measured at baseline in a cohort of 4939 treated hypertensive patients (meanJean-Michel Mallion, MD age, 70 [SD, 6.5] years; 48.9% men) who were recruited and followed up by theirusual general practitioners without specific recommendations about their manage-ment.Thecohortwasthenfollowedupforameanof3.2(SD,0.5)years.Thethresh-HE REFERENCE METHOD FORolds defining uncontrolled hypertension were at least 140/90 mm Hg for office BPblood pressure (BP) measure-and 135/85 mm Hg for home BP.ment during clinical consulta-Main Outcome Measures The primary end point was cardiovascular mortality.Ttions is the auscultatory ...
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