The direct and progressive relationship between diastolic blood pressure and incidence of stroke and coronary artery disease is beyond question. To reduce risk, screen patients regularly. Any patient who has a systolic blood pressure of 130 mm Hg or higher, or a diastolic pressure of 85 mm Hg or higher, requires follow-up or evaluation, lifestyle modification, and possibly drug therapy. Ambulatory blood pressure monitoring can help determine whether a patient has 'white coat' hypertension. To reduce error, at least 40 measurements should be made during the patient's waking hours. If the average ambulatory blood pressure is less than 132/83 mm Hg - regardless of how high the pressure spikes in your office-the patient probably does not require drug therapy.

Original languageEnglish (US)
Pages (from-to)2337-2343
Number of pages7
Issue number8
StatePublished - Aug 1 1999

ASJC Scopus subject areas

  • Medicine(all)


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