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Evaluation of Journals, Diaries, and Indexes of Worksite and Environmental Stress

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Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

Noninvasive ambulatory blood pressure monitors are being increasingly used in the clinical evaluation of hypertension. With this technology, blood pressures are measured at fixed time intervals over the course of a single day (up to 24 h) while the patient goes about typical daily activities, including sleep. There is a substantial intraindividual variation in ambulatory blood pressure measurements that is not cyclical or repetitive. It occurs as a consequence of homeostatic circulatory processes that act to maintain adequate blood flow to body tissues when changes in the internal physiological and external environmental conditions occur (1,2). Thus, cardiovascular adjustments are continuously made every second of every day as people change their behavior to adapt to recurrent and sometimes patterned stressors that pervade and define their lifestyles. There are many behavioral and lifestyle factors that will increase the level of ambulatory blood pressure measurements (1,3–6). If circumstances that raise blood pressure are experienced or sampled with a high frequency during an ambulatory monitoring in a patient with normal blood pressure, it is possible that they may be incorrectly diagnosed with hypertension (2).

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Authors
  1. Gary D. James PhD
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Editors and Affiliations

  1. Section of Hypertension and Clinical Pharmacology, University of Connecticut School of Medicine, Farmington, CT, USA

    William B. White MD (Professor of Medicine) (Professor of Medicine)

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James, G.D. (2001). Evaluation of Journals, Diaries, and Indexes of Worksite and Environmental Stress. In: White, W.B. (eds) Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-004-9_2

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  • DOI: https://doi.org/10.1007/978-1-59259-004-9_2

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-4654-9

  • Online ISBN: 978-1-59259-004-9

  • eBook Packages: Springer Book Archive

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