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Evaluation of Journals, Diaries, and Indexes of Work-Site and Environmental Stress

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Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

Abstract

Noninvasive ambulatory blood pressure monitors are 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 his or her typical daily activities, including sleep. There is substantial intraindividual variation in ambulatory blood pressure measurements that is not cyclical or repetitive. It occurs as a consequence of homeostatic and allostatic 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 high frequency during 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 and Affiliations

  1. Institute for Primary and Preventative Health Care, Binghamton University, Binghamton, NY

    Gary D. James PhD

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  1. Gary D. James PhD
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  1. Section of Hypertension and Clinical Pharmacology, University of Connecticut School of Medicine, Farmington, CT

    William B. White MD

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James, G.D. (2007). Evaluation of Journals, Diaries, and Indexes of Work-Site and Environmental Stress. In: White, W.B. (eds) Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. Clinical Hypertension and Vascular Diseases. Humana Press. https://doi.org/10.1007/978-1-59259-978-3_2

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  • DOI: https://doi.org/10.1007/978-1-59259-978-3_2

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-512-5

  • Online ISBN: 978-1-59259-978-3

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