Utility and feasibility of a new programmable home blood pressure monitoring device for the assessment of nighttime blood pressure

Ushio, Hisako; Ishigami, Tomoaki; Araki, Naomi; Minegishi, Shintaro; Tamura, Koichi; Okano, Yasuko; Uchino, Kenji; Tochikubo, Osamu; Umemura, Satoshi

doi:10.1007/s10157-009-0192-4

Cited by 34 publications

(16 citation statements)

References 39 publications

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“…These data are in accord with a previous study where nighttime BP was monitoring using an ABP and also a HBP monitor, and found similar quality of sleep with the two methods, yet patients reported that they were more comfortable with HBP monitoring. 9 In conclusion, these data suggest that a novel HBP monitor developed for daytime and nighttime monitoring provides similar daytime and nighttime BP values as the conventional 24-h ABP monitoring and is well accepted by hypertensive patients. Moreover, the detection of non-dippers by this method is in good agreement with 24-h ABP monitoring.…”

Section: Discussionmentioning

confidence: 83%

“…1,5,6 However, preliminary evidence suggests that novel HBP monitors that have been developed to obtain automated BP measurements during nighttime sleep are feasible and acceptable by users. [7][8][9] This study compared 24-h ABP with HBP monitoring performed by a device designed for daytime and also automated nighttime BP monitoring in the evaluation of nocturnal hypertension and the detection of non-dippers among subjects with hypertension.…”

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confidence: 99%

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Assessment of the Diurnal Blood Pressure Profile and Detection of Non-Dippers Based on Home or Ambulatory Monitoring

et al. 2012

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Section: Discussionmentioning

confidence: 83%

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confidence: 99%

Assessment of the Diurnal Blood Pressure Profile and Detection of Non-Dippers Based on Home or Ambulatory Monitoring

et al. 2012

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“…In addition, in a previous study in which nighttime home SBP was measured at 1-hour intervals ≤6 times per night, the difference between nighttime home SBP assessed by Omron 5041 monitor and nighttime ambulatory SBP assessed by A&D TM-2025 monitor was not statistically significant (1.9 mm Hg;P=0.220). 19 In the current study, there might be a greater number of nighttime home SBP readings that were taken on awakening and in bed. In home BP monitoring, the patients had to be in bed between 2:00 and 4:00 AM to get nighttime BP readings; however, in ambulatory BP monitoring, nighttime BP was defined afterward following their diaries.…”

Section: Discussionmentioning

confidence: 99%

Nighttime Home Blood Pressure and the Risk of Hypertensive Target Organ Damage

et al. 2012

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In ambulatory blood pressure (BP) monitoring, nighttime BP has a superior ability to predict hypertensive target organ damage than awake BP. We evaluated whether nighttime BP, assessed by a home BP monitor, was associated with hypertensive target organ damage. We measured clinic BP, out-of-clinic BP including nighttime home BP, and the urinary albumin:creatinine ratio (UACR) in 854 patients who had cardiovascular risk factors. Nighttime home BP was measured at 2:00, 3:00, and 4:00 am, in addition to clinic, awake ambulatory, nighttime ambulatory, and awake home BP. Nighttime home systolic BP (SBP) was slightly higher than nighttime ambulatory SBP (difference, 2.6 mm Hg; P <0.001). Clinic ( r =0.186), awake ambulatory ( r =0.173), nighttime ambulatory ( r =0.194), awake home ( r =0.298), and nighttime home ( r =0.311) SBPs were all associated with log-transformed UACR (all P <0.001). The correlation coefficient for the relationship between nighttime home SBP and log-transformed UACR was significantly greater than that for the relationship between nighttime ambulatory SBP and log-transformed UACR ( P <0.001). The goodness of fit of the association between SBP and UACR was improved by adding nighttime home SBP to the other SBPs ( P <0.001). Nighttime home diastolic BP also improved the goodness-of-fit of the association between diastolic BP and UACR ( P =0.001). Similar findings were observed for the left ventricular mass index in the subgroup (N=594). In conclusion, nighttime home BP is slightly different from (but comparable to) nighttime ambulatory BP. The addition of nighttime home BP to other BP measures improves the association of BP with hypertensive target organ damage.

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“…There are a few newly developed, programmed home BP measurement devices (HEM-5041 and HEM-7471C-N, OMRON, Kyoto, Japan) that can measure nocturