Hypotension based on office and ambulatory monitoring blood pressure. Prevalence and clinical profile among a cohort of 70,997 treated hypertensives

Garrote, J.A. Divisón; Banegas, José R.; Cruz, Juan; Escobar-Cervantes, Carlos; Sierra, Alejandro de la; Gorostidi, Manuel; Vinyoles, Ernest; Abellan-Alemán, J.; Segura, Julián; Ruilope, Luís M.

doi:10.1016/j.jash.2016.06.035

Cited by 26 publications

(13 citation statements)

References 51 publications

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“…In addition, the readings obtained relate to an individual's BP in their usual daily environment, providing an indication of the effects of environmental and emotional factors on BP . ABPM also appears useful for detecting ambulatory episodes of hypotension . The characteristics of ABPM compared with HBPM and office‐based BP measurement are shown in Table .…”

Section: Resultsmentioning

confidence: 99%

Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Kario

Shin

Chen³

et al. 2019

J of Clinical Hypertension

122

167

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Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are important ethnic differences in the pathogenesis and cardio-/cerebrovascular consequences of hypertension. Given the large populations and rapidly aging demographic in Asian regions, optimal strategies to diagnose and manage hypertension are of high importance. Ambulatory | 1251 KARIO et Al.

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Section: Resultsmentioning

confidence: 99%

Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Kario

Shin

Chen³

et al. 2019

J of Clinical Hypertension

122

167

View full text Add to dashboard Cite

show abstract

“…More than 8% of the patients with treated hypertension were found to have a low systolic BP. 44 Previous studies showed that hypotension alone can result cerebral hypoperfusion; however, a more severe cerebral hypoperfusion was observed in the participants with hypertension, 12 which, even if controlled, may cause by damaging the cerebral autoregulation. 45,46 Cerebral Table 2.…”

Section: Discussionmentioning

confidence: 99%

Association of Low Blood Pressure with White Matter Hyperintensities in Elderly Individuals with Controlled Hypertension

et al. 2020

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Background and Purpose Both hypertension and hypotension increase cerebral white matter hyperintensities. However, the effects of hypotension in individuals with treated hypertension are unknown. We analyzed the association of low blood pressure with the location and amount of white matter hyperintensities between elderly individuals with controlled hypertension and those without hypertension.Methods We enrolled 505 community-dwelling, cognitively normal elderly individuals from the participants of the Korean Longitudinal Study on Cognitive Aging and Dementia. We measured blood pressure three times in a sitting position using a mercury sphygmomanometer and defined low systolic and diastolic blood pressure as ≤110 and ≤60 mm Hg, respectively. We segmented and quantified the periventricular and deep white matter hyperintensities from 3.0 Tesla fluid-attenuated inversion recovery magnetic resonance images.Results Low systolic blood pressure was independently associated with larger volume of periventricular white matter hyperintensity (P=0.049). The interaction between low systolic blood pressure and hypertension was observed on the volume of periventricular white matter hyperintensity (P=0.005). Low systolic blood pressure was associated with the volume of periventricular white matter hyperintensity in individuals with controlled hypertension (F1,248=6.750, P=0.010), but not in those without hypertension (P=0.380). Low diastolic blood pressure was not associated with the volumes of white matter hyperintensities regardless of presence of controlled hypertension.Conclusions Low systolic blood pressure seems to be associated with larger volume of periventricular white matter hyperintensity in the individuals with a historyof hypertension but not in those without hypertension.

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“…72 In a study including 70,997 patients with hypertension receiving antihypertensive treatment, one in eight patients was at risk of hypotension, and ABPM could better screen for hypotension than OBPM. 68…”

Section: Applications For Out-of-office Bp Monitoringmentioning

confidence: 99%

Clinical applications for out-of-office blood pressure monitoring

Zhu

Zheng

Mai

et al. 2020

Therapeutic Advances in Chronic Disease

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Hypertension is one of the most common chronic diseases as well as the leading risk factor for cardiovascular disease (CVD). Efficient screening and accurate blood pressure (BP) monitoring are the basic methods of detection and management. However, with developments in electronic technology, BP measurement and monitoring are no longer limited to the physician’s office. Epidemiological and clinical studies have documented strong evidence for the efficacy of out-of-office BP monitoring in multiple fields for managing hypertension and CVD. This review discusses applications for out-of-office BP monitoring, including home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring (ABPM), based on recent epidemiological data and clinical studies regarding the following factors: the detection of abnormal BP phenotypes, namely, white coat hypertension and masked hypertension; stronger ability to determine the prognosis for target organ damage and mortality; better BP control; screening for hypotension; and unique approaches to identifying circadian BP patterns and BP variability.

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Hypotension based on office and ambulatory monitoring blood pressure. Prevalence and clinical profile among a cohort of 70,997 treated hypertensives

Cited by 26 publications

References 51 publications

Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Association of Low Blood Pressure with White Matter Hyperintensities in Elderly Individuals with Controlled Hypertension

Clinical applications for out-of-office blood pressure monitoring

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