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Title: Antihypertensive treatment based on home or office blood pressure--the THOP trial
Authors: Den Hond, Elly ×
Staessen, Jan A
Celis, Hilde
Fagard, Robert
Keary, Louis
Vandenhoven, Guy
O'Brien, Eoin T #
Issue Date: Dec-2004
Series Title: Blood pressure monitoring vol:9 issue:6 pages:311-4
Abstract: OBJECTIVE AND METHODS: In this randomized clinical trial, conducted in 400 hypertensive patients [sitting diastolic blood pressure (DBP) >95 mmHg], blood pressure-lowering therapy was adjusted in a stepwise manner, either on the basis of the self-measured DBP at home or on the basis of conventional DBP measured at the doctor's office. RESULTS: Therapy guided by home blood pressure instead of office blood pressure led to less intensive drug treatment and marginally lower costs, but also to less blood pressure control with no differences in left ventricular mass. Self-measurement helped to identify patients with white-coat hypertension. CONCLUSIONS: The present findings support a stepwise strategy for the evaluation of blood pressure, in which self-measurement and ambulatory monitoring are complementary to conventional office blood pressure measurement.
URI: 
ISSN: 1359-5237
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Hypertension and Cardiovascular Epidemiology
× corresponding author
# (joint) last author

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