Will Running the Numbers First Violate the Principles of Patient-Centered Care?

  1. Sam F. Carter, MD
  1. From Murfreesboro Medical Clinic, Murfreesboro, TN 37130.

    TO THE EDITOR:

    I am puzzled by the recommendation of Phillips and Twombly (1) to change antihypertensive therapy on the basis of single blood pressure measurements and by their dismissal of home monitoring, given the marked variability of blood pressure over time (especially in older patients with systolic hypertension). I have observed fluctuations in systolic …

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    1. Ann Intern Med December 2, 2008 vol. 149 no. 11 840
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