Oslo, Norway - New research that is only just starting to be digested by the hypertension community indicates that visit-to-visit variability in blood-pressure readings will likely become another way of looking for "at-risk" hypertensive patients and in fact is likely to be more reliable as an indicator of cardiovascular risk than the currently used mean BP...
"The problem we find with general practitioners treating hypertension is that they don't treat people with variable BP"....there is "one way we can do this straightaway," by following the ESH guidelines, taking one week of at-home measures of BP three times a day...Neurologist Dr Peter M Rothwell (John Radcliffe Hospital, Oxford, UK)
"We are poking around in the dark, offering treatment blankly across a large community, and probably treating a lot of people who don't need to be treated, while not necessarily treating the highest-risk patients. We should stop being reassured by 'occasional' normal BPs. The whole game now is, can we improve the identification of our 'at-risk' individuals?"