Ambulatory blood pressure monitoring in daily practice

Kinsara, Abdulhalim Jamal

doi:10.1016/j.ihj.2017.09.223

Cited by 19 publications

(14 citation statements)

References 20 publications

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“…Such a SBP decrease of 8.5 mmHg is better than any result obtained by this meta‐analysis. Thus, perhaps walnut intake can be an adjuvant dietary tool in the control of hypertension but, ideally, further long‐term investigations are imperative, particularly encompassing patients with hypertension and using 24‐hr ambulatory BP monitoring, since it is the gold standard for diagnosing this disease (Kinsara, 2017).…”

Section: Discussionmentioning

confidence: 99%

Effects of walnut intake on blood pressure: A systematic review and meta‐analysis of randomized controlled trials

Jiang

Santos

et al. 2020

Phytotherapy Research

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The impact of walnuts on blood pressure (BP) is not a well-established fact. Although several studies have assessed the effects of walnut consumption on BP, results are conflicting. Thus, we examined the effects of walnut doses and length of supplementation on BP. Biomedical databases were searched for published trials that compared walnutenhanced diet to control diet. Eighteen trials met eligibility criteria (n = 1,799). Overall, walnut consumption neither did alter SBP (weighted mean difference [WMD]: 0.08 mmHg; 95% CI: −0.69, 0.85) nor DBP (WMD: 0.08 CI: −0.26, 0.42). In subgroup analyses, walnut ingestion ≤40 g was statistically correlated with reduction in SBP (WMD: −0.53 mmHg, 95% CI: −0.79, −0.26) and DBP (WMD: −0.191 mmHg, 95% CI: −0.384, −0.034). Moreover, the length of intervention ≥8 weeks was linked to a significant reduction in SBP (WMD: −1.18 mmHg, 95% CI: −1.30, −1.06). Following dose-response evaluation, walnut intake significantly changed SBP (p = .015) and DBP (p = .026) through a nonlinear fashion at walnut dose up to 40 g/d. Nevertheless, these statistical results cannot be translated into clinical practice, once the changes expressed as WMD are slight taking into consideration the absolute values of BP categories. In conclusion, this metaanalysis does not support walnut consumption as a BP-lowering strategy. K E Y W O R D S blood pressure, cardiovascular risk, diastolic blood pressure, meta-analysis, systolic blood pressure, walnut 1 | INTRODUCTION Hypertension or high blood pressure (BP) is a key modifiable risk factor for cardiovascular diseases (CVD), hence being the main cause of global morbidity and mortality (Bochud, Marques-Vidal, Burnier, &

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Section: Discussionmentioning

confidence: 99%

Effects of walnut intake on blood pressure: A systematic review and meta‐analysis of randomized controlled trials

Jiang

Santos

et al. 2020

Phytotherapy Research

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“…Ambulatory BP has been known to help start treatment of hypertension in patients with differential cardiovascular risks, 4 which may include low-risk patients with white coat hypertension, or with high risk, including sustained hypertensive patients. Other indications might include screening for obstructive sleep apnoea, and in patients with postprandial heart rate variability and hypotensive symptoms, to rule out autonomic malfunction 21 . Genetic syndromes such as neurofibromatosis type 1, Turner syndrome and Williams syndrome, which may have underlying renal artery stenosis and/or aortic coarctation 13 .…”

Section: Ambulatory Bp In Clinical Practicementioning

confidence: 99%

Ambulatory blood pressure monitoring in clinical practice

Dadlani

Madan

Sawhney

2019

Indian Heart Journal

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Being one of the most widely prevalent diseases throughout the world, hypertension has emerged as one of the leading causes of global premature morbidity and mortality. Hence, blood pressure (BP) measurements are essential for physicians in the diagnosis and management of hypertension. Current American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend initiating antihypertensive medications on the basis of office BP readings. However, office BP readings provide a snapshot evaluation of the patient's BP, which might not reflect patient's true BP, with the possibility of being falsely elevated or falsely low. Recently, there is ample evidence to show that ambulatory blood pressure monitoring (ABPM) is a better predictor of major cardiovascular events than BP measurements at clinic settings. ABPM helps in reducing the number of possible false readings, along with the added benefit of understanding the dynamic variability of BP. This article will focus on the significance of ambulatory BP, its advantages and limitations compared with the standard office BP measurement and a brief outlook on its use and interpretation to diagnose and treat hypertension.

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“…Ambulatory blood pressure monitoring which can present the fluctuation of blood pressure acts as a practical and cost-effective way for diagnosis, treatment, prognosis, and research of hypertension and is considered to be an ideal method to diagnose hypertension, estimate outcomes of therapy, and diagnose impairment of target organs [8]. Protein array is a high-throughput analysis technology which is deemed to serve as a convenient and reliable tool in analyzing protein expression profiles and allows for simultaneous investigations of thousands of targets in a single experiment.…”

Section: Introductionmentioning

confidence: 99%

Pathogenesis of Higher Blood Pressure and Worse Renal Function in Salt-Sensitive Hypertension

Chu¹,

Zhou²,

Lu³

et al. 2021

Kidney Blood Press Res

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Background: The underlying pathogenesis of patients with salt-sensitive hypertension expressing higher blood pressure and severer renal damage remains uncertain. Methods: We recruited 329 subjects, 131 in salt-sensitive (SS) group, 148 in nonsalt-sensitive (NSS) group, and 50 healthy people in normal group and tested their renal function, 24-h ambulatory blood pressure, and growth factor series. Results: The SS group showed worse renal function with lower estimated glomerular filtration rate and higher urinary microalbumin, α-microglobulin, urinary protein Cr ratio, and urinary immunoglobulin. Most indicators in 24-h ambulatory blood pressure of the SS group were significantly enhanced than the NSS group, indicating their higher blood pressure. The significantly elevated growth factors in the SS group were AR, BMP-5, EG-VEGF, GH, HGF, IGFBP-2, IGFBP-3, IGFBP-6, MCSFR, NT-4, PDGF-AA, SCF, SCFR, VEGFR2, VEGFR3, and VEGF-D, compared to other 2 groups or one of them. PI3K-AKT pathway was activated in the SS group. Conclusions: Differences in growth factors and pathways may account for the manifestations of the SS group. Activated PI3K-AKT pathway with higher IGFBP-3 and GH can lead to renal damage. Higher MCSFR in the SS group indicates that high blood pressure and severe kidney damage may be associated with the activation of the immune system. EG-VEGF, VEGFR2, VEGFR3, and VEGF-D can also explain the elevated blood pressure due to the dilated lymphatic system which drains excess sodium and water back into circulation. The SS group presented higher AR and HGF which may worsen renal function by regulating cell proliferation and tumor formation. However, due to the potential low awareness rate of hypertension at the very beginning, we cannot ensure the exact occurrence order of blood pressure, renal damage, and salt sensitivity. Therefore, further studies which can track data from the onset of hypertension are needed.

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Ambulatory blood pressure monitoring in daily practice

Abstract: Ambulatory blood pressure monitoring is a useful diagnostic tool that still underutilized by community physicians. It is a cost effective, diagnostic and prognostic tool that had been emphasized by the guidelines.

Cited by 19 publications

References 20 publications

Effects of walnut intake on blood pressure: A systematic review and meta‐analysis of randomized controlled trials

Effects of walnut intake on blood pressure: A systematic review and meta‐analysis of randomized controlled trials

Ambulatory blood pressure monitoring in clinical practice

Pathogenesis of Higher Blood Pressure and Worse Renal Function in Salt-Sensitive Hypertension

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