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01-07-2010 | Nascholing

Bloeddruk meten buiten de spreekkamer: de kloof tussen praktijk en wetenschap

Auteurs: M. C. van der Wel, dr. J. Deinum, dr. J. C. Bakx

Gepubliceerd in: Huisarts en wetenschap | Uitgave 7/2010

Samenvatting

Van der Wel MC, Deinum J, Bakx JC. Bloeddruk meten buiten de spreekkamer: de kloof tussen praktijk en wetenschap. Huisarts Wet 2010;53(7)392-98.

Bloeddrukmeting is een vaardigheid waarop in de huisartsenpraktijk vaak een beroep wordt gedaan, veelal om het cardiovasculair risico te bepalen of ter controle van een behandeling. Auscultatoire bloeddrukmetingen maken nog steeds het leeuwendeel van de metingen uit, maar de oscillometrische meettechniek is de laatste tien jaar sterk in opkomst, zowel in de huisartsenpraktijk als thuis. In dit artikel bespreken we de stand van zaken met betrekking tot bloeddrukmeting en de indicaties voor thuis- en ambulante metingen van de bloeddruk.

Thuismetingen liggen gemiddeld 5 mmHg lager dan metingen in de huisartsenpraktijk. De belangrijkste indicatie voor zowel thuis- als ambulante metingen is het vaststellen van een mogelijk aanwezig wittejasseneffect. Men kan de SCORE-tabel uit de NHG-Standaard Cardiovasculair risicomanagement gebruiken bij de interpretatie van bloeddrukmetingen in de huisartsenpraktijk, maar niet bij thuismetingen.

vorige artikel CVRM door een praktijkverpleegkundige is effectief

volgende artikel Dengue

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Titel: Bloeddruk meten buiten de spreekkamer: de kloof tussen praktijk en wetenschap
Auteurs: M. C. van der Wel
dr. J. Deinum
dr. J. C. Bakx
Publicatiedatum: 01-07-2010
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Huisarts en wetenschap / Uitgave 7/2010
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912
DOI: https://doi.org/10.1007/s12445-010-0167-4

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