Cardiovascular prognosis of “masked hypertension” detected by blood pressure self-measurement in elderly treated hypertensive patients

Bobrie, Guillaume; Châtellier, Gilles; Genès, N

doi:10.1016/j.accreview.2004.04.039

Cited by 108 publications

(171 citation statements)

References 18 publications

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“…This has been shown in numerous studies using ambulatory BP measurements [11][12][13][14][15][16][17][18] and in several using self-monitoring of the BP. [18][19][20][21] In general, when there is a discrepancy between the office BP and the out-of-office BP, the risk follows the latter more closely. Thus, patients with white-coat hypertension (high office BP and normal out-of-office BP) are at relatively low risk, 17 while patients whose out-of-office BP is higher than anticipated from the office BP are at relatively high risk.…”

Section: Techniques Of Out-of-office Monitoringmentioning

confidence: 99%

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

Pickering¹,

White²

2008

J of Clinical Hypertension

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Section: Techniques Of Out-of-office Monitoringmentioning

confidence: 99%

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

Pickering¹,

White²

2008

J of Clinical Hypertension

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“…11,12 In the studies of clinic outpatients, MHT defined by HBP monitoring has also been associated with a higher risk of increased carotid intima-media thickness (CIMT) 13 and cardiovascular events. 14 Stergiou and coworkers 15 reported that HBP was interchangeable with ambulatory BP for diagnosing MHT in some patients, but the 2 modalities disagreed in others. Only limited data exist on the relationship between markers of hypertensive target organ damage and MHT diagnosed by ambulatory BP or HBP; Sega and coworkers 4 reported that patients with MHT diagnosed by both ambulatory BP and HBP monitoring had a greater left ventricular mass index (LVMI) than normotensive patients.…”

mentioning

confidence: 99%

Masked Hypertension Defined by Ambulatory Blood Pressure Monitoring Is Associated With an Increased Serum Glucose Level and Urinary Albumin‐Creatinine Ratio

Ishikawa

Hoshide

Eguchi

et al. 2010

J of Clinical Hypertension

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The authors evaluated the relationship of hypertensive target organ damage to masked hypertension assessed by ambulatory blood pressure (BP) and home blood pressure (HBP) monitoring in 129 participants without taking antihypertensive medication. Masked hypertension was defined as office BP ≤140/90 mm Hg and 24-hour ambulatory BP ≥130/80 mm Hg. The masked hypertensive participants defined by 24-hour ambulatory BP (n=13) had a higher serum glucose level (126 vs 96 mg/dL, P=.001) and urinary albumin-creatinine ratio (38.0 vs 7.5 mg/gCr, P<.001) than the normotensive participants (n=74); however, these relationships were not observed when the authors defined groups using HBP (≥135/85 mm Hg). Masked hypertension by both 24-hour ambulatory BP and HBP had a higher urinary albumin-creatinine ratio than normotension by both 24-hour ambulatory BP and HBP (62.1 vs 7.4 mg/gCr, P=.001), and than masked hypertension by HBP alone (9.3 mg/gCr, P=.009). Masked hypertension defined by 24-hour ambulatory BP is associated with an increased serum glucose level and urinary albumin-creatinine ratio, but these relationships are not observed in masked hypertension defined by HBP.

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“…The incidence of CV events was 11. 67 At least two systematic overviews evaluated the prognostic impact of masked hypertension. A metaanalysis of six cohort studies reporting quantitative data for CV prognosis showed an increased risk for CV events (HR 1.92; 95% CI 1.51-2.44) in people with masked hypertension compared with true normotensive individuals or subjects with controlled hypertension.…”

Section: Cardiovascular Outcome and Masked Hypertensionmentioning

confidence: 99%

Current approach to masked hypertension: From diagnosis to clinical management

James

2017

Clin Exp Pharma Physio

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The term 'masked hypertension phenomenon' was first described by the late Professor Thomas Pickering and is commonly defined as having a normal clinic blood pressure (BP) but an elevated 'out of office' reading. In the main, these elevated readings have been provided through ambulatory BP monitoring (ABPM), but sometimes home BP monitoring is used. It is now largely accepted that ABPM gives a better classification of risk than clinic BP. Thus, the elevated ABPM levels should relate to higher cardiovascular risk, and it follows that these people may be regarded as being genuinely hypertensive and at higher cardiovascular risk. The problem for clinical practice is how to identify and manage these individuals. The phenomenon should be suspected in individuals who have had an elevated clinic BP at some time, in young individuals with normal or normal-high clinic BP who have early left ventricular hypertrophy, in individuals with a family history of hypertension in both parents, patients with multiple risks for cardiovascular disease and perhaps diabetic patients. Masked hypertension appears to be more prevalent in individuals of male gender, with younger age, higher heart rate, obesity or high cholesterol levels and in smokers. Those with masked hypertension are at higher risk of events such as stroke and have a higher prevalence of target organ damage, for example, nephropathy. In conclusion, most of the debate around this topic relates to its reliable identification. Given the higher ambulatory mean blood pressure values there is an increased cardiovascular risk making this diagnosis important.

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Cardiovascular prognosis of “masked hypertension” detected by blood pressure self-measurement in elderly treated hypertensive patients

Cited by 108 publications

References 18 publications

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

Masked Hypertension Defined by Ambulatory Blood Pressure Monitoring Is Associated With an Increased Serum Glucose Level and Urinary Albumin‐Creatinine Ratio

Current approach to masked hypertension: From diagnosis to clinical management

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Cardiovascular prognosis of “masked hypertension” detected by blood pressure self-measurement in elderly treated hypertensive patients

Cited by 108 publications

References 18 publications

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

Masked Hypertension Defined by Ambulatory Blood Pressure Monitoring Is Associated With an Increased Serum Glucose Level and Urinary Albumin‐Creatinine Ratio

Current approach to masked hypertension: From diagnosis to clinical management

Contact Info

Product

Resources

About

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring

ASH Position Paper: Home and Ambulatory Blood Pressure Monitoring When and How to Use Self (Home) and Ambulatory Blood Pressure Monitoring