Monitorização ambulatorial da pressão arterial e risco cardiovascular em mulheres com hipertensão resistente

Magnanini, Mônica Maria Ferreira; Nogueira, Armando da Rocha; Carvalho, Marília Sá; Bloch, Kátia Vergetti

doi:10.1590/s0066-782x2009000600012

Cited by 15 publications

(10 citation statements)

References 18 publications

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“…above and beyond other traditional cardiovascular risk factors and mean ambulatory BP levels [20]. However, these results were not confirmed in other studies [21]. …”

Section: Abpm and Cardiovascular Prognosis In Rhmentioning

confidence: 70%

“…Although there are scarce data on the comparative value of the aforementioned indices derived from ABPM as potential prognostic markers in RH, in a study of Magnanini et al in women with RH, uncontrolled daytime BP was the stronger independent risk factor (RR: 1.67; 95% CI 1.00–2.78) [21]. …”

Section: Abpm and Cardiovascular Prognosis In Rhmentioning

confidence: 99%

“…More specifically, high-pulse pressure and nondipping status in resistant hypertensives have been associated with a high-cardiovascular risk profile including greater age, higher prevalence of cerebrovascular disease and nephropathy, increased serum creatinine and microalbuminuria, and higher left ventricular mass index [24]. Moreover, a blunted nocturnal reduction in BP, a widened 24-hour pulse pressure and AASI have been independently associated with increased aortic stiffness in resistant hypertensive patients [21, 24]. Finally, according to some studies 24-hour pulse pressure presents a closer correlation to target organ damage compared to the other ABPM indices [23, 25].…”

Section: Association Of Abpm Components With Target Organ Damage Imentioning

confidence: 99%

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Ambulatory Blood Pressure Monitoring in Resistant Hypertension

Syrseloudis

Andrikou

et al. 2011

International Journal of Hypertension

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ABPM constitutes a valuable tool in the diagnosis of RH. The identification of white coat RH and masked hypertension (which may fulfill or not the definition of RH) is of great importance in the clinical management of such patients. Moreover, the various ABPM components such as average BP values, circadian BP variability patterns, and ambulatory BP-derived indices, such as ambulatory arterial stiffness index (AASI), add significantly to the risk stratification of RH. Lastly, ABPM may indicate the need for implementation of specific therapeutic strategies, such as chronotherapy, that is, administration-time dependent therapy, and the evaluation of their efficacy.

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“…above and beyond other traditional cardiovascular risk factors and mean ambulatory BP levels [20]. However, these results were not confirmed in other studies [21]. …”

Section: Abpm and Cardiovascular Prognosis In Rhmentioning

confidence: 70%

Section: Abpm and Cardiovascular Prognosis In Rhmentioning

confidence: 99%

Section: Association Of Abpm Components With Target Organ Damage Imentioning

confidence: 99%

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Ambulatory Blood Pressure Monitoring in Resistant Hypertension

Syrseloudis

Andrikou

et al. 2011

International Journal of Hypertension

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“…[9] Currently ABPM is recommended, over the OBPM. [910] This study suggests HBPM appears to be a valid and a simple alternative to OBPM and ABPM. It has the advantages of convenience and cost savings while representing BP readings in the ambient environment.…”

Section: Discussionmentioning

confidence: 86%

Prospective blood pressure measurement in renal transplant recipients

et al. 2014

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Blood pressure (BP) control at home is difficult when managed only with office blood pressure monitoring (OBPM). In this prospective study, the reliability of BP measurements in renal transplant patients with OBPM and home blood pressure monitoring (HBPM) was compared with ambulatory blood pressure monitoring (ABPM) as the gold standard. Adult patients who had living-related renal transplantation from March 2007 to February 2008 had BP measured by two methods; OBPM and ABPM at pretransplantation, 2nd, 4th, 6th, and 9th months and all the three methods: OBPM, ABPM, and HBPM at 6 months after transplantation. A total of 49 patients, age 35 ± 11 years, on prednisolone, tacrolimus, and mycophenolate were evaluated. A total of 39 were males (79.6%). Systolic BP (SBP) and diastolic BP (DBP) measured by OBPM were higher than HBPM when compared with ABPM. When assessed using OBPM and awake ABPM, both SBP and DBP were significantly overestimated by OBPM with mean difference of 3-12 mm Hg by office SBP and 6-8 mm Hg for office DBP. When HBPM was compared with mean ABPM at 6 months both the SBP and DBP were overestimated by and 7 mm Hg respectively. At 6 months post transplantation, when compared with ABPM, OBPM was more specific than HBPM in diagnosing hypertension (98% specificity, Kappa: 0.88 vs. 89% specificity, Kappa: 0.71). HBPM was superior to OBPM in identifying patients achieving goal BP (89% specificity, Kappa: 0.71 vs. 50% specificity Kappa: 0.54). In the absence of a gold standard for comparison the latent class model analysis still showed that ABPM was the best tool for diagnosing hypertension and monitoring patients reaching targeted control. OBPM remains an important tool for the diagnosis and management of hypertension in renal transplant recipients. HBPM and ABPM could be used to achieve BP control.

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“…), although the difference did not reach statistical significance ( P = .06) [55]. However, daytime blood pressure was found to be an independent risk predictor (relative risk: 1.67; 95% CI: 1.00–2.78; P < .05).…”

Section: Data From Small Clinical Studiesmentioning

confidence: 99%

Benefits from Treatment and Control of Patients with Resistant Hypertension

Doumas

Papademetriou

Δούμα

et al. 2011

International Journal of Hypertension

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Resistant hypertension is commonly found in everyday clinical practice. However, the risks of resistant hypertension, as well as the benefits of treatment and control of blood pressure in patients with resistant hypertension remain vaguely clarified. Data from small clinical studies and observational cohorts suggest that patients with resistant hypertension are at increased cardiovascular risk, while control of blood pressure offers substantial benefits. It has to be noted however that data from appropriate large randomized studies are missing, and resistant hypertension remains remarkably understudied. Resistant hypertension has attracted significant scientific interest lately, as new therapeutic modalities become available. The interventional management of resistant hypertension either by carotid baroreceptor stimulation or renal sympathetic denervation is currently under investigation with promising preliminary results. This review presents available evidence regarding the benefits of treatment and control of blood pressure in patients with resistant hypertension and offers a critical evaluation of existing data in this field.

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Monitorização ambulatorial da pressão arterial e risco cardiovascular em mulheres com hipertensão resistente

Abstract: SummaryBackground: Few studies have explored the prognostic value of ambulatory blood pressure (ABP) in resistant hypertensive patients, a high-risk group.

Cited by 15 publications

References 18 publications

Ambulatory Blood Pressure Monitoring in Resistant Hypertension

Ambulatory Blood Pressure Monitoring in Resistant Hypertension

Prospective blood pressure measurement in renal transplant recipients

Benefits from Treatment and Control of Patients with Resistant Hypertension

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