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BACKGROUND: Prolonged hypertension in adults has been associated with end-organ damage, in addition to increased morbidity and mortality. Accurate measurement of blood pressure in pediatric and adult patients is imperative for the appropriate diagnosis of hypertension, so that measures may be instituted to prevent these adverse sequelae. Although intermittent office measurement of blood pressure is practiced in most parts of the world, the technique is fraught with problems. Errors during the actual measurement and difficulties in interpretation of the data are well-studied challenges associated with intermittent blood pressure measurements that have been well studied. Ambulatory blood pressure monitoring offers several advantages over intermittent measurement: blood pressure measurements are available over a prolonged period of time (including the sleep period), measurements are not as dependent on observer biases as are intermittent measurements, and in adults the data app!

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INTRODUCTION AND OBJECTIVES: The aim of this study was to determine the accuracy of self-reported diabetes, hypertension and hyperlipidemia in a representative sample of adults (719 men and 837 women) from the south of Spain. METHODS: Self-reported data were gathered using a structured questionnaire. Biometric data recorded included blood glucose, total cholesterol and triglyceride concentrations and arterial systolic and diastolic blood pressures. The sensitivity, specificity, and positive and negative predictive values of self-reported diagnoses were calculated using the biometric data as the reference standard. The degree of overall agreement was determined using Cohen's kappa coefficient. RESULTS: The kappa values obtained indicated good agreement for self-reported diabetes (kappa=0.78), moderate agreement for hypertension (kappa=0.51), and minimal agreement for hyperlipidemia (kappa=0.27). Using the information reported, around 70% of diabetic cases were detected, along!

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We tested the performance of the LAM 100 (also known as the Marshall F-88), a semiautomated oscillometric device for discontinuous BP measurement at the finger, which could be very suitable for self-recording of BP because of its small size and convenient mode of operation. The LAM 100 was compared with the random zero sphygmomanometer and with BP measured by the Finapres for beat-to-beat measurement of finger arterial pressure in 40 patients following guidelines of the AAMI. Compared with the random zero sphygmomanometer the LAM 100 underestimated SBP by 9 mmHg (SD 12) and DBP by 7 mmHg (SD 9). These differences exceed the limits set by the AAMI. The differences between the LAM 100 and the random zero spghymomanometer could not be explained by physiological peripheral pulse wave changes because Finapres SBP was underestimated by 4 mmHg (SD 15) and DBP was overestimated by the LAM 100 by 8 mmHg (SD 10). We conclude that the LAM 100 is not suitable for the diagnosis and manag!

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