Ambulatory Blood Pressure Monitoring

Abdalla, Marwah

doi:10.1016/j.ccl.2016.08.012

Cited by 8 publications

(5 citation statements)

References 74 publications

(66 reference statements)

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“…Hypertension, a common chronic condition that affects up to 40% of human adults,1–3 is a major risk factor for stroke, heart attack, and other vascular as well as renal and metabolic diseases 2,4–7. Hypertension, which is associated with target organ damage (TOD),8 is a serious cause of cardiovascular and cerebrovascular diseases 9. As the body ages, blood pressure (BP) tends to increase in both men and women 10–14.…”

Section: Introductionmentioning

confidence: 99%

<p>The potential role of testosterone in hypertension and target organ damage in hypertensive postmenopausal women</p>

Li¹,

Ma²,

Wang³

et al. 2019

CIA

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Objective: The aim of this study was to confirm the potential role of testosterone in hypertension and target organ damage (TOD) in hypertensive postmenopausal women. Methods: A matched group study was conducted. One hundred sixty-one hypertensive postmenopausal women between 45 and 65 years of age were enrolled as group 1. Another 161 age-matched hypertensive men were enrolled as group 2. Ambulatory blood pressure monitoring, echocardiographic imaging, vascular function, sex hormones and clinical characteristics were evaluated. Quantitative data were analyzed using independent Student’s t -test and multiple regression analysis. Results: The mean and load level of blood pressure were lower in women than in men ( P <0.05), except for the mean level and load of the nocturnal systolic blood pressure (SBP) (123.77±15.72 mmHg vs 126.35±15.64 mmHg, and 50.43±30.31% vs 55.35±28.51%, P >0.05). However, the carotid-femoral pulse wave velocity (cf-PWV) in women was higher than that in men (9.68±2.23 m/s vs 8.03±2.82 m/s, P <0.05). The ratio of the early diastolic mitral peak flow velocity to early diastolic mitral annular velocity (E/Em) was obviously impaired (13.06±3.53 vs 12.05±3.68, P <0.05) in women. Furthermore, in women, a positive correlation was found between testosterone and cf-PWV (γ=0.157, P =0.046), and Cf-PWV was positively related to the mean level of nighttime SBP (γ=0.210, P =0.008). Moreover, nocturnal SBP was a risk factor for E/Em (γ=0.156, P =0.048, P <0.05). Conclusion: Testosterone may play a role in the correlation between hypertension and TOD in hypertensive postmenopausal women. Clinical Trial number: This research study was registered under the ClinicalTrials.gov PRS Website (NCT03451747).

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Section: Introductionmentioning

confidence: 99%

<p>The potential role of testosterone in hypertension and target organ damage in hypertensive postmenopausal women</p>

Li¹,

Ma²,

Wang³

et al. 2019

CIA

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“…Ambulatory blood pressure measurement (ABPM) and home BP monitoring, which measures out of clinic BP, are alternative methods for measurement of BPs [ 1 , 4 - 7 ]. ABPM can be of diagnostic as well as therapeutic value in the clinical practice [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite this, ABPM is overall underutilized in low- and middle-income countries. If used, it can be a very useful complimentary method to office-based evaluation to aid in better diagnosis and therefore better management [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Considering these limitations, misclassification of BP status based on the reading taken in the office settings is not uncommon [1]. Ambulatory blood pressure measurement (ABPM) and home BP monitoring, which measures out of clinic BP, are alternative methods for measurement of BPs [1,[4][5][6][7]. ABPM can be of diagnostic as well as therapeutic value in the clinical practice [1].…”

Section: Introductionmentioning

confidence: 99%

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Ambulatory Blood Pressure Monitoring: Our Experience in Routine Clinical Practice

Dube

Dube²,

Damle

et al. 2021

Cureus

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Objective: To evaluate feasibility and usefulness of ambulatory blood pressure monitoring (ABPM) in outpatient setting. Material and methods: In this prospective study, data of 58 patients who were evaluated with ABPM for diagnosis or therapeutic efficacy purpose were collected from their records. Demographic details of these were recorded. Patients were categorized into different categories based on 24 hours BP pattern. Dipping pattern was compared based on the gender, age, and presence of diabetes or hypertension. Number of patients diagnosed as hypertensive with ABPM reports was compared with office and home BP measurement. Results: Fifty-eight patients (mean age 57.8 years; 70.69% males) were included of whom 22 (37.93%) underwent ABPM for diagnostic purposes. There was gender-wise significant difference in terms of purpose of performing ABPM (p=0.040). Diabetes was present in 22 (37.93%) patients. Out of 36 known hypertensive patients, 17 (47.22%) patients were receiving dual therapy. Out of 45 patients whose records for active BP variability were available, 26 (57.78%) had high variability. The number and percentage of dippers, extreme dippers and reverse dippers as 23 (42.79%), three (5.56%), and six (11.11%), respectively. Depending on the age, there was significant difference in the dipping pattern (p=0.013). On office blood pressure measurement, 35 (64.81%) patients were found to have hypertension. ABPM revealed hypertension in 32 (59.26%). Masked hypertension and white-coat hypertension was observed in nine (16.17%) and 12 (22.22%) patients, respectively. Conclusion: ABPM is feasible and useful in routine outpatient clinical practice for diagnosis of essential hypertension, pattern of dipping, masked hypertension, and white-coat hypertension and also for the therapeutic evaluation of patients in clinical practice.

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“…The diagnosis of hypertension, based on out-of-clinic blood pressure monitoring, can be useful to assist the patient in the context of primary care in low- and middle-income countries. In addition, out-of-clinic blood pressure monitoring offers an earlier estimate of NCD complications compared to clinic blood pressure measurement [ 4 , 5 ]. Thus, we aimed to investigate the relationship between out-of-clinic high blood pressure and chronic disease-associated adiposity indicators in practitioners of leisure physical activity in public parks.…”

Section: Introductionmentioning

confidence: 99%

High out-of-clinic blood pressure is associated with adiposity indicators in leisure physical activity practitioners in Midwest Brazil

et al. 2018

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BackgroundSeveral diseases, such as obesity, hypertension and type 2 diabetes are frequently associated with metabolic abnormalities, high costs of healthcare and morbi-mortality; thus the aim of this study was to investigate the relationship between out-of-clinic high blood pressure and chronic disease-associated adiposity indicators in practitioners of leisure physical activity.MethodsA cross-sectional study with 414 subjects of both genders aged 24–65 years. Data were collected by trained interviewers in five public parks. Body Mass Index (BMI), triceps skinfold and waist circumference (WC) were evaluated. Exercise training, smoking status, alcohol consumption and hypertension diagnosis were self-reported. Casual glycemia concentrations were collected and blood pressure was measured out-of-clinic once during the study. Participants with systolic ≥140 mmHg and diastolic ≥90 mmHg blood pressures were classified as high blood pressure. All analyses were adjusted for age and sex.ResultsHigh-blood pressure was diagnosed in 31.4% (n = 130), but 34 (8.3%) from patients took medication anti-hypertensive and were previously hypertension diagnosed. Participants with high blood pressure had a higher BMI (25.66 vs. 26.87 kg/m2; p = 0.012), WC (90.92 vs. 95.02 cm; p = 0.001), and systolic and diastolic blood pressure (p < 0.0001) when compared to subjects with normal blood pressure. Logistic regression analysis revealed that overweight status assessed by BMI, triceps skinfold and WC increases the high blood pressure probability by approximately 1.61 (95 CI%: 1.06–2.45), 1.02 (95%CI: 1.01–1.05) and 1.61 (95%CI: 1.06–2.45), respectively.ConclusionsAdiposity indicators are associated with high out-of-clinic blood pressure measured in practitioners of leisure physical activity.

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Ambulatory Blood Pressure Monitoring

Cited by 8 publications

References 74 publications

<p>The potential role of testosterone in hypertension and target organ damage in hypertensive postmenopausal women</p>

<p>The potential role of testosterone in hypertension and target organ damage in hypertensive postmenopausal women</p>

Ambulatory Blood Pressure Monitoring: Our Experience in Routine Clinical Practice

High out-of-clinic blood pressure is associated with adiposity indicators in leisure physical activity practitioners in Midwest Brazil

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