Do Older People Tolerate Ambulatory Blood Pressure Monitoring?

Greevy, C Mc; Mulrooney, Jane B.; O'Keeffe, S; Mulkerrin, E.

doi:10.1111/j.1532-5415.2004.52479_4.x

Cited by 3 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although not universally accepted, this could save costs since the extra expenditures from ABPM are offset by cost savings from better targeted treatment . Furthermore, ABPM is well tolerated by patients, including the elderly . Likewise, given these and other advantages of ABPM, some authors have proposed that the US Centers for Disease Control and Prevention include ABPM in the NHANES and that the US Food and Drug Administration require the use of ABPM as the gold standard for recording BP in randomized clinical trials .…”

Section: Discussionmentioning

confidence: 99%

“…40 Furthermore, ABPM is well tolerated by patients, including the elderly. 41,42 Likewise, given these and other advantages of ABPM, some authors have proposed that the US Centers for Disease Control and Prevention include ABPM in the NHANES and that the US Food and Drug Administration require the use of ABPM as the gold standard for recording BP in randomized clinical trials. 43 Yet, it is well known that ABPM is not available to most patients with hypertension and wonder whether it will not take a medicolegal challenge to make the technique universally available.…”

Section: Discordance Between Casual and Ambulatory Bp: Clinical And Pmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Ambulatory Blood Pressure Monitoring on Reclassification of Hypertension Prevalence and Control in Older People in Spain

Banegas

Cruz

Graciani

et al. 2015

J of Clinical Hypertension

View full text Add to dashboard Cite

Ambulatory blood pressure monitoring (ABPM) accurately classifies blood pressure (BP) status but its impact on the prevalence and control of hypertension is little known. The authors conducted a cross-sectional study in 2012 among 1047 individuals 60 years and older from the follow-up of a population cohort in Spain. Three casual BP measurements and 24-hour ABPM were performed under standardized conditions. Approximately 68.8% patients were hypertensive based on casual BP (≥140/90 mm Hg or current BP medication use) and 62.1% based on 24-hour ABPM (≥130/ 80 mm Hg or current BP medication use) (P=.009). The proportion of patients with treatment-eligible hypertension who met BP goals increased from 37.4% based on the casual BP target to 54.1% based on the 24-hour BP target (absolute difference, 16.7%; P<.01). These results were consistent across alternative BP thresholds. Therefore, compared with casual BP, 24-hour ABPM led to a reduction in the proportion of older patients recommended for hypertension treatment and a substantial increase in the proportion of those with hypertension control. J Clin Hypertens (Greenwich). 2015;17:453-461. ª 2015 Wiley Periodicals, Inc.High blood pressure (BP) poses a serious cardiovascular risk to the individual and a burden to the population.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discordance Between Casual and Ambulatory Bp: Clinical And Pmentioning

confidence: 99%

Impact of Ambulatory Blood Pressure Monitoring on Reclassification of Hypertension Prevalence and Control in Older People in Spain

Banegas

Cruz

Graciani

et al. 2015

J of Clinical Hypertension

View full text Add to dashboard Cite

show abstract

“…High blood pressure (BP) is a major risk factor for dementia, and heart and renal failure [ 3 ] and in patients aged 50 + years, systolic BP (SBP) is a better predictor of CVD events than diastolic BP [ 4 , 5 ]. In addition, ambulatory BP monitoring (ABPM) in everyday life and self-measured BP monitoring (SBPM)—the most accurate and comprehensive ways to measure BP- are stronger predictors of CVD and total mortality than office BP [ 6 , 7 ], with the added advantage of ABPM of measuring BP during the night and nonetheless being well accepted by patients, including older people [ 8 ]. Additionally, heart rate (HR) is associated with atherosclerosis and functional decline in older adults [ 9 ] and, together with nighttime-SBP and nocturnal-SBP dipping, predict CVD events [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Mediterranean lifestyle index and 24-h systolic blood pressure and heart rate in community-dwelling older adults

et al. 2023

View full text Add to dashboard Cite

Specific foods, nutrients, dietary patterns, and physical activity are associated with lower blood pressure (BP) and heart rate (HR), but little is known about the joint effect of lifestyle factors captured in a multidimensional score. We assessed the association of a validated Mediterranean-lifestyle (MEDLIFE) index with 24-h-ambulatory BP and HR in everyday life among community-living older adults. Data were taken from 2,184 individuals (51% females, mean age: 71.4 years) from the Seniors-ENRICA-2 cohort. The MEDLIFE index consisted of 29 items arranged in three blocks: 1) Food consumption; 2) Dietary habits; and 3) Physical activity, rest, and conviviality. A higher MEDLIFE score (0–29 points) represented a better Mediterranean lifestyle adherence. 24-h-ambulatory BP and HR were obtained with validated oscillometric devices. Analyses were performed with linear regression adjusted for the main confounders. The MEDLIFE-highest quintile (vs Q1) was associated with lower nighttime systolic BP (SBP) (-3.17 mmHg [95% CI: -5.25, -1.08]; p-trend = 0.011), greater nocturnal-SBP fall (1.67% [0.51, 2.83]; p-trend = 0.052), and lower HR (-2.04 bpm [daytime], -2.33 bpm [nighttime], and -1.93 bpm [24-h]; all p-trend < 0.001). Results were similar for each of the three blocks of MEDLIFE and by hypertension status (yes/no). Among older adults, higher adherence to MEDLIFE was associated with lower nighttime SBP, greater nocturnal-SBP fall, and lower HR in their everyday life. These results suggest a synergistic BP-related protection from the components of the Mediterranean lifestyle. Future studies should determine whether these results replicate in older adults from other Mediterranean and non-Mediterranean countries.

show abstract

Ambulatory Blood Pressure in Older Patients

Prisant

Fall

Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

View full text Add to dashboard Cite

Do Older People Tolerate Ambulatory Blood Pressure Monitoring?

Cited by 3 publications

References 10 publications

Impact of Ambulatory Blood Pressure Monitoring on Reclassification of Hypertension Prevalence and Control in Older People in Spain

Impact of Ambulatory Blood Pressure Monitoring on Reclassification of Hypertension Prevalence and Control in Older People in Spain

Mediterranean lifestyle index and 24-h systolic blood pressure and heart rate in community-dwelling older adults

Ambulatory Blood Pressure in Older Patients

Contact Info

Product

Resources

About