Ambulatory blood pressure monitoring: is the daytime period enough for making clinical decisions?

Suárez, Carmen; Arco, Carmen del; García-Polo, Iluminada

doi:10.1097/00126097-200312000-00008

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…In this study, we defined essential hypertension as mean daytime systolic BP index ≥1.0. Several studies showed that daytime and 24-h average BP may indeed carry similar information for diagnosing hypertension in clinical practice [ 17 , 18 ]. Furthermore, night time BP measured by ABPM device may not always reflect night dip accurately because many patients are disturbed in their sleep with ABPM devices.…”

Section: Discussionmentioning

confidence: 99%

Left ventricular hypertrophy and diastolic function in children and adolescents with essential hypertension

et al. 2015

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IntroductionLeft ventricular hypertrophy and diastolic dysfunction in children and adolescents with essential hypertension tend to be underdiagnosed. The aims of this study were to investigate left ventricular hypertrophy and diastolic dysfunction in the subjects with essential hypertension defined by ambulatory blood pressure monitoring.MethodsA total of 38 Korean subjects aged 9–19 years without secondary causes of hypertension were reviewed. Ambulatory blood pressure monitoring was done in the 38 subjects to diagnose hypertension and gain the information of blood pressure pattern. The subjects were divided into two groups: a group with elevated blood pressure (BP) index (n = 29) and a group with normal BP index (n = 9). Two-dimensional ultrasound with M-mode imaging and tissue Doppler imaging were performed to measure left ventricular mass index and to assess the left ventricular diastolic dysfunction.ResultsLeft ventricular mass index(g/m2.7) was significantly higher in the group with elevated BP index than the group with normal BP index, but there were no differences in left ventricular diastolic dysfunction evaluated by E/A ratio and E/E’ ratio. Left ventricular mass index was related only with body mass index, while any of the ambulatory blood pressure monitoring parameters did not predict left ventricular hypertrophy. In terms of diastolic dysfunction in essential hypertension, E/E’ ratio in the subjects with left ventricular hypertrophy was higher than that in the other subjects without left ventricular hypertrophy.DiscussionLeft ventricular mass index is significantly correlated with body mass index in children and adolescents with essential hypertension, and the diastolic dysfunction could be in higher risk in subjects with left ventricular hypertrophy.

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Section: Discussionmentioning

confidence: 99%

Left ventricular hypertrophy and diastolic function in children and adolescents with essential hypertension

et al. 2015

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“…Compared with 24-h ABPM, D-ABPM only needs to be monitored during the daytime and may be better accepted by patients. D-ABPM can distinguish between low- and high-risk patients with hypertension and is a better predictor of cardiovascular and cerebrovascular disease prognostication than screening BP [ 23 – 26 ].…”

Section: Introductionmentioning

confidence: 99%

The overestimated prevalence of hypertension in a population survey: a cross-sectional study from Hebei province, China

Geng

Zhou

Gao³

et al. 2022

BMC Cardiovasc Disord

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Objective Currently, the prevalence of hypertension is mainly ascertained using a one-visit population survey, which may lead to overestimation. The purpose of this study was to assess the accuracy of hypertension prevalence determined by a one-visit population survey. Methods For this cross-sectional study, we continuously enrolled 1116 volunteers without a hypertension history in Hebei province from January 2018 to December 2019. The study population included 511 (45.80%) males and 605 (54.20%) females with a mean age of 48 years. The hypertension prevalence was assessed using two methods: one-visit screening and daytime ambulatory blood pressure (BP) monitoring. We directly compared the performances of daytime ambulatory BP monitoring and one-visit screening in the same group of subjects. In addition, we explored possible thresholds to improve the detection of hypertension. Results During the one-visit survey, the mean BP value was about 8 mmHg higher than that determined by daytime ambulatory BP monitoring. The prevalence of hypertension was 29.84% and 14.07% during the one-visit and daytime multiple visit surveys, respectively. The risk factors for overestimated hypertension were female sex, body mass index < 24.00 kg/m2, and diastolic BP of 100 mmHg. The positive predictive value of the one-visit population survey for diagnosing hypertension was 36.34%. Furthermore, receiver operating characteristic analysis showed that in males, the best diagnostic threshold for hypertension diagnosis was 148/96 mmHg. Conclusion The hypertension prevalence was likely overestimated by 2-fold in the one-visit survey group compared to the daytime ambulatory BP monitoring group. Thus, the threshold for one-visit BP screening should be raised to 148/96 mmHg to improve the accuracy of hypertension diagnosis.

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Ambulatory blood pressure monitoring: is the daytime period enough for making clinical decisions?

Cited by 2 publications

References 9 publications

Left ventricular hypertrophy and diastolic function in children and adolescents with essential hypertension

Left ventricular hypertrophy and diastolic function in children and adolescents with essential hypertension

The overestimated prevalence of hypertension in a population survey: a cross-sectional study from Hebei province, China

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