Electrocardiographic abnormalities and home blood pressure in treated elderly hypertensive patients: Japan home versus office blood pressure measurement evaluation in the elderly (J-HOME-Elderly) study

Shibamiya, Taku; Obara, Taku; Shinki, Takahiro; Ishikura, Kazuki; Yoshida, Makoto; Satoh, Michihiro; Hashimoto, Takanao; Hara, Azusa; Metoki, Hirohito; Inoue, Ryusuke; Asayama, Kei; Kikuya, Masahiro; Imai, Yutaka

doi:10.1038/hr.2010.55

Cited by 9 publications

(5 citation statements)

References 31 publications

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“…Target organ damage could still be observed in patients with morning hypertension who received antihypertensive therapy [ 28 ]. Shibamiya et al found that the risk of LVH increased by 23% for every 10 mmHg increase in morning systolic blood pressure [ 29 ]. The results of this study also demonstrated that inadequate morning blood pressure control was the main reason for the increased risk of LVH in postmenopausal hypertension patients.…”

Section: Discussionmentioning

confidence: 99%

Establishment of an Individual-Specific Nomogram for Predicting the Risk of Left Ventricular Hypertrophy in Chinese Postmenopausal Hypertensive Women

et al. 2023

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Background and Objectives: The physiological phenomenon peculiar to women, namely menopause, makes the occurrence of left ventricular hypertrophy (LVH) in postmenopausal hypertensive women more characteristic. Less is known about the risk of developing LVH in Chinese postmenopausal hypertensive women. Thus, the present study was intended to design a nomogram for predicting the risk of developing LVH in Chinese postmenopausal hypertensive women. Materials and Methods: Postmenopausal hypertensive women aged between 49 and 68 years were divided into either the training set (n = 550) or the validation set (n = 284) in a 2:1 ratio. Patients in the validation set were followed up for one year. A stepwise multivariable logistic regression model was used to assess the predictors of LVH in postmenopausal women with hypertension. The best-fit nomogram was executed using R software. The calibration and decision curve were employed to verify the predictive accuracy of the nomogram. The results were evaluated in the validation set. Results: Menopause age (OR = 0.929, 95% CI 0.866–0.998, p = 0.044), BMI (OR = 1.067, 95% CI 1.019–1.116, p = 0.005), morning systolic blood pressure (SBP: OR = 1.050, 95% CI 1.032–1.069, p = 0.000), morning diastolic BP (DBP OR = 1.055, 95% CI 1.028–1.083, p = 0.003), angiotensin II receptor blocker (ARB) utilization rate (OR = 0.219, 95% CI 0.131–0.365, p = 0.000), LDL-C (OR = 1.460, 95% CI 1.090–1.954, p = 0.011) and cardio-ankle vascular index (CAVI) (OR = 1.415, 95% CI 1.139–1.757, p = 0.028) were associated with LVH in postmenopausal hypertension patients. The nomogram model was then developed using these variables. The internal validation trial showed that the nomogram model described herein had good performance in discriminating a C-index of 0.881 (95% CI: 0.837–0.924) and high quality of calibration plots. External validation of LVH-predictive nomogram results showed that the area under the ROC curve was 0.903 (95%CI 0.900–0.907). Conclusions: Our results indicate that the risk prediction nomogram model based on menopausal age, BMI, morning SBP, morning DBP, ARB utilization rate, LDL-C and CAVI has good accuracy and may provide useful references for the medical staff in the intuitive and individualized risk assessment in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Establishment of an Individual-Specific Nomogram for Predicting the Risk of Left Ventricular Hypertrophy in Chinese Postmenopausal Hypertensive Women

et al. 2023

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“…[120][121][122] Those who exhibit large morning-evening differences in BP have marked target organ damage, such as left ventricular hypertrophy. [123][124][125][126] However, home BP measured in the evening also has a high prognostic significance. 117,127 In contrast, there have been a number of reports from Western countries that home BP does not differ between the morning and evening, or that home BP is higher in the evening than in the morning.…”

Section: Masked Hypertensionmentioning

confidence: 99%

The Japanese Society of Hypertension Guidelines for Self-monitoring of Blood Pressure at Home (Second Edition)

et al. 2012

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INTRODUCTIONSince Riva-Rocci invented indirect brachial cuff sphygmomanometry in 1896 1 and Korotkoff proposed the auscultatory method in 1905, 2 the method for blood pressure (BP) measurements has remained essentially unchanged for the past 100 years.In 1969, Posey et al. 3 identified mean BP on the basis of the cuff-oscillometric method. With subsequent theoretical and technical improvements, the method to determine systolic and diastolic BP (S and D, respectively) was introduced to the cuff-oscillometric method. As a result, many of the automatic electronic sphygmomanometers available today have adopted this method, and those different from the auscultatory method have begun to be used in general clinical practice. Since the advent of indirect methods for sphygmomanometry, the past century has developed the practical and clinical sciences of hypertension. However, BP information necessary for the diagnosis and treatment of hypertension is still obtained essentially on the basis of casual measurements at the outpatient clinic (clinic BP). However, the reliability of clinic BP was called into question 40 years after the advent of indirect sphygmomanometry. In 1940, Ayman and Goldshine 4 widely adopted the concept of self-BP measurements in the field of clinic BP measurements and demonstrated discrepancies between clinic BP and self-BP measurements. Bevan, 5 in the United Kingdom, first reported the results of ambulatory BP (ABP) monitoring (ABPM) using a direct arterial BP measurement method in 1969, and showed that human BP changes markedly with time. The quantity and quality of BP information vary greatly according to different methods, and the problem of interpreting clinic BP, which is obtained specifically in a medical environment, has been an issue in the clinical practice of hypertension during the past 50 years.However, the practice and epidemiology of hypertension still depend entirely on BP information obtained in a medical environment (clinic BP/BP at a health examination), resulting in the

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“…The incidence of left ventricular hypertrophy (LVH), as identified by electrocardiogram, was lower with strictly controlled home BP was compared with routine home BP control. Furthermore, elevated home BP is more strongly associated with an increase in LV muscle mass, and the presence of LVH compared to elevated office BP [ 2 , 3 ]. In particular, morning home BP is more closely associated with LVH compared to office BP or evening home BP [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, elevated home BP is more strongly associated with an increase in LV muscle mass, and the presence of LVH compared to elevated office BP [ 2 , 3 ]. In particular, morning home BP is more closely associated with LVH compared to office BP or evening home BP [ 2 ]. Proteinuria and carotid artery intima-media thickness (IMT) is more closely correlated with home BP than office BP [ 4 , 5 ], and the carotid artery IMT is more closely correlated with systolic home BP than systolic office BP (0.34 vs. 0.25, P < 0.001) [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Home blood pressure monitoring: a position statement from the Korean Society of Hypertension Home Blood Pressure Forum

et al. 2022

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Home blood pressure measurement (HBPM) has the advantage of measuring blood pressure (BP) multiple times over a long period. HBPM effectively diagnoses stress-induced transient BP elevations (i.e., white coat hypertension), insufficient BP control throughout the day (i.e., masked hypertension), and even BP variability. In most cases, HBPM may increase self-awareness of BP, increasing the compliance of treatment. Cumulative evidence has reported better improved predictive values of HBPM in cardiovascular morbidity and mortality than office BP monitoring. In this position paper, the Korean Society of Hypertension Home Blood Pressure Forum provides comprehensive information and clinical importance on HBPM.

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Electrocardiographic abnormalities and home blood pressure in treated elderly hypertensive patients: Japan home versus office blood pressure measurement evaluation in the elderly (J-HOME-Elderly) study

Cited by 9 publications

References 31 publications

Establishment of an Individual-Specific Nomogram for Predicting the Risk of Left Ventricular Hypertrophy in Chinese Postmenopausal Hypertensive Women

Establishment of an Individual-Specific Nomogram for Predicting the Risk of Left Ventricular Hypertrophy in Chinese Postmenopausal Hypertensive Women

The Japanese Society of Hypertension Guidelines for Self-monitoring of Blood Pressure at Home (Second Edition)

Home blood pressure monitoring: a position statement from the Korean Society of Hypertension Home Blood Pressure Forum

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