Masked Hypertension: A Systematic Review

Thakkar, Harsh; Pope, Alun; Anpalahan, Mahesan

doi:10.1016/j.hlc.2019.08.006

Cited by 45 publications

(41 citation statements)

References 94 publications

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“…"Маскированная" АГ ассоциируется с повышением риска прогрессирования заболевания до стойкой АГ, повышенной частотой развития СД типа 2 и наличием ПОМ [21,22]. Уровень отдаленного риска развития фатальных и нефатальных ССС приближается к значению этого показателя у пациентов с устойчивой АГ [37,38,98,[232][233].…”

Section: "маскированная" артериальная гипертензияunclassified

“…• Всем пациентам с "маскированной" АГ рекомендуется регулярное наблюдение, включающее периодическое мониторирование показателей АД, измеренного вне медицинского учреждения [21,22,230,232].…”

Section: еок/еоаг Iс (уур C удд 5)unclassified

“…• Всем пациентам с "маскированной" АГ рекомендуется проведение АГТ, учитывая прогностическое значение высоких значений АД, измеренного вне медицинского учреждения [38,228,232].…”

Section: еок/еоаг Iс (уур C удд 4)unclassified

“…• Пациентам с неконтролируемой "маскированной" АГ (не достигнут контроль АД, измеренного вне медицинского учреждения), получающим медикаментозное лечение, рекомендуется усиление АГТ с целью снижения ССР [230,232].…”

Section: еок/еоаг Iiac (уур а удд 2)unclassified

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Arterial hypertension in adults. Clinical guidelines 2020

et al. 2020

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Section: "маскированная" артериальная гипертензияunclassified

Section: еок/еоаг Iс (уур C удд 5)unclassified

Section: еок/еоаг Iс (уур C удд 4)unclassified

Section: еок/еоаг Iiac (уур а удд 2)unclassified

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Arterial hypertension in adults. Clinical guidelines 2020

et al. 2020

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“…MH and MUCH impair the prognosis and present an important risk factor for cardiovascular disorders. According to meta-analysis Thakkar et al [4] patients with MH/MUCH were 2.09 times more likely to suffer adverse cardiovascular and/or cerebrovascular events compared to patients with sustained normotension.…”

Section: Introductionmentioning

confidence: 99%

High Incidence of Masked Hypertension in Patients with Obstructive Sleep Apnoea Despite Normal Automated Office Blood Pressure Measurement Results

Sova

Sovová

et al. 2020

Advances in Respiratory Medicine

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Introduction: Obstructive sleep apnoea (OSA) is a well-known risk factor for masked hypertension (MH) and masked uncontrolled hypertension (MUCH). Automated ambulatory office blood pressure measurement (AOBP) might better correlate with the results of ambulatory blood pressure measurements (ABPM) compared to routine office blood pressure measurement (OBPM). The aim of this study was to compare the diagnostic rate of MH/MUCH when using OBPM and AOBP in combination with ABPM. Material and methods: 65 OSA patients, of which 58 were males, (AHI > 5, mean 44.4; range 5-103) of average age 48.8 ± 10.7 years were involved in this study. Following MH/MUCH criteria were used; Criteria I: OBPM < 140/90 mm Hg and daytime ABPM > 135/85 mm Hg; Criteria II: AOBP < 140/90 mm Hg and daytime ABPM > 135/85 mm Hg; Criteria III: AOBP < 135/85 mm Hg and daytime ABPM > 135/85 mm Hg. Results: MH/MUCH criteria I was met in 16 patients (24.6%) with criteria II being met in 37 patients (56.9%), and criteria III in 33 (51.0%), p < 0.0001. Both systolic and diastolic OBPM were significantly higher than AOBP; Systolic (mm Hg): 135.3 ± 12.3 vs 122.1 ± 10.1 (p < 0.0001); Diastolic (mm Hg): 87.4 ± 8.9 vs 77.1 ± 9.3 (p < 0.0001). AOBP was significantly lower than daytime ABPM; Systolic (mm Hg): 122.1 ± 10.1 vs 138.9 ± 10.5 (p < 0.0001); Diastolic (mm Hg): 77.1 ± 9.3 vs 81.6 ± 8.1 (p < 0.0001). Non-dipping phenomenon was present in 38 patients (58.4%). Nocturnal hypertension was present in 55 patients (84.6%). Conclusions: In patients with OSA there is a much higher prevalence of MH/MUCH despite normal AOBP, therefore it is necessary to perform a 24-hour ABPM even if OBPM and AOBP are normal.

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E-Health in Hypertension Management: an Insight into the Current and Future Role of Blood Pressure Telemonitoring

2020

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Purpose of Review Out-of-office blood pressure (BP) monitoring techniques, including home and ambulatory BP monitoring, are currently recommended by hypertension guidelines worldwide to confirm the diagnosis of hypertension and to monitor the appropriateness of treatment. However, such techniques are not always effectively implemented or timely available in the routine clinical practice. In recent years, the widespread availability of e-health solutions has stimulated the development of blood pressure telemonitoring (BPT) systems, which allow remote BP tracking and tighter and more efficient monitoring of patients' health status. Recent Findings There is currently strong evidence that BPT may be of benefit for hypertension screening and diagnosis and for improving hypertension management. The advantage is more significant when BPT is coupled with multimodal interventions involving a physician, a nurse or pharmacist, and including education on lifestyle and risk factors and drug management. Several randomized controlled studies documented enhanced hypertension management and improved BP control of hypertensive patients through BPT. Potential additional effects of BPT are represented by improved compliance to treatment, intensification, and optimization of drug use, improved quality of life, reduction in risk of developing cardiovascular complications, and costsaving. Applications based on m-health and making use of wearables or smartwatches integrated with machine learning models are particularly promising for the future development of efficient BPT solutions, and they will provide remarkable support decision tools for doctors. Summary BPT and telehealth will soon disrupt hypertension management. However, which approach will be the most effective and whether it will be sustainable in the long-term still need to be elucidated. Keywords E-health . Blood pressure telemonitoring . Hypertension . Telemedicine . M-health . Machine learning This article is part of the Topical Collection on Blood Pressure Monitoring and Management

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Masked Hypertension: A Systematic Review

Cited by 45 publications

References 94 publications

Arterial hypertension in adults. Clinical guidelines 2020

Arterial hypertension in adults. Clinical guidelines 2020

High Incidence of Masked Hypertension in Patients with Obstructive Sleep Apnoea Despite Normal Automated Office Blood Pressure Measurement Results

E-Health in Hypertension Management: an Insight into the Current and Future Role of Blood Pressure Telemonitoring

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