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Letters

Cardiovascular risk perception and evidence–practice gaps in Australian general practice

Mark R Nelson
MJA 2010; 193 (5): 311-312

To the Editor: In his letter1 regarding Heeley et al’s article on cardiovascular risk perception and evidence–practice gaps in Australian general practice,2 Radford quotes, “no [automated blood pressure-measuring machines] were accurate enough to ... replac[e] a manual sphygmomanometer”. The citation dates from 1973, when oscillometric blood pressure monitors such as the Omron HEM-907 — distributed by the High Blood Pressure Research Council of Australia (HBPRCA) with support from the Servier Foundation — did not exist. In defence of digital blood pressure devices, a cluster randomised controlled trial conducted in Australian general practice has demonstrated their superiority compared with existing manual devices.3

Competing interests: I have received grants from the Servier Foundation through an educational grant to the HBPRCA for the cluster randomised controlled trial of oscillometric versus manual sphygmomanometer for blood pressure management in primary care (CRAB) study, and from the HBPRCA for two qualitative studies on use of hypertensive medications in general practice.

Mark R Nelson, Senior Member

Menzies Research Institute, University of Tasmania, Hobart, TAS.

Mark.NelsonATutas.edu.au

  1. Radford PJ. Cardiovascular risk perception and evidence–practice gaps in Australian general practice [letter]. Med J Aust 2010; 193: 127. <eMJA full text> <PubMed>
  2. Heeley EL, Peiris DP, Patel AA, et al. Cardiovascular risk perception and evidence–practice gaps in Australian general practice (the AusHEART study). Med J Aust 2010; 192: 254-259. <eMJA full text> <PubMed>
  3. Nelson MR, Quinn S, Bowers-Ingram L, et al. Cluster randomised controlled trial of oscillometric versus manual sphygmomanometer for blood pressure management in primary care (CRAB). Am J Hypertens 2009; 22: 598-603. doi: 10.1038/ajh.2009.55. <PubMed>

(Received 21 Jul 2010, accepted 27 Jul 2010)


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©The Medical Journal of Australia 2010 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377