Conventional versus automated measurement of blood pressure in primary care patients with systolic hypertension: randomised parallel design controlled trial

Myers, Martin G.; Godwin, Marshall; Dawes, Martin; Kiss, Alexander; Tobe, Sheldon W.; Grant, F. Curry; Kaczorowski, Janusz

doi:10.1136/bmj.d286

Cited by 248 publications

(210 citation statements)

References 35 publications

Supporting

Mentioning

188

Contrasting

Unclassified

Order By: Relevance

“…These guidelines, however, do not mandate the 5‐minute period of rest that is specified in SPRINT14; therefore, the automated office BP recordings are not synonymous with measurements made in SPRINT. Nonetheless, recordings made using an automated device are often much lower than routine measurements,15, 16 and the agreement limits are wide 15. These findings are similar to what we reported in this study; however, in contrast to the observation that the automated office BP recording is similar to daytime ambulatory BP,17 we noted that the research‐grade BP was substantially lower than daytime ambulatory BP with wide agreement limits.…”

Section: Discussionsupporting

confidence: 86%

Implications of Blood Pressure Measurement Technique for Implementation of Systolic Blood Pressure Intervention Trial (SPRINT)

Agarwal

2017

JAHA

114

View full text Add to dashboard Cite

BackgroundCardiovascular morbidity and mortality was reduced by 25% when blood pressure (BP) was targeted to 120 mm Hg systolic compared with 140 mm Hg systolic in Systolic Blood Pressure Intervention Trial (SPRINT); however, BP was measured using a research technique. SPRINT specified 5 minutes of seated rest in a quiet room followed by 3 oscillometric measurements without an observer in the room. The relationship of this research‐grade methodology to routine BP measurements is not known.Methods and ResultsAmong 275 people with chronic kidney disease who had BP <140/90 mm Hg when they came to the clinic, we measured BP as in SPRINT and recorded BP on the same day without specification of seated rest. Compared with routine measurement, the research‐grade systolic BP was 12.7 mm Hg lower with wide limits of agreement (−46.1 to 20.7 mm Hg). Research grade systolic BP was 7.9 mm Hg lower than daytime ambulatory systolic BP and had wide agreement limits (−33.2 to 17.4 mm Hg). Whereas the routine, research‐grade, and daytime ambulatory systolic BP were all related to echocardiographic left ventricular hypertrophy, the strength of the relationship between research‐grade and daytime ambulatory systolic BP to left ventricular hypertrophy was similar and stronger than the strength of the relationship between routine systolic BP and left ventricular hypertrophy.ConclusionsTaken together, these results suggest that translation of the SPRINT results will require measurement of BP as performed in that trial. Instead of an algebraic manipulation of routine clinic measurements, the SPRINT methodology of BP measurement would be needed at minimum if implementation of the SPRINT results were to be deployed in the population at large.

show abstract

Section: Discussionsupporting

confidence: 86%

Implications of Blood Pressure Measurement Technique for Implementation of Systolic Blood Pressure Intervention Trial (SPRINT)

Agarwal

2017

JAHA

114

View full text Add to dashboard Cite

show abstract

“…Second, there is a difference in blood pressure recording methods between the 2 cohorts. Prior literature suggests that an automated blood pressure device may systematically underestimate blood pressure 37. If the automated measurement method of the CHARLS cohort has led to systematically lower blood pressure recordings, then the higher blood pressure in China compared with the United States may have been underestimated.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Prevalence, Awareness, Treatment, and Control of Cardiovascular Risk Factors in China and the United States

Pei²,

Zhou

et al. 2018

JAHA

133

View full text Add to dashboard Cite

BackgroundThe reasons for China's high stroke prevalence are not well understood. The cardiovascular risk factor profiles of China and the United States have not been directly compared in nationally representative population samples.Methods and ResultsUsing data from the CHARLS (China Health and Retirement Longitudinal Study) and the NHANES (US National Health and Nutrition Examination Survey), we compared cardiovascular risk factors from 2011 to 2012 among people aged 45 to 75 years between the 2 countries (China, 12 654 people; United States, 2607 people): blood pressure, cholesterol, body mass index, waist circumference, fasting plasma glucose, hemoglobin A1c, and high‐sensitivity C‐reactive protein. Compared with the United States, China had a lower prevalence of hypertension but a higher mean blood pressure and a higher proportion of patients with severe hypertension (≥160/100 mm Hg) (10.5% versus 4.5%). China had substantially lower rates of hypertension treatment (46.8% versus 77.9%) and control (20.3% versus 54.7%). Dyslipidemia was less common in China, but lipid levels were not significantly different because dyslipidemia awareness and control rates in China were 3‐ and 7‐fold lower than US rates, respectively. High‐sensitivity C‐reactive protein, body mass index, and waist circumference were significantly lower in China than in the United States. Clustering of hypertension with other cardiovascular risk factors was more common in China.ConclusionsHypertension is more common in the United States, but blood pressure levels are higher in China, which may be responsible for China's high stroke prevalence. The low rates of awareness, treatment, and control of hypertension provide an exceptional opportunity for China to reduce risk in its population.

show abstract

“…22 Small differences in the BP greatly impact on the development of hypertension complications, mainly as this is a highly prevalent public health hazard. 2,23 A systematic review, followed by a recent meta-analysis, has shown that HBPM counters clinical inertia, leading the physician to more strictly seek the therapeutic goal, resulting in better BP control.…”

Section: Discussionmentioning

confidence: 99%

Similaridade entre os valores da pressão arterial aferida pelo método auscultatório com aparelho de coluna de mercúrio e o método oscilométrico automático com aparelho digital

Pavan¹,

Saura²,

Korkes³

et al. 2012

J. Bras. Nefrol.

View full text Add to dashboard Cite

Conventional versus automated measurement of blood pressure in primary care patients with systolic hypertension: randomised parallel design controlled trial

Cited by 248 publications

References 35 publications

Implications of Blood Pressure Measurement Technique for Implementation of Systolic Blood Pressure Intervention Trial (SPRINT)

Implications of Blood Pressure Measurement Technique for Implementation of Systolic Blood Pressure Intervention Trial (SPRINT)

Comparison of Prevalence, Awareness, Treatment, and Control of Cardiovascular Risk Factors in China and the United States

Similaridade entre os valores da pressão arterial aferida pelo método auscultatório com aparelho de coluna de mercúrio e o método oscilométrico automático com aparelho digital

Contact Info

Product

Resources

About