European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement

O’Brien, Eoin; Asmar, Roland; Beilin, Lawrie J.; Imai, Yutaka; Mallion, Jean-Michel; Mancia, Giuseppe; Mengden, Thomas; Myers, Martin G.; Padfield, P. L.; Palatini, Paolo; Parati, Gianfranco; Pickering, Thomas G.; Redón, Josep; Staessen, Jan A.; Stergiou, George S.; Verdecchia, Paolo

doi:10.1097/00004872-200305000-00001

Cited by 1,494 publications

(1,355 citation statements)

References 146 publications

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“…2 Following recommendations, we took repeated measurements that were at least 3 min apart and used the last two out of three measurements to reduce the chance of wrongly detecting hypertension. 37 In summary, our study demonstrates high rates of hypertension and low rates of control among Filipino immigrants living in the NY metropolitan area. The prevalent CVD risk factors in this population, such as high BMI, high rates of self-reported diabetes and high cholesterol, and current cigarette smoking, suggest the need for approaches designed to manage multiple risk factors, such as behavioral interventions that address physical activity and diet.…”

Section: Controlmentioning

confidence: 64%

Awareness, Treatment and Control of Hypertension Among Filipino Immigrants

et al. 2013

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BACKGROUND: Filipino Americans have high rates of hypertension, yet little research has examined hypertension awareness, treatment, and control in this group. OBJECTIVE: In a community-based sample of hypertensive Filipino American immigrants, we identify 1) rates of hypertension awareness, treatment, and control; and 2) factors associated with awareness, treatment, and control. DESIGN: Cross-sectional analysis of survey data from health screenings collected from 2006 to 2010. PARTICIPANTS: A total of 566 hypertensive Filipino immigrants in New York City, New York and Jersey City, New Jersey. MAIN MEASURES: Hypertension awareness, treatment, and control. Participants were included in analysis if they were hypertensive, based on: a past physician diagnosis, antihypertensive medication use, and/or high blood pressure (BP) screening measurements. Demographic variables included sex, age, time in the United States, location of residence, and English spoken language fluency. Health-related variables included self-reported health, insurance status, diabetes diagnosis, high cholesterol diagnosis, clinical measures (body mass index [BMI], glucose, and cholesterol), exercise frequency, smoking status, cardiac event history, family history of cardiac event, and family history of hypertension. RESULTS: Among the hypertensive individuals, awareness, treatment, and control rates were suboptimal; 72.1 % were aware of their status, 56.5 % were on medication, and only 21.7 % had controlled BP. Factors related to awareness included older age, worse selfreported health, family history of hypertension, and a diagnosis of high cholesterol or diabetes; factors related to treatment included older age, longer time lived in the United States, and being a non-smoker; having health insurance was found to be the main predictor of hypertension control. Many individuals had other cardiovascular disease (CVD) risk factors; 60.4 % had a BMI ≥25, 12.0 % had at-risk glucose measurements and 12.8 % had cholesterol ≥ 240.CONCLUSIONS: Hypertensive Filipinos exhibit poor hypertension management, warranting increased efforts to improve awareness, treatment and control. Culturally tailored public health strategies must be prioritized to reduce CVD risk factors among at-risk minority populations.KEY WORDS: hypertension; community based participatory research; immigrant health; cardiovascular disease; race & ethnicity.

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Section: Controlmentioning

confidence: 64%

Awareness, Treatment and Control of Hypertension Among Filipino Immigrants

et al. 2013

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“…The recommended pressure level range from the European Society of Hypertension [10] (originally for the purpose of blood pressure measurement)…”

Section: The Safety Considerations and Safety Measures Implementedmentioning

confidence: 99%

Adaptive feedback analysis and control of programmable stimuli for assessment of cerebrovascular function

Fan

Bush

Katsogridakis

et al. 2013

Med Biol Eng Comput

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“…2,[10][11][12][13] In our series the prevalence of 'white-coat' hypertension (isolated clinic hypertension in untreated patients or office resistant control when treated) was 33%. The prevalence of 'white-coat' hypertension in other studies dealing with diabetic patients ranged between 14 and 51%.…”

