Prognostic value of the morning blood pressure surge in 5645 subjects from 8 populations

Li, Yaxian; Thijs, Lutgarde; Hansen, Torben; Kikuya, Masahiro; Boggia, José; Richart, Tom; Metoki, Hirohito; Torp‐Pedersen, Christian; Kuznetsova, Tatiana; Stolarz‐Skrzypek, Katarzyna; Tikhonoff, Valérie; Malyutina, S.; Casíglia, Edoardo; Nikitin, Y; Sandoya, Edgardo; Kalina, Kawecka-Jaszcz K.; Ibsen, Hans; Imai, Yutaka; Wang, J.G.; Staessen, Jan A.

doi:10.1016/j.ijcard.2009.09.073

Cited by 50 publications

(96 citation statements)

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“…17,18 A morning surge in BP exceeding the 90th percentile in this database was a significant and independent predictor of mortality and cardiovascular events even after correcting the night-to-day BP ratio, the 24-h BP level and other covariables. 19 Moreover, consistent with our earlier findings, 16 Asians with a morning surge in the top decile were at a significantly higher risk for hemorrhagic stroke (n¼51; Therefore, if the predictive power of BP obtained during the daytime was more powerful than taken during the nighttime, it could reflect the larger number of measurements taken during the daytime.…”

Section: Morning Bp Surgesupporting

confidence: 87%

Diurnal blood pressure variation and cardiovascular prognosis in a community-based study of Ohasama, Japan

Metoki

Imai

2010

Hypertens Res

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The introduction of 24-h ambulatory blood pressure (BP) monitoring has enabled BP evaluations at specific times of the day. Associations between diurnal BP variation and cardiovascular prognosis have been investigated in the Ohasama study, which is an epidemiological survey of hypertension using ambulatory and home BP monitoring that has been ongoing since 1985 in the general population of Ohasama, a town located in northern Japan. A diminished nocturnal decline in systolic BP was associated with a greater common carotid intima-media thickness as well as a higher risk of cardiovascular morbidity and mortality, especially the risk for cerebral infarction. The consumption of large amounts of alcohol was associated with a higher morning pressor surge. A large nocturnal decline in BP and a large morning pressor surge were both associated with a risk of cerebral hemorrhage. Ambulatory BP monitoring provides not only static, but also dynamic information about BP that should be considered to ensure effective management of hypertension and cardiovascular diseases.

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Section: Morning Bp Surgesupporting

confidence: 87%

Diurnal blood pressure variation and cardiovascular prognosis in a community-based study of Ohasama, Japan

Metoki

Imai

2010

Hypertens Res

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“…These data were then read using dabl® software (24). Each participant recorded bed and rising times, and this was used to calculate average day-and night-time SBP and DBP only if there were ≥10 valid daytime and 5 valid night-time readings (25) and work/non-work status was known. For the purpose of this paper those classified with a high reading had a daytime ABPM of SBP ≥135 and DBP ≥85 mmHg and night-time ABPM of SBP ≥120 and DBP ≥70 mmHg.…”

Section: Study Variablesmentioning

confidence: 99%

Job control and ambulatory blood pressure

McCarthy¹,

Perry²,

Greiner³

2014

Scand J Work Environ Health

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Objective: The effect of work on blood pressure (BP) in a general population with appropriate adjustment for confounders is not well defined. High job control has been found to be associated with lower BP and with nocturnal BP dipping. However, with older workers this may be compromised and has not been studied extensively. Methods: A cross-sectional study was carried out on a primary care-based sample (N=2047) aged 50–69 years. Data were collected on sociodemographic factors, medication, clinic, and ambulatory blood pressure. Job control was measured using two scales from the Copenhagen Psychosocial Questionnaire (COPSOQ) (possibility for development and influence at work). Nocturnal systolic BP (SBP) dipping was the reduction in SBP from day- to night-time using ambulatory SBP readings. Results: In general, BP increased with age, male gender, and higher body mass index. Workers with high influence at work and high possibility for development were more likely to have high asleep SBP [odds ratio (OR) 2.13, 95% confidence interval (95% CI) 1.05–4.34, P=0.04], (OR 2.27, 95% CI 1.11–4.66, P=0.03) respectively. Influence at work and awake BP were inversely associated: awake SBP (OR 2.44, 95% CI 1.35–4.41, P<0.01), awake DBP (OR 2.42, 95% CI 1.24–4.72, P=0.01). No association was seen between job control and nocturnal SBP dipping. Conclusion: Older workers with high job control may be more at risk of cardiovascular disease resulting from high day- and night-time BP with no evidence of nocturnal dipping

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“…As a consequence, ancillary studies using ABPM have often enrolled small numbers that are unrepresentative of the main study population or they lack a baseline ABPM, making it impossible to determine the transition from no treatment at baseline to the effect of full-dose medications and thereby limiting greatly the conclusions of the ancillary studies [112]. The major outcome studies that had ABPM ancillary studies are listed in Table 3 [14,59,62,[103][104][105][113][114][115][116][117][118]. These studies provide a wealth of information the analysis of which is beyond the scope of this review but, whatever the strengths and shortcomings of these studies may be, one message emerges clearly and that is the superiority of nocturnal blood pressure, whether it be the nondipping or morning surge pattern or both, in predicting outcome.…”

Section: Resultsmentioning

confidence: 99%

Twenty-four-hour ambulatory blood pressure measurement in clinical practice and research: a critical review of a technique in need of implementation

O’Brien

2011

Journal of Internal Medicine

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Abstract. O'Brien E (The Conway Institute, University College Dublin, Dublin, Ireland). Twenty-four-hour ambulatory blood pressure measurement in clinical practice and research: a critical review of a technique in need of implementation (Review). J Intern Med 2011; 269: 478-495.This review presents evidence that ambulatory blood pressure measurement (ABPM) should be used more widely in clinical practice and hypertension research. The technique, which should be mandatory in trials of antihypertensive drugs, is not being used in all studies of antihypertensive drug efficacy. ABPM is also being under-used in outcome studies. The failure to implement ABPM in primary care and hypertension research is impeding patient management and scientific advancement. ABPM offers so many advantages in assessing the efficacy of blood pressure (BP)-lowering drugs that it should be mandatory in pharmacological trials. Likewise, the technique provides a means of achieving BP control in clinical practice, which is essential if we are to halt the epidemic of the cardiovascular consequences of hypertension. However, if ABPM is to be implemented for these purposes, certain requirements will need to be fulfilled. These include the availability of accurate, patient-friendly and inexpensive devices; standardization of the presentation and plotting of data with summary statistics for day-to-day practice; provision of comprehensive data analysis for research; an interpretative report to facilitate use in busy clinical practice; a trend report to demonstrate efficacy or otherwise of treatment in clinical practice and online transmission of data to provide immediate real-time data analysis. The reasons why ABPM is not being implemented are reviewed, and proposals are made to make the technique more acceptable.

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Prognostic value of the morning blood pressure surge in 5645 subjects from 8 populations

Cited by 50 publications

References 0 publications

Diurnal blood pressure variation and cardiovascular prognosis in a community-based study of Ohasama, Japan

Diurnal blood pressure variation and cardiovascular prognosis in a community-based study of Ohasama, Japan

Job control and ambulatory blood pressure

Twenty-four-hour ambulatory blood pressure measurement in clinical practice and research: a critical review of a technique in need of implementation

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