complexity and variability of sphygmomanometers in the market place, and direct patient partiincreasing consumer awareness of high blood pressure, cipation in high blood pressure management and control present a compeling need for an appropriate body to develop consensus guidelines which can be widely circulated to manufacturers, distributors, health professionals, and the general This presentation will describe the private and Federal effort launched public. to meet the current needs with respect to consumer-operated blood pressure Issues relating to precision, repeatability, and accuracy measurement devices. of blood pressure measurement devices in the consumer arena will be discussed. Implications of consumer involvement in blood pressure monitoring through selfmeasurement will be discussed in detail. The
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HYPERTENSION SCREENING AND FOLLOW-UP AMONG INNER-CITY William C. Warren, 80 Coventry Street,
University Hartford,
of Connecticut Dental Connecticut 06112.
DENTAL PATIENTS
Clinic,
Burgdorf
Health
Center,
Early detection of hypertension and subsequent early treatment are significant factors in reducing mortality and morbidity associated with cardiovascular disease. Dentists are in a unique position to assist in identifying persons with elevated blood pressures, since many patients with undetected hypertension make yearly visits to the dentist but not the physician. The purpose of this paper is to present the findings of a 5-month hypertension screening and referral program conducted at a university-operated inner-city dental clinic. Over 80% of the patients treated at the clinic were either Black or Hispanic. The objective of this effort was to determine the prevalence and incidence of known and unknown hypertension among dental patients in a high risk urban clinic population. Diastolic pressure of 95mm Hg or greater was used as an indicator of hypertension for all adult.clinic patients. Any suspected hypertension was re-confirmed three times by successive measurements not less than three days apart before referral and control were considered. A discussion of the results of this study as compared to other studies is presented in order to emphasis the expanded role of the dental health professional in the detection, management and control of hypertension at the community level.