Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension

Bliziotis, Ioannis A.; Destounis, Antonios; Stergiou, George S.

doi:10.1097/hjh.0b013e3283531eaf

Cited by 245 publications

(165 citation statements)

References 43 publications

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“…ABP measurements are more closely related to subclinical target organ damage (TOD) (6, 7) and a risk of cardiovascular events (8,9). Other reports also suggested that HBP is useful in predicting hypertension-induced TOD, and is superior to carefully taken OBP measurements (10).…”

Section: Introductionmentioning

confidence: 99%

Home blood pressure is the predictor of subclinical target organ damage like ambulatory blood pressure monitoring in untreated hypertensive patients

Her

Kim²,

Rim

et al. 2014

Anadolu Kardiyol Derg

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Objective: Home blood pressure (HBP) measurements are known as an important adjunct to office blood pressure (OBP) measurements in clinical practice. But little is known about the relationship between HBP and subclinical target organ damage (TOD) other than left ventricular hypertrophy (LVH). So we investigated the relationship of HBP measurements with subclinical TOD in untreated hypertensive patients. Methods: We measured ambulatory blood pressure (ABP), HBP and OBP of 93 untreated hypertensive patients (men: 60 and women: 33, mean age, 49±13 years). The ABP was recorded for 24 hours, HBP was measured for one week, and OBP was measured at least in two visits. All BP measurements were taken using automatic BP measuring device. The parameters indicating subclinical TOD were the left-ventricular mass index (LVMI) by transthoracic echocardiography, urinary albumin excretion rate (AER), brachial ankle pulse-wave velocity (PWV), and carotid intima-media thickness (IMT). Results: The LVMI was significantly correlated with systolic HBP and 24 hours systolic ABP, but not with OBP. The AER, PWV and IMT were also significantly correlated with systolic HBP and 24 hours systolic ABP. In a binary logistic regression analysis, systolic HBP, 24 hours systolic and diastolic ABP were the predictors of LVMI, AER and PWV (all p<0.05). Conclusion: Our data suggest that HBP is as good as ABP monitoring and superior to OBP measurements in regard to their association with subclinical TOD. Therefore, HBP measurements give valuable information on the subclinical TOD in hypertensive patients in addition to ABP monitoring. (Anadolu Kardiyol Derg 2014; 14: 711-8)

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Section: Introductionmentioning

confidence: 99%

Home blood pressure is the predictor of subclinical target organ damage like ambulatory blood pressure monitoring in untreated hypertensive patients

Her

Kim²,

Rim

et al. 2014

Anadolu Kardiyol Derg

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“…Prognostyczne znaczenie ciśnienia tętniczego w pomiarze ambulatoryjnym. W kilku badaniach wykazano, że u pacjentów z nadciśnieniem tętniczym przerost lewej komory (LVH), zwiększona grubość błony wewnętrznej i środkowej (IMT) w tętnicy szyjnej oraz inne wskaźniki powikłań narządowych korelują ściślej z BP w pomiarze ambulatoryjnym niż z BP mierzonym w gabinecie lekarskim lub w przychodni [82,83]. Ponadto udowodniono, że średnie BP w ciągu całej doby wykazuje silniejszy związek z chorobowością i umieralnością niż BP mierzone w warunkach klinicznych [84][85][86][87].…”

Section: Pomiary Ciśnienia Tętniczego Poza Gabinetem Lekarskim Lub Prunclassified

“…Ciśnienie tętnicze w warunkach domowych wykazuje ściślejszy związek z powikłaniami narządowymi nadciśnienia, w tym zwłaszcza z LVH [82,83], niż BP mierzone w gabinecie lekarskim lub w przychodni. Niedawne metaanalizy kilku prospektywnych badań przeprowadzonych w populacji ogólnej, w podstawowej opiece zdrowotnej, oraz u pacjentów z nadciśnieniem tętniczym wskazują, że zdolność przewidywania chorobowości i umieralności z przyczyn sercowo-naczyniowych na podstawie BP w pomiarach domowych jest istotnie lepsza w porównaniu z BP mierzonym w warunkach klinicznych [102,103].…”

