European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring

Parati, Gianfranco; Stergiou, George S.; Asmar, Roland; Bilo, Grzegorz; Leeuw, Peter de; Imai, Yutaka; Kario, Kazuomi; Lurbe, Empar; Manolis, Athanasios; Mengden, Thomas; O’Brien, Eoin; Ohkubo, Takayoshi; Padfield, P. L.; Palatini, Paolo; Pickering, Thomas G.; Redón, Josep; Revera, Miriam; Ruilope, Luís M.; Shennan, Andrew; Staessen, Jan A.; Tislér, András; Waeber, Bernard; Zanchetti, Alberto; Mancia, Giuseppe

doi:10.1097/hjh.0b013e328308da66

Cited by 761 publications

(736 citation statements)

References 179 publications

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“…17 The measurement of BP in a clinical setting tends to be a stressor itself, and can falsely increase BP and BP reactivity through what is recognized as the white coat effect. 18 Our observations provide additional support for the clinical usefulness of HBPM, 19 as compared with that of conventional clinical BP readings, [9][10][11] by demonstrating that HBPM data are likely to show good reproducibility, not only for sitting BP levels but also with respect to orthostatic BP changes.…”

Section: Discussionmentioning

confidence: 57%

Orthostatic hypertension: home blood pressure monitoring for detection and assessment of treatment with doxazosin

et al. 2011

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To determine the role of home blood pressure (BP) monitoring for a reproducible assessment of orthostatic hypertension (OHT) and the effectiveness of hypertension control by doxazosin. In this study, 605 medicated hypertensive outpatients were enrolled. Home BP in the sitting and standing positions was monitored in all patients in the morning and evening for 6 months. According to an open-label multicenter trial design, the patients were randomly allocated to either an intervention group that took doxazosin (1-4 mg) at bedtime or to a control group that did not receive any add-on medication. The patients were divided into deciles of orthostatic BP change as evaluated by home BP monitoring at baseline. Those in the top decile, in the lowest decile and in deciles two through eight were then assigned to the OHT group, the orthostatic hypotension group and the orthostatic normotension group, respectively.Orthostatic BP in the OHYPO group did not change, whereas that of the OHT group was markedly reduced by doxazosin (Po0.01). In the control group, classification into orthostatic BP categories using home BP monitoring was more reproducible (j coefficient: 0.42-0.50) than when using clinical BP (j coefficient: 0.13-0.24). In all groups, a reduction in the urinary albumin/creatinine ratio was significantly associated with a reduction in orthostatic BP doxazosin (Po0.001).The identification of OHT based on home BP monitoring was highly reproducible. The administration of doxazosin might control OHT and consequently prevent target organ damage.

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Section: Discussionmentioning

confidence: 57%

Orthostatic hypertension: home blood pressure monitoring for detection and assessment of treatment with doxazosin

et al. 2011

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“…Masked hypertension is characterized by normal clinically measured blood pressure but elevated ambulatory daytime blood pressure. 21 Direct and indirect approaches to assess human sympathetic function have been used to determine the sympathetic contribution to the above-mentioned conditions. For indirect approaches, power spectral analysis of the heart rate signal have shown that the low-to high-frequency ratio, considered as an index of sympathovagal balance, is increased in white-coat hypertension, which suggests increased sympathetic and decreased parasympathetic drive to the heart.…”

Section: Mechanisms Involved In Diurnal Blood Pressure Variationsmentioning

confidence: 99%

Diurnal blood pressure variation and sympathetic activity

et al. 2010

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Blood pressure changes occurring over a 24-h period are under behavioral, humoral and reflex regulation. The sympathetic nervous system modulates blood pressure variation by affecting cardiac output and peripheral vascular resistance. This paper reviews evidence for the relationship between adrenergic neural drive and blood pressure as measured by direct and indirect approaches. This paper also reviews the sympathetic activity associated with increased 'in-office' and 'out-of-office' blood pressure, that is, the white-coat and the masked-hypertensive states. Finally, this paper examines altered neuroadrenergic influences on nocturnal blood pressure reduction and blood pressure variability.

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“…However, self-measured BP is more universally available than 24-h BP monitoring. Its use has been suggested for the evaluation of patients suspected of white-coat hypertension, for the titration of antihypertensive treatment, and to enhance adherence to therapy, 13 and it may provide a cheaper alternative to ambulatory BP monitoring. The large number of BP readings provided by home BP monitoring could in theory be utilized to obtain a simple and inexpensive measure of the dynamic behavior of the relationship between SBP and DBP in a given individual, similarly to the AASI obtained from ambulatory BP monitoring.…”

Section: Can the Sbp-dbp Relationship Be Estimated Without Ambulatorymentioning

confidence: 99%

The dynamic relationship between systolic and diastolic blood pressure: yet another marker of vascular aging?

Schillaci

Pucci

2010

Hypertens Res

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European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring

Cited by 761 publications

References 179 publications

Orthostatic hypertension: home blood pressure monitoring for detection and assessment of treatment with doxazosin

Orthostatic hypertension: home blood pressure monitoring for detection and assessment of treatment with doxazosin

Diurnal blood pressure variation and sympathetic activity

The dynamic relationship between systolic and diastolic blood pressure: yet another marker of vascular aging?

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