Night-time home versus ambulatory blood pressure in determining target organ damage

Andreadis, Emmanuel A.; Agaliotis, G.; Kolyvas, George; Achimastos, Apostolos; Stergiou, George S.

doi:10.1097/hjh.0000000000000815

Cited by 31 publications

(10 citation statements)

References 17 publications

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“…In regard to the associations between nocturnal home BP and hypertensive target organ damages (TODs), we demonstrated that nocturnal home SBP levels were significantly correlated with the urinary albumin/creatinine ratio (UACR), left ventricular mass index (LVMI), and brachial‐ankle pulse wave velocity (baPWV) even after adjustment for morning, evening, and office BP levels 15 . Studies comparing the association of hypertensive TOD with nocturnal BP measured by HBPM and the association of hypertensive TOD with nocturnal BP measured by ABPM reported that the correlation coefficient between nocturnal home SBP and UACR was significantly greater than that for the relationship between nocturnal ambulatory SBP and UACR 23,24 . This result is likely attributed to the superiority of nocturnal BP measured by HBPM compared with nocturnal BP measured by conventional ABPM in terms of measurement frequency, reproducibility, and acceptability.…”

Section: Nocturnal Home Blood Pressure Monitoringmentioning

confidence: 99%

Clinical significance of nocturnal home blood pressure monitoring and nocturnal hypertension in Asia

Fujiwara

Hoshide

Tomitani

et al. 2021

J of Clinical Hypertension

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Nocturnal home blood pressure (BP) monitoring has been used in clinical practice for ~20 years. The authors recently showed that nocturnal systolic BP (SBP) measured by a home BP monitoring (HBPM) device in a Japanese general practice population was a significant predictor of incident cardiovascular disease (CVD) events, independent of office and morning home SBP levels, and that masked nocturnal hypertension obtained by HBPM (defined as nocturnal home BP ≥ 120/70 mmHg and average morning and evening BP < 135/85 mmHg) was associated with an increased risk of CVD events compared with controlled BP (nocturnal home BP < 120/70 mmHg and This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Section: Nocturnal Home Blood Pressure Monitoringmentioning

confidence: 99%

Clinical significance of nocturnal home blood pressure monitoring and nocturnal hypertension in Asia

Fujiwara

Hoshide

Tomitani

et al. 2021

J of Clinical Hypertension

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“…When < 70% of 24 h readings were achieved, further investigation was undertaken of edited day-time and night-time readings. Day-time or night-time measurements that did not pass validity criteria for the time period (day-time: 20 valid readings; night-time: 7 valid readings) were discarded and excluded from the final analyses by a process described in similar studies [51,53]. All valid day-time and night-time readings were averaged to provide a single day-time and night-time ABP value per study participant [53].…”

Section: Methodsmentioning

confidence: 99%

Associations Between Sub-Clinical Markers of Cardiometabolic Risk and Exposure to Residential Indoor Air Pollutants in Healthy Adults in Perth, Western Australia: A Study Protocol

Gilbey

Reid

Huxley

et al. 2019

IJERPH

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Background: A growing body of epidemiological and clinical evidence has implicated air pollution as an emerging risk factor for cardiometabolic disease. Whilst individuals spend up to two-thirds of daily time in their domestic residential environment, very few studies have been designed to objectively measure the sub-clinical markers of cardiometabolic risk with exposure to domestic indoor air pollutants. This cross-sectional study aims to investigate associations between the components of domestic indoor air quality and selected sub-clinical cardiometabolic risk factors in a cohort of healthy adults living in Perth, Western Australia. Methods: One hundred and eleven non-smoking adults (65% female) living in non-smoking households who were aged between 35–69 years were recruited for the project. Study subjects were invited to participate in all sections of the study, which included: Domestic indoor air monitoring along with the concurrent 24 h ambulatory monitoring of peripheral and central blood pressure and measures of central hemodynamic indices, standardized questionnaires on aspects relating to current health status and the domestic environment, a 24 h time-activity diary during the monitoring period, and clinic-based health assessment involving collection of blood and urine biomarkers for lipid and glucose profiles, as well as measures of renal function and an analysis of central pulse wave and pulse wave velocity. Results: This study provides a standardized approach to the study of sub-clinical cardiometabolic health effects that are related to the exposure to indoor air pollution. Conclusion: The findings of this study may provide direction for future research that will further contribute to our understanding of the relationship that exists between indoor air pollution and sub-clinical markers of cardiometabolic risk.

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“…1 However, recent technological advances in self-monitoring devices have facilitated the development of several kinds of home measurement devices for nocturnal BP, and a number of studies have shown that nocturnal HBPM is both feasible and effective. 8,[57][58][59][60][61][62][63][64][65] The first data on nocturnal BP measurement were obtained in 2001, when a Japanese research group examined the impact of a single nocturnal BP measurement on sleep quality. 63 The same research group later found that the reproducibility of a single nocturnal BP measurement as assessed using an HBPM device was not good.…”

Section: The Role Of Home Blood Pressure Monitoring In the Diagnosis mentioning

confidence: 99%

“…[ 60 ] Another study (n=30) evaluating nocturnal BP of treatment-naive individuals using an HBPM device found that night-time BP measurements were significantly lower in subjects without left ventricular hypertrophy (LVH) compared with those with LVH, while daytime readings were not significantly different between the two groups. [ 62 ] A recent meta-analysis found that the nocturnal HBPM and ABPM measurements provided similar values (HBPM readings were 1.4 mmHg higher for systolic and 0.2 mmHg lower for diastolic values) compared with ABPM measurements, and both were similarly associated with measures of target organ damage (left ventricular mass index). [ 58 ]…”

Section: The Role Of Home Blood Pressure Monitoring In the Diagnosis mentioning

confidence: 99%

The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management

Cappuccio

2020

Eur Cardiol

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The accurate measurement, prediction and treatment of high blood pressure (BP) are essential to the management of hypertension and the prevention of its associated cardiovascular (CV) risks. However, even if BP is optimally controlled during the day, nocturnal high blood pressure may still increase the risk of CV events. The pattern of circadian rhythm of BP can be evaluated by ambulatory BP monitoring (ABPM). Night-time ABPM is more closely associated with fatal and nonfatal CV events than daytime ambulatory BP. However, the use of ABPM is limited by low availability and the fact that it can cause sleep disturbance, therefore may not provide realistic nocturnal measurements. Home blood pressure monitoring (HBPM) offers an inexpensive alternative to ABPM, is preferred by patients and provides a more realistic assessment of BP during an individual’s daily life. However, until recently, HBPM did not offer the possibility to measure nocturnal (sleep time) BP. The development and validation of new BP devices, such as the NightView (OMRON Healthcare, HEM9601T-E3) HBPM device, could overcome these limitations, offering the possibility of daytime and night-time BP measurements with minimal sleep disturbance.

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Night-time home versus ambulatory blood pressure in determining target organ damage

Abstract: In untreated hypertensives, night-time BP assessed by home monitoring appears to be as good as night-time ambulatory monitoring in determining preclinical target organ damage.

Cited by 31 publications

References 17 publications

Clinical significance of nocturnal home blood pressure monitoring and nocturnal hypertension in Asia

Clinical significance of nocturnal home blood pressure monitoring and nocturnal hypertension in Asia

Associations Between Sub-Clinical Markers of Cardiometabolic Risk and Exposure to Residential Indoor Air Pollutants in Healthy Adults in Perth, Western Australia: A Study Protocol

The Role of Nocturnal Blood Pressure and Sleep Quality in Hypertension Management

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