Section: Discussionmentioning

confidence: 99%

“…10 Briefly, indications for ABPM were a suspected 'white-coat' hypertension, assessment of drug treatment efficacy, assessment of dipper status, resistant hypertension and high-risk hypertension. Diagnosis of hypertension was established following the Spanish Society of Hypertension guidelines, 11 which, for diagnosis and classification purposes, adopt the 2003 recommendations of the European Society of Hypertension/ European Society of Cardiology (ESH/ESC).…”

Section: Patientsmentioning

confidence: 99%

“…Quality controls were performed to exclude registries not fulfilling any of pre-specified criteria, which were (1) 24-h duration, (2) 1 BP measurement per hour at least, (3) 14 BP recordings during the activity period at least and (4) 7 BP recordings during the rest period at least. 10,13 Variables Clinical information was collected via an electronic case record form. This included age, gender, weight, height, waist circumference, duration of hypertension, known cardiovascular risk factors, such as smoking habit, dyslipidemia and family history of premature cardiovascular disease at age o55 years in men or o65 years in women, data about target organ damage and previous cardiovascular events, and number and type of antihypertensive drugs if the patient was under pharmacological treatment.…”

Section: Abpm Assessmentmentioning

confidence: 99%

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Abnormalities in ambulatory blood pressure monitoring in hypertensive patients with diabetes

et al. 2011

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on behalf of the Spanish Society of Hypertension ABPM Registry investigators 9Our aim was to assess the ambulatory blood pressure monitoring (ABPM) characteristics or patterns in hypertensive patients with diabetes compared with non-diabetic hypertensives. We performed a cross-sectional analysis of a 68 045 patient database from the Spanish Society of Hypertension ABPM Registry, a nation-wide network of 41200 primary-care physicians performing ABPM under standardized conditions in daily practice. We identified 12 600 (18.5%) hypertensive patients with diabetes. When compared with patients without diabetes, diabetic hypertensives exhibited higher systolic blood pressure (BP) levels in every ABPM period (daytime 135.4 vs. 131.8, and nighttime 126.0 vs. 121.0 mm Hg, Po0.001 for both) despite they were receiving more antihypertensive drugs (mean number 1.71 vs. 1.23, Po0.001). Consequently, diabetic patients suffered from lack of control of BP more frequently than non-diabetic subjects particularly during the night (65.5% vs. 57.4%, Po0.001).Prevalence of a non-dipping BP profile (64.2% vs. 51.6%, Po0.001) was higher in diabetic patients. In the other hand, prevalence of 'white-coat' hypertension in diabetic patients was 33.0%. We conclude that there was a remarkably high prevalence of alterations in ABPM in patients with diabetes. Abnormalities in systolic BP, particularly during the night, and in circadian BP pattern could be linked with the excess of BP-related cardiovascular risk of diabetes. A wider use of ABPM in diabetic patients should be considered. Hypertension Research (2011) 34, 1185-1189; doi:10.1038/hr.2011.100; published online 11 August 2011Keywords: ambulatory blood pressure monitoring; circadian profile; diabetes; hypertension control INTRODUCTION Hypertension affects the majority of patients with diabetes and constitutes a major risk factor for vascular complications. 1 Ambulatory blood pressure monitoring (ABPM) provides a high-quality approach in estimating the true levels of blood pressure (BP). 2 Several population-and patient-based studies have showed the benefits of ABPM in exploring the relationship between BP and cardiovascular events. 2,3 A series of reports dealing with diabetic patients have also shown a close correlation between ambulatory BP and diabetic complications. 4,5 Evidences are available for the entire cardiorenal continuum of diabetic damage from the prediction of microalbuminuria by early changes in nocturnal BP in type 1 patients 6 to the effect of a riser pattern on mortality in patients with type 2 diabetes. 7 Nevertheless, information about the ABPM characteristics of large cohorts of diabetic hypertensives attending primary care centers is scarce. We aimed to assess such characteristics in comparison with non-diabetic hypertensives by using the Spanish Society of Hypertension ABPM Registry.

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European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement

Cited by 1,494 publications

References 146 publications

Awareness, Treatment and Control of Hypertension Among Filipino Immigrants

Awareness, Treatment and Control of Hypertension Among Filipino Immigrants

Adaptive feedback analysis and control of programmable stimuli for assessment of cerebrovascular function

Abnormalities in ambulatory blood pressure monitoring in hypertensive patients with diabetes

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