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Is office-based measurement of blood pressure enough?

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Is office-based measurement of blood pressure enough?

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Self-measurement and 24-hour ambulatory measurement of blood pressure continue to be recommended for assessing office-induced elevation of blood pressure; self-measurement is also recommended as a way to improve patient compliance with therapy. Only devices meeting international standards should be used for this purpose.18,19 Daytime blood pressures above 135/85 mm Hg obtained with self-measurement or ambulatory measurement are associated with elevated cardiovascular risk. Management What lifestyle modifications should Mrs. J undertake? Individualized lifestyle modification is recommended for all patients who have or are at risk for hypertension. In selected patients, a single lifestyle intervention can prevent hypertension from developing or can reduce blood pressure to an extent similar to that accomplished by a single antihypertensive medication. The lifestyle modification might be the sole therapy or it might be used in conjunction with pharmacotherapy to significantly enhance the

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