Section: Prognostyczne Znaczenie Domowych Pomia-unclassified

“…Niedawne metaanalizy kilku prospektywnych badań przeprowadzonych w populacji ogólnej, w podstawowej opiece zdrowotnej, oraz u pacjentów z nadciśnieniem tętniczym wskazują, że zdolność przewidywania chorobowości i umieralności z przyczyn sercowo-naczyniowych na podstawie BP w pomiarach domowych jest istotnie lepsza w porównaniu z BP mierzonym w warunkach klinicznych [102,103]. Badania, w których wykonywano zarówno ABPM, jak i HBPM, wskazują, że BP w pomiarach domowych koreluje z powikłaniami narządowymi co najmniej tak dobrze jak BP w pomiarze ambulatoryjnym [82,83], a wartość prognostyczna ciśnienia w pomiarach domowych, po uwzględnieniu wieku i płci, jest zbliżona do wartości prognostycznej ABPM [104,105].…”

Section: Prognostyczne Znaczenie Domowych Pomia-unclassified

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Wytyczne ESH/ESC dotyczące postępowania w nadciśnieniu tętniczym w 2013 roku

Mancia

Fagard

Redón³

et al. 2013

Kardiol Pol

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“…2 However, HBPM is underused in primary care. 3,4 Home blood pressure measurement is a better predictor of cardiovascular disease outcomes 2,5 and target organ damage 5,6 than blood pressure measured in a physician's office. HBPM is an evidence-based strategy that has been shown to lower blood pressure, 2,7-11 improve medication adherence, 2,12,13 and promote lifestyle changes to improve blood pressure control.…”

mentioning

confidence: 99%

Success in the Achieving CARdiovascular Excellence in Colorado (A CARE) Home Blood Pressure Monitoring Program: A Report from the Shared Networks of Colorado Ambulatory Practices and Partners (SNOCAP)

DeAlleaume

Parnes

Zittleman

et al. 2015

The Journal of the American Board of Family Medicine

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Background: Blood pressure (BP) control among primary care patients with hypertension is suboptimal. Home BP monitoring (HBPM) has been shown to be effective but is underused.Methods: This study was a quasi-experimental evaluation of the impact of the A CARE HBPM program on hypertension control. Nonpregnant adults with hypertension or cardiovascular disease risk factors were given validated home BP monitors and reported monthly average home BP readings by Internet or phone. Patients and providers received feedback. Change in average home and office BP and the percentage of patients achieving target BP were assessed based on patient HBPM reports and a chart audit of office BPs.Results: A total of 3578 patients were enrolled at 26 urban and rural primary care practices. Of these, 36% of participants submitted >2 HBPM reports. These active participants submitted a mean of 13.5 average HBPM reports, with a mean of 19.3 BP readings per report. The mean difference in home BP between initial and final HBPM reports for active participants was ؊6.5/؊4.4 mmHg (P < .001) and ؊6.7/؊4.7 mmHg (P < .001) for those with diabetes. The percentage of active participants at or below target BP increased from 34.5% to 53.3% (P < .001) and increased 24.6% to 40.0% (P < .001) for those with diabetes. The mean difference in office BP over 1 year between participants and nonparticipants was ؊5.4/؊2.7 mmHg (P < .001 for systolic BP, P ‫؍‬ .01 for diastolic BP) for all participants and ؊8.5/؊1.5 mmHg (P ‫؍‬ .014 for systolic BP, P ‫؍‬ .405 for diastolic BP) for those with diabetes.Conclusions: An HBPM program with patient and provider feedback can be successfully implemented in a range of primary care practices and can play a significant role in BP control and decreased cardiovascular disease risk in patients with hypertension. (J Am Board Fam Med 2015;28:548 -555.)

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Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension

Cited by 245 publications

References 43 publications

Home blood pressure is the predictor of subclinical target organ damage like ambulatory blood pressure monitoring in untreated hypertensive patients

Home blood pressure is the predictor of subclinical target organ damage like ambulatory blood pressure monitoring in untreated hypertensive patients

Wytyczne ESH/ESC dotyczące postępowania w nadciśnieniu tętniczym w 2013 roku

Success in the Achieving CARdiovascular Excellence in Colorado (A CARE) Home Blood Pressure Monitoring Program: A Report from the Shared Networks of Colorado Ambulatory Practices and Partners (SNOCAP)

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