Long-Term Risk of Mortality Associated With Selective and Combined Elevation in Office, Home, and Ambulatory Blood Pressure

Mancia, Giuseppe; Facchetti, Rita; Bombelli, Michele; Grassı, Guıdo; Sega, Roberto

doi:10.1161/01.hyp.0000215363.69793.bb

Cited by 610 publications

(580 citation statements)

References 30 publications

(24 reference statements)

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“…Self-monitoring of BP has a stronger relationship to cardiovascular risk than OBP in the general population 39,40 and in those with treated hypertension. 41 Both ABPM and SBPM can identify true hypertension, white coat hypertension and masked hypertension (normal office BP and elevated out of office BP).…”

Section: Discussionmentioning

confidence: 93%

Self blood pressure monitoring: a worthy substitute for ambulatory blood pressure?

McGowan

Padfield

2010

J Hum Hypertens

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lines for self-monitoring of blood pressure (SBPM). We aimed to demonstrate the equivalence of SBPM with ambulatory blood pressure monitoring (ABPM) in the assessment of hypertension. A total of 87 consecutive subjects referred from primary care for standard ABPM underwent a 1-week period of SBPM, as defined by the ESH guidelines, either before or after ABPM. There was no difference in mean blood pressure (BP): SBPM 142/ 87 mm Hg, daytime average ABPM 141/86 mm Hg. The intra-class correlation coefficient was 0.72 and 0.89 for systolic and diastolic pressure, respectively. SBPM is concordant with ABPM in classifying subjects as hypertensive or normotensive in 87% of cases (j ¼ 0.56). The coefficient of variation of SBPM compared with ABPM was 5%. In answer to a direct question 81% of subjects preferred SBPM to ABPM. The current self-monitoring schedule recommended by the ESH, AHA and ASH is valid. The mean BP obtained from SBPM is equivalent to awake-time BP on ABPM, the accepted reference standard for 'out of office' BP measurement. SBPM is simpler to carry out, preferred by patients and should be considered on a par with ABPM.

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Section: Discussionmentioning

confidence: 93%

Self blood pressure monitoring: a worthy substitute for ambulatory blood pressure?

McGowan

Padfield

2010

J Hum Hypertens

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“…It has been reported that nondipping and diminished decline in nocturnal BP is associated with organ damage and poor cardiovascular outcomes both in population studies and in hypertensive patients. [46][47][48][49] It is noteworthy that in patients with pharmacological treatment, we did not observe any differences in nocturnal BP declines between groups. So, it is possible that antihypertensive treatment may affect nocturnal BP decline independent of mean BP.…”

mentioning

confidence: 92%

Short-term variability and nocturnal decline in ambulatory blood pressure in normotension, white-coat hypertension, masked hypertension and sustained hypertension: a population-based study of older individuals in Spain

et al. 2017

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El acceso a la versión del editor puede requerir la suscripción del recurso Access to the published version may require subscription Three observer-measured home BPs and 24-hour ambulatory blood pressure monitoring (ABPM) were performed under standardized conditions. BP variability was defined as BP standard deviation and coefficient of variation. Differences in BP variability and nocturnal BP decrease between groups were adjusted for sociodemographic and clinical covariates using generalized linear models. Of the cohort, 21.7% had white-coat hypertension, 7.0% had masked hypertension, 21.4% had sustained hypertension, and 49.9% were normotensive. Twenty-four hour, daytime, and nighttime systolic BP standard deviations and coefficients of variation were significantly higher in subjects with white-coat hypertension than those with normotension (p<0.05) and were similar to subjects with sustained hypertension. In untreated subjects, 24-hour but not daytime or nighttime BP variability indexes were significantly higher in subjects with white-coat hypertension than in those with normotension (p<0.05). Percentage decrease in nocturnal systolic and diastolic BP was greatest in the white-coat hypertension group and lowest in the masked hypertension group in all patients and untreated patients (p<0.05). Lack of nocturnal decline in systolic blood pressure was observed in 70.2% of subjects with normotension, 57.8% of subjects with white-coat hypertension, 78.1% of subjects with masked hypertension, and 72.2% of subjects with sustained hypertension (p<0.001). In conclusion, 24-hour BP variability was higher in subjects with white-coat hypertension and blunted nocturnal BP decrease was observed more frequently in subjects with masked hypertension. These findings may help to explain the reports of increased cardiovascular risk in patients with white-coat hypertension and poor prognosis in those with masked hypertension, highlighting the importance of ABPM.

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“…As selective and combined elevation in clinic and ambulatory BP is associated with different cardiovascular risk with respect to normal BP, [14][15][16][17] we aimed to investigate whether Res and Adp levels are associated with sustained, masked and white-coat hypertension. We hypothesized that there would be a difference in Res and Adp levels from subjects with normal BP, compared with those with whitecoat hypertension and masked hypertension and finally with those with sustained hypertension.…”

Section: Introductionmentioning

confidence: 99%

Association of resistin and adiponectin with different clinical blood pressure phenotypes

et al. 2010

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We investigated whether the resistin (Res) and adiponectin (Adp) levels are associated with different clinical blood pressure (BP) phenotypes. Among 465 consecutive never-treated white subjects, we excluded those with diabetes mellitus; impaired glucose metabolism; history of any cardiovascular disease or other concurrent medical condition; secondary hypertension; ongoing vasoactive treatment. Three separate clinic BP measurements and ambulatory BP monitoring were implemented to divide 328 subjects (aged 48±6 years; 172 males) into hypertensives (n ¼ 105), masked hypertensives (n ¼ 41), white-coat hypertensives (n ¼ 52) and normotensives (n ¼ 130). Participants underwent echocardiography and oral glucose tolerance testing, whereas, from fasting venous blood samples metabolic profile, plasma Res and Adp levels were assessed. Hypertensives and masked hypertensives showed higher log(10)(Res) and lower log(10)(Adp) levels compared with normotensives, whereas white-coat hypertensives had similar levels of these adipokines compared with normotensives. Common correlates for both of the adipokines were 24-h systolic BP, standing/sitting difference of both diastolic BP and heart rate, and waist circumference. Hypertensive and masked hypertensive compared with normotensive phenotype were independently associated with log(10)(Res) with odds ratios of 1.24 (1.08-1.44), and 1.16 (1.09-1.34) and log(10)(Adp) with 0.74 (0.65-0.87), and 0.81 (0.67-0.95), respectively. Increased Res and decreased Adp plasma levels are associated with out-of-clinic hypertension, whereas they did not determine whitecoat hypertension.

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Long-Term Risk of Mortality Associated With Selective and Combined Elevation in Office, Home, and Ambulatory Blood Pressure

Cited by 610 publications

References 30 publications

Self blood pressure monitoring: a worthy substitute for ambulatory blood pressure?

Self blood pressure monitoring: a worthy substitute for ambulatory blood pressure?

Short-term variability and nocturnal decline in ambulatory blood pressure in normotension, white-coat hypertension, masked hypertension and sustained hypertension: a population-based study of older individuals in Spain

Association of resistin and adiponectin with different clinical blood pressure phenotypes

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