Predictive factors for masked hypertension within a population of controlled hypertensives

Mallion, Jean-Michel; Clerson, Pierre; Bobrie, Guillaume; Genès, N; Vaı̈sse, B.; Châtellier, Gilles

doi:10.1097/01.hjh.0000251895.55249.82

Cited by 69 publications

(42 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There was no significant difference in sex incidence between patients with MH and patients with SH or true normotensive patients, however, male sex was significantly higher in MH than WCH. These findings are in agreement with Kawabe and Saito, 19 Mallion et al, 20 and Trudel et al 21 There was no difference in smoking between groups, this is in contrast to Kawabe and Saito. 19 DM was significantly higher in SH than MH, also, it was significantly higher in MH than true normotensive patients, however, there was no difference between MH and WCH.…”

Section: Discussionsupporting

confidence: 92%

Frequency of masked hypertension and its relation to target organ damage in the heart

Algamal

2016

The Egyptian Heart Journal

View full text Add to dashboard Cite

Introduction: The phenomenon of masked hypertension (MH) is common. MH recognition as a clinical entity of its own is still a matter of debate. Objective: The aim of this study was to investigate the prevalence of MH and its relation to cardiovascular risk factors as well as its relation to target organ damage. Material and methods: A total of 100 patients who were indicated for 24 h ambulatory blood pressure monitoring (ABPM) were enrolled in the study. Blood pressure (BP) was measured in the clinic, during the following week, echocardiography and ABPM were done. Patients were classified into four groups according to clinical BP and ABPM readings: true normotension, sustained hypertension (SH), white coat hypertension (WCH) and MH. Results: The incidence of MH was 37%. DM was significantly higher in SH than MH, also, it was significantly higher in MH than true normotensive patients. Obesity was significantly higher in SH than MH. ABPM readings were significantly higher in SH than MH, whereas they were significantly higher in MH than WCH and true normotensive patients. LVH was higher in MH than SH, however, the difference was not statistically significant. LVH was significantly higher in MH than WCH and true normotensive patients. Conclusion: MH is a common phenomenon and associated with subclinical target organ damage in the heart comparable to SH and significantly higher than WCH and true normotension.

show abstract

Section: Discussionsupporting

confidence: 92%

Frequency of masked hypertension and its relation to target organ damage in the heart

Algamal

2016

The Egyptian Heart Journal

View full text Add to dashboard Cite

show abstract

“…The recommendation to perform HBPM is even stronger in patients likely to have masked hypertension [i.e. patients older than 60 years and with high normal systolic OBP (130-140 mmHg), smokers or male patients older than 70 years] [127], as well as in patients with high normal OBP who are at a high risk of developing cardiovascular disease (multiple risk factors, evidence of target organ damage, associated morbidity, such as diabetes mellitus or renal disease), and those with diagnosed cardiovascular disease.…”

Section: Clinical Indicationsmentioning

confidence: 99%

European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring

Parati

Stergiou²,

Asmar

et al. 2008

Journal of Hypertension

757

646

View full text Add to dashboard Cite

“…Findings from the Self measurement of blood pressure at Home in the Elderly: Assessment and Follow-up (SHEAF) study 31 , the Japan Home vs. Office BP Measurement Evaluation (J-HOME) study 32 , and a substudy of the ThreeCity Study (3C) 33 indicate that clinic SBP in the PHT range is associated with MHT, when determined by home blood pressure monitoring. These findings may not be directly comparable to the results of our study.…”

Section: Masked Hypertension and Prehypertensionmentioning

confidence: 99%

Masked hypertension and prehypertension: diagnostic overlap and interrelationships with left ventricular mass: the masked hypertension study

Shimbo

Newman

Schwartz

2012

American Journal of Hypertension

View full text Add to dashboard Cite

In 2002, Dr Thomas Pickering and our group introduced the term masked hypertension (MHT) 1 to describe individuals with normal clinic blood pressure (CBP) levels (<140/90 mm Hg) and ambulatory hypertension (awake ≥135/85 mm Hg). MHT is associated with increased left ventricular (LV) mass, 2 a marker of cardiovascular end-organ damage, and an increased risk of cardiovascular disease (CVD) events, that is significantly more than in sustained normotension (clinic and ambulatory normotension). [3][4][5][6][7] The confluence of increased CVD risk, a failure to be diagnosed by the conventional approach of blood pressure measurement in the clinic setting, and relatively high prevalence 8-11 makes MHT a public health concern.Epidemiologic studies have shown that CBP in the prehypertension (PHT) range (i.e., mean systolic blood pressure (SBP) 120-139 mm Hg or mean diastolic blood pressure (DBP) 80-89 mm Hg) confer an increased CVD risk. 12 PHT is associated with higher levels of LV mass 13 and also a higher risk of CVD events, 12 compared to optimal blood pressure levels (<120/80 mm Hg).Recent evidence suggests that CBP levels are significantly higher among individuals with MHT compared to individuals with sustained normotension, 9 despite both groups having CBP levels in the normal range (<140/90 mm Hg). These findings suggest that the prevalence of PHT may be disproportionally higher in MHT than in sustained normotension, or alternatively that the prevalence of MHT may be higher in PHT than in those with optimal CBP. These hypotheses have not been directly examined in previous studies, particularly when out-of-office blood pressure is determined by an ambulatory blood pressure (ABP) monitoring. Furthermore, the relative contributions of MHT and PHT to CVD risk are also unclear. The primary aim of this study was to evaluate the BackgroundMasked hypertension (MHT) and prehypertension (PHT) are both associated with an increase in cardiovascular disease (CVD) risk, relative to sustained normotension. This study examined the diagnostic overlap between MHT and PHT, and their interrelationships with left ventricular (LV) mass index (LVMI), a marker of cardiovascular end-organ damage.

show abstract

Predictive factors for masked hypertension within a population of controlled hypertensives

Abstract: To detect masked hypertension, it would be logical to first of all select patients whose office SBP is between 130 and 140 mmHg.

Cited by 69 publications

References 13 publications

Frequency of masked hypertension and its relation to target organ damage in the heart

Frequency of masked hypertension and its relation to target organ damage in the heart

European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring

Masked hypertension and prehypertension: diagnostic overlap and interrelationships with left ventricular mass: the masked hypertension study

Contact Info

Product

Resources

About