Prevalence and determinants of isolated clinic hypertension in the Finnish population: the Finn-HOME study

Niiranen, Teemu J.; Jula, Antti; Kantola, Ilkka; Reunanen, Antti

doi:10.1097/01.hjh.0000209982.21112.bc

Cited by 40 publications

(35 citation statements)

References 32 publications

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“…The stratification and sampling procedures have been described previously in detail. 12 Of the subjects aged 45-74 years (n ¼ 4388), 84% (n ¼ 3672) agreed to participate in the interview and attended the health examination. In the present study, analyses were restricted to subjects who had, in addition to the Health 2000 survey, participated in the home BP measurement substudy (Finn-HOME study) for persons aged 45-74 years (n ¼ 2120).…”

Section: Subjectsmentioning

confidence: 99%

“…Characteristicts of the the Finn-HOME study population were very similar to the Finnish 45-74-yearold general population, as previously reported. 12 Clinic systolic (137.3720. Association between ECG-LVH and BP measured at home and in the clinic The correlation coefficients for home or clinic BP and ECG-LVH are presented in Table 2.…”

Section: Subject Characteristicsmentioning

confidence: 99%

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Home-measured blood pressure is more strongly associated with electrocardiographic left ventricular hypertrophy than is clinic blood pressure: the Finn-HOME study

Niiranen¹,

Jula²,

Kantola

et al. 2007

J Hum Hypertens

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Electrocardiographic evidence of left ventricular hypertrophy (ECG-LVH) has a grave prognostic significance in hypertensive patients. The purpose of our study was to assess whether ECG-LVH is more strongly associated with home-measured blood pressure (BP) than with clinic BP, and whether the correlation between home BP and ECG-LVH increases with the number of home measurements performed. We studied a representative sample of the general adult population (1989 subjects 45-74 years of age) in Finland. Subjects included in the study underwent a clinical interview, electrocardiography and measurement of clinic BP (mean of two clinic measurements) and home BP (mean of 14 duplicate home measurements performed during 1 week). Home BP correlated significantly better than clinic BP with the Sokolow-Lyon voltage (home/clinic systolic: r=0.23/0.22, P=0.60; diastolic: r=0.17/0.12, P=0.009), Cornell voltage (systolic: r=0.30/0.25, P=0.004; diastolic: r=0.21/0.12, P<0.001) and Cornell product (systolic: r=0.30/0.24, P=0.001; diastolic r=0.22/0.14, P<0.001) criteria of ECG-LVH. The correlation between home BP and ECG-LVH increased slightly with the number of home measurements, but even the mean of the initial two home BP measurements correlated equally well (systolic BP), or better (diastolic BP) with ECG-LVH than did clinic BP. In conclusion, home BP measurement allows us to obtain a large number of measurements that have a strong association with ECG-LVH. Our data support the application of home BP measurement in clinical practice.

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Section: Subjectsmentioning

confidence: 99%

Section: Subject Characteristicsmentioning

confidence: 99%

Home-measured blood pressure is more strongly associated with electrocardiographic left ventricular hypertrophy than is clinic blood pressure: the Finn-HOME study

Niiranen¹,

Jula²,

Kantola

et al. 2007

J Hum Hypertens

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“…Research indicates that several psychosocial characteristics, such as physical function, social support, and stress, may affect depression severity (Kaplan et al, 1987;Hays et al, 1997;Bosworth et al, 2003;Niiranen et al, 2006). Depression severity is associated with clinical characteristics as well, such as comorbid illness, history of depression, and prior use of ECT.…”

Section: Introductionmentioning

confidence: 99%

The effects of antidepressant medication adherence as well as psychosocial and clinical factors on depression outcome among older adults

Bosworth

Voils

Potter

et al. 2007

Int J Geriat Psychiatry

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“…The overall prevalence of white coat hypertension is estimated to be 13-15% [15][16][17][18] and up to 37% among untreated hypertensive patients [16]. Our community health center created a loaner HBPM program where patients were referred by their primary care [15,24] or triplicate [25] over several days (e.g., a week) [13].…”

Section: Discussionmentioning

confidence: 99%

Integration of Home Blood Pressure Monitoring in Hypertension Management

Jacobs¹,

Sajjad²,

Zheng³

et al. 2017

Arch Clin Hypertens

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Background: White coat syndrome, masked hypertension, and poor technique may produce inaccurate offi ce-based blood pressure (BP) readings and lead to over diagnosis and over treatment with antihypertensive agents. National and international hypertension guidelines recommend using home BP monitoring in conjunction with offi ce readings for hypertension diagnostic and/or treatment evaluation.Purpose of study: Evaluate the impact of hypertension diagnosis and medication management for patients referred to a home BP monitoring program integrated with clinic based hypertension management. Results / Main fi ndings:Over the fi rst year of the program, 75 patients were referred for either medication management evaluation (n=41) or hypertension diagnosis confi rmation (n=34). For medication management referred patients, roughly half (n=20) had some clinical action taken and roughly half (n=21) had no action taken. Of the 34 patients referred for hypertension diagnosis confi rmation, 23 (68%) had home BP readings averaging less than 135/85 mmHg resulting in no formal diagnosis of hypertension and no medication prescribed. This was particularly pronounced in those patients with an offi ce BP goal of <150/90 mmHg, a relatively older group. Conclusion:This data suggests that integrating home BP monitoring with offi ce-based hypertension management is clinically important and may have substantial impact in the accuracy of diagnosis and the appropriateness of medication use. Brief summary:Patients with uncontrolled hypertension despite medication therapy or having elevated blood pressure readings in clinic without a diagnosis of hypertension were referred to the clinic's home BP monitor loaner program facilitated by a clinical pharmacist. For a period of at least 5 days, patients recorded 3 consecutive BP readings in the morning and in the evening. At a scheduled follow-up offi ce visit with the clinical pharmacist, the patient returned the monitor with the completed log sheet. The clinical pharmacist facilitated standardized documentation for effi cient evaluation.Potential implications: Facilitating a structured home BP monitoring program for patients with uncontrolled hypertension despite medication therapy or for establishing the diagnosis of hypertension can provide a clinician an accurate and comprehensive view of overall BP control to avoid over-treatment, under-treatment, and misdiagnosis while individualizing patients' therapy

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Prevalence and determinants of isolated clinic hypertension in the Finnish population: the Finn-HOME study

Cited by 40 publications

References 32 publications

Home-measured blood pressure is more strongly associated with electrocardiographic left ventricular hypertrophy than is clinic blood pressure: the Finn-HOME study

Home-measured blood pressure is more strongly associated with electrocardiographic left ventricular hypertrophy than is clinic blood pressure: the Finn-HOME study

The effects of antidepressant medication adherence as well as psychosocial and clinical factors on depression outcome among older adults

Integration of Home Blood Pressure Monitoring in Hypertension Management

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