Ambulatory blood pressure monitoring over 24 h: A Latin American Society of Hypertension position paper—accessibility, clinical use and cost effectiveness of ABPM in Latin America in year 2020

Sánchez, Ramiro; Boggia, José; Barroso, Weimar Sebba; Barbosa, Eduardo; Villar, Raúl; Cobos, Leonardo; Hernández, R.; López, J. E.; Octavio, José; Carrillo, José Z Parra; Ramiréz, Agustín J.; Parati, Gianfranco

doi:10.1111/jch.13816

Cited by 24 publications

(15 citation statements)

References 104 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Medidas domiciliares, monitorização ambulatorial da pressão arterial (MAPA) e monitorização residencial da pressão arterial (MRPA) têm trazido importantes informações complementares, embora ainda se considere a medida de PA de consultório como referência para o diagnóstico e a avaliação de eficácia do tratamento. 37,164,302 Nesse sentido, a recomendação da realização da MAPA vem sendo ampliada para a confirmação do diagnóstico de HA, com maior correlação de suas medidas com LOA e morbidade e mortalidade cardiovascular quando comparadas com as medidas casuais de PA. 303 Nessa mesma direção, diferentes padrões de HA, como a hipertensão mascarada, a hipertensão sistólica isolada e a ausência de descenso noturno ou mesmo aumento da PA durante o sono, também parecem conferir risco cardiovascular distinto. 304,305 Desse modo, as limitações apontadas devem ser levadas em consideração na individualização da estimativa de risco CV do paciente hipertenso na prática clínica.…”

Section: Desafios Na Avaliação Do Risco Cardiovascular Na Hipertensão Arterialunclassified

Diretrizes Brasileiras de Hipertensão Arterial – 2020

Barroso¹,

Rodrigues²,

Bortolotto³

et al. 2021

Arquivos Brasileiros De Cardiologia

Self Cite

648

202

View full text Add to dashboard Cite

show abstract

Section: Desafios Na Avaliação Do Risco Cardiovascular Na Hipertensão Arterialunclassified

Diretrizes Brasileiras de Hipertensão Arterial – 2020

Barroso¹,

Rodrigues²,

Bortolotto³

et al. 2021

Arquivos Brasileiros De Cardiologia

Self Cite

648

202

View full text Add to dashboard Cite

show abstract

“…[8][9][10] Since ABPM in all obese children involves technical and financial problems, it is very important to determine which obese child will undergo ABPM. 11 Unfortunately, there is no clear recommendation on this matter. The aim of our study is to especially detect MH by 24-hour BP measurement in obese adolescents and to evaluate the relationship of MH with metabolic syndrome parameters, anthropometric measurements and hepatosteatosis in these patients.…”

Section: Introductionmentioning

confidence: 99%

Is Office Blood Pressure Measurement Reliable in Obese Adolescents?

Tepe¹,

Yılmaz²

2021

DMSO

View full text Add to dashboard Cite

Background: Although it is not reflected in the OBP measurement in obese children, ambulatory BP changes are known to occur. MH, non-dipper pattern and nocturnal hypertension have been reported to increase in obese children. On the other hand, the factors that indicate a high risk of hypertension are still unclear. The aim of our study is to especially detect masked hypertension by 24-hour BP measurement in obese adolescents and to evaluate the relationship of masked hypertension with metabolic syndrome parameters, anthropometric measurements and hepatosteatosis in these patients. Methods: A total of 63 adolescents diagnosed with obesity were evaluated between January 2019 and December 2019. Office blood pressure was measured for all children, and all of them underwent ABPM. Patients with and without hypertension in ABPM were compared in terms of clinical and laboratory findings. Results: The mean age was 14.0 ± 1.7 years, females composed 49.2% of the study population. Office blood pressure measurement revealed hypertension in 4 (6.3%) patients and prehypertension in 15 (23.8%) patients. Thirteen patients (20.9%) were diagnosed with masked hypertension, white coat hypertension was diagnosed in 3 (4.7%) patients. Abnormal ABPM patterns were found to be significantly more frequent in patients with severely obesity (with obesity: 26.4% vs severe obesity: 55.6%, p = 0.03) and patients with a higher waist circumference and waist circumference/height ratio. Conclusion:The prevalence of masked hypertension in obese adolescents has been found to be quite high. Therefore, we recommend ABPM in adolescents with high waist circumference/height ratio and severe obesity, even if their office blood pressure measurements are normal.

show abstract

“…The method was considered to be reliable if >70% of measurements were valid. Our study was conducted in accordance with the recommendations of the main international clinical practice guidelines on ABPM, and patients completed a diary about their sleep quality [ 13 , 14 ].…”

Section: Methodsmentioning

confidence: 99%

Are Differences in Inflammatory Markers between Patients with and without Hypertension-Mediated Organ Damage Influenced by Circadian Blood Pressure Abnormalities?

Vazquez-Agra

Marques-Afonso

Cruces-Sande

et al. 2022

JCM

View full text Add to dashboard Cite

We aimed to explore the influence that the circadian blood pressure (BP) profile could exert on the correlation between some inflammatory markers and hypertension-mediated organ damage (HMOD). This was a cross-sectional study that included patients with primary arterial hypertension older than 18 years old. We included some parameters of 24 h ambulatory blood pressure monitoring collection and several inflammatory markers, as follows: platelet count (PTC), erythrocyte sedimentation rate (ESR), ultrasensitive C-reactive-protein, ferritin, fibrinogen, and uric acid. Myocardial hypertrophy, albuminuria, carotid intima-media thicknesses and ankle brachial index were assessed as HMOD presentations. Individuals were divided into two groups: patients with and without HMOD. We included 522 patients (47% women, mean age of 54 years). Multivariate logistic regression analysis showed that male patients older than 50 years old with uric acid levels above 7 mg/dL, ESR higher than 20 mm/h, fibrinogen greater than 320 mg/dL and PTC lower than 275 × 103/µL were associated with HMOD (p < 0.05). The circadian BP profile (dipper versus non-dipper pattern) did reach neither statistical significance nor influence the odds ratio of those inflammatory markers for HMOD. We found that differences in some inflammatory markers between patients with and without HMOD were not explained by a different circadian BP profile.

show abstract

Ambulatory blood pressure monitoring over 24 h: A Latin American Society of Hypertension position paper—accessibility, clinical use and cost effectiveness of ABPM in Latin America in year 2020

Cited by 24 publications

References 104 publications

Diretrizes Brasileiras de Hipertensão Arterial – 2020

Diretrizes Brasileiras de Hipertensão Arterial – 2020

Is Office Blood Pressure Measurement Reliable in Obese Adolescents?

Are Differences in Inflammatory Markers between Patients with and without Hypertension-Mediated Organ Damage Influenced by Circadian Blood Pressure Abnormalities?

Contact Info

Product

Resources

About