Effect of antihypertensive treatment on office and self-measured blood pressure: The Autodil Study

Leeman, Marc; Lins, Robert; Sternon, J; Huberlant, B.C.; Fassotte, C.E.

doi:10.1038/sj.jhh.1001068

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…In 6 articles 121617, 253541 , the effects of calcium channel blockers (taken in the morning) on the reduction of CBP and HBP were 17.5 ± 0.10 / 12.4 ± 0.13 mmHg and 14.1 ± 0.07 / 9.1 ± 0.08 mmHg, and the differences between clinic and home BP were 3.3 mmHg (95%CI 3.1 to 3.5 mmHg, P<0.001) for systolic and 3.0 mmHg (95%CI 2.8 to 3.3 mmHg). The BP reductions corrected for the level of BPs by using the Oldham's correction were 11.4 % for clinic systolic BP, 13.5 % for clinic diastolic BP, 9.5 % for home systolic BP, and 10.2 % for home diastolic BP.…”

Section: Resultsmentioning

confidence: 99%

“…12-15, 18, 20, 23, 25, 30, 37, 38, 40, 41 We also evaluated the changes in clinic, morning, and evening BP depending on whether the antihypertensive medication was taken in the morning 12-15, 18, 20, 23, 25, 30, 41 or in the evening. 12, 37, 38, 40 The effects of different antihypertensive drug classes on the changes in clinic and home BP (using morning dosing) were evaluated for calcium channel blockers (6 studies), 12, 16, 17, 25, 35, 37 angiotensin converting enzyme inhibitors (5 studies), 13, 14, 18, 21, 22 and angiotensin II receptor blockers (7 studies). 18, 20-22, 24, 33, 41 Finally, we were able to compare the reductions of home BP with those of 24-hr BP in 7 articles 18, 20, 22, 25, 26, 32, 39 , and with daytime BP and nighttime BP in 5 articles.…”

Section: Methodsmentioning

confidence: 99%

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Changes in Home Versus Clinic Blood Pressure With Antihypertensive Treatments

et al. 2008

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Home blood pressure (HBP) monitoring is recommended for assessing the effects of antihypertensive treatment, but it is not clear how the treatment-induced changes in HBP compare with the changes in clinic BP (CBP). We searched PubMed using the terms “home or self-measured blood pressure,” and selected articles in which the changes in CBP and HBP (using the upper arm oscillometric method) induced by antihypertensive drugs were presented. We performed a systematic review of 30 articles published before March 2008 that included a total of 6794 subjects. As there was significant heterogeneity in most of the outcomes, a random effects model was used for the meta-analyses. The mean changes (± standard error) in CBP and HBP (systolic/diastolic) were -15.2±0.03/-10.3±0.03 mmHg and -12.2±0.04/-8.0±0.04 mmHg respectively, although there were wide varieties of differences in the reduction between HBP and CBP. The reductions in CBP were correlated with those of HBP (systolic BP; r=0.66, B=0.48, diastolic BP; r=0.71, B=0.52, P<0.001). In 7 studies that also included 24-hour BP monitoring, the reduction of HBP was greater than that of 24-hr BP in systolic (HBP; -12.6±0.06 mmHg, 24-hr BP; -11.9±0.04 mmHg, P<0.001). In 5 studies that included daytime and nighttime systolic BP separately, HBP decreased 15% more than daytime ambulatory BP and 30% more than nighttime ambulatory BP. In conclusion, HBP falls about 20% less than CBP with antihypertensive treatments. Daytime systolic BP falls 15% less and nighttime systolic BP falls 30% less than home systolic BP.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Changes in Home Versus Clinic Blood Pressure With Antihypertensive Treatments

et al. 2008

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“…Self-monitoring involves providing participants with automated sphygmomanometers and asking them to measure and record heart rate and blood pressure at specified points over the day and evening. Cardiovascular self-monitoring preceded the development of ambulatory recording apparatus and has been used in a range of clinical and research settings (Julius et al, 1974; Leeman, Lins, Sternon, Huberlant, & Fassotte, 2000; Nesbitt et al, 1997). Blood pressure self-monitoring is increasingly common among patients with hypertension and is recommended as an aid to effective blood pressure control (White et al, 1999).…”

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confidence: 99%

Social support at work, heart rate, and cortisol: A self-monitoring study.

Evans

Steptoe²

2001

Journal of Occupational Health Psychology

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This study assessed the influence of work social support on self-monitored heart rate, blood pressure, and salivary cortisol recorded on 3 work days and 2 leisure days from 61 nurses and 32 accountants (40 men, 53 women). Heart rate and blood pressure were higher during the day at work than in the evening or on leisure days. Cortisol was higher on leisure than work days and was lower in the evening than in the day. Low social support at work was associated with elevated heart rate during the daytime and evening of work days, an effect that persisted after controlling for psychological distress, age, sex, smoking, and physical activity. Work social support was not related to cortisol on work days, but on leisure days cortisol was elevated among individuals reporting high social support. There were few differences between men and women, and no important occupational effects.

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Self-Monitoring of Blood Pressure

Pickering¹

Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

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Effect of antihypertensive treatment on office and self-measured blood pressure: The Autodil Study

Abstract: The results show that BP measured at home by patients can be higher than office BP in the highest range of BP. Journal of Human Hypertension (2000) 14, 525-529

Cited by 7 publications

References 10 publications

Changes in Home Versus Clinic Blood Pressure With Antihypertensive Treatments

Changes in Home Versus Clinic Blood Pressure With Antihypertensive Treatments

Social support at work, heart rate, and cortisol: A self-monitoring study.

Self-Monitoring of Blood Pressure

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