Response by Kario et al to Letter Regarding Article, “Nighttime Blood Pressure Phenotype and Cardiovascular Prognosis: Practitioner-Based Nationwide JAMP Study”

Kario, Kazuomi; Kanegae, Hiroshi; Hoshide, Satoshi

doi:10.1161/circulationaha.121.053993

Cited by 22 publications

(37 citation statements)

References 5 publications

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“…[1][2][3] Recent studies have demonstrated that the nocturnal BP measured by ambulatory BP monitoring (ABPM) is a stronger predictor of cardiovascular events (CVE) than daytime BP. [4][5][6][7][8][9] Although ABPM has been the gold standard for assessing nocturnal BP, nocturnal BP measured by home BP monitoring (HBPM) also has high risk of future CVE [10][11][12][13][14] and correlates with TOD as with ABPM. 15 A new wrist-type nocturnal HBPM device that automatically measures BP in the supine position without reducing sleep quality has been developed, and it could be used to facilitate real-world sleeping studies.…”

Section: Introductionmentioning

confidence: 99%

“…Management of nocturnal blood pressure (BP) is one of the important issue for preventing the progress of hypertensive target organ damage (TOD) and the onset of cardiovascular disease 1–3 . Recent studies have demonstrated that the nocturnal BP measured by ambulatory BP monitoring (ABPM) is a stronger predictor of cardiovascular events (CVE) than daytime BP 4–9 . Although ABPM has been the gold standard for assessing nocturnal BP, nocturnal BP measured by home BP monitoring (HBPM) also has high risk of future CVE 10–14 and correlates with TOD as with ABPM 15 .…”

Section: Introductionmentioning

confidence: 99%

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Nocturnal blood pressure surge in seconds is a new determinant of left ventricular mass index

Kokubo

Kuwabara

Ota

et al. 2021

J of Clinical Hypertension

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Nocturnal blood pressure (BP) surge in seconds (sec-surge), which is characterized as acute transient BP elevation over several tens of seconds, could be a predictor of target organ damage. However, it is not clear that the severity of sec-surge is different between sec-surges induced by sleep apnea (SA) (apnea/hypopnea detected by polysomnography (PSG) or oxygen desaturation) and those induced by non-SA factors (rapid eye movement, micro arousal, etc.), and sec-surge variables associate with left ventricular hypertrophy (LVH) independently of conventional BP variables.The authors assessed these points with 41 patients (mean age 63.2±12.6 years, 29% female) who underwent full PSG, beat-by-beat (BbB) BP, and cuff-oscillometric BP measurement during the night. All patients were included for the analysis comparing sec-surge severity between inducing factors (SA and non-SA factors). There were no significant differences in the number of sec-surges/night between SA-related sec-surges and non-SA-related sec-surges (19.5±26.0 vs. 16.4±29.8 events/night).There were also no significant differences in the peak of sec-surges, defined as the maximum systolic BPs (SBPs) in each sec-surge, between SA-related sec-surges and non-SA-related sec-surges (148.2±18.5 vs. 149.3±19.2 mm Hg). Furthermore, as a result of multiple regression analysis (n = 18), the peak of sec-surge was significantly and strongly associated with the left ventricular mass index (standardized β = 0.62, p = .02), compared with the mean nocturnal SBPs measured by oscillometric method (β = −0.04, p = .87). This study suggests that peak of sec-surge could be a better predictor of LVH compared to parameters derived from regular nocturnal oscillometric SBP.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nocturnal blood pressure surge in seconds is a new determinant of left ventricular mass index

Kokubo

Kuwabara

Ota

et al. 2021

J of Clinical Hypertension

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“…More recently, in a large, nationwide multicenter prospective study called JAMP (the Japan Ambulatory Blood Pressure Monitoring Prospective study) (6359 patients; follow‐up: 4.5 years), in which we used the same ABPM device, measurement schedule, and diary‐based approach to process the data across all study centers, we showed that the “riser” and “extreme‐dipper” patterns are associated with different phenotypes of cardiovascular disease. Namely, the “riser” pattern was associated with a risk of heart failure, while the “extreme‐dipper” pattern was associated with stroke, in patients with well‐controlled 24‐h BP 13 …”

Section: Figurementioning

confidence: 99%

Sleep and nocturnal hypertension: Genes, environment, and individual profiles

Kario

2022

J of Clinical Hypertension

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“…ABPM allows daytime, night-time, and 24-hour BP determination and diurnal BP variation recording. ABPM reading is strongly linked with target organ damage and CVD events than office or clinic BP readings [68], although these conclusions were drawn from studies with several limitations [69].…”

Section: Guidelinesmentioning

confidence: 99%

Blood Pressure and Chronic Kidney Disease Progression: An Updated Review

Habas¹,

Habas²,

Khan³

et al. 2022

Cureus

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Hypertension (HTN) is common in chronic kidney disease (CKD), and it may aggravate CKD progression. The optimal blood pressure (BP) value in CKD patients is not established yet, although systolic BP ≤130 mmHg is acceptable as a target. Continuous BP monitoring is essential to detect the different variants of high BP and monitor the treatment response. Various methods of BP measurement in the clinic office and at home are currently used. One of these methods is ambulatory BP monitoring (ABPM), by which BP can be closely assessed for even diurnal changes.We conducted a non-systematic literature review to explore and update the association between high BP and the course of CKD and to review various BP monitoring methods to determine the optimal method for BP recording in CKD patients. PubMed, EMBASE, Google, Google Scholar, and Web Science were searched for published reviews and original articles on BP and CKD by using various phrases and keywords such as "hypertension and CKD", "CKD progression and hypertension", "CKD stage and hypertension", "BP control in CKD", "BP measurement methods", "diurnal BP variation effect on CKD progression", and "types of hypertension." We evaluated and discussed published articles relevant to the review objective. Before preparing the final draft of this article, each author was assigned a section of the topic to read, research deeply, and write a summary about the assigned section. Then a summary of each author's contribution was collected and discussed in several group sessions.Early detection of high BP is essential to prevent CKD development and progression. Although the latest Kidney Disease Improving Global Outcomes (KDIGO) guidelines suggest that a systolic BP ≤120 mmHg is the target to prevent CKD progression, systolic BP ≤130 mmHg is universally recommended. ABPM is a promising method to diagnose and follow up on BP control; however, the high cost of the new devices and patient unfamiliarity with them have proven to be major disadvantages with regard to this method.

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Response by Kario et al to Letter Regarding Article, “Nighttime Blood Pressure Phenotype and Cardiovascular Prognosis: Practitioner-Based Nationwide JAMP Study”

Cited by 22 publications

References 5 publications

Nocturnal blood pressure surge in seconds is a new determinant of left ventricular mass index

Nocturnal blood pressure surge in seconds is a new determinant of left ventricular mass index

Sleep and nocturnal hypertension: Genes, environment, and individual profiles

Blood Pressure and Chronic Kidney Disease Progression: An Updated Review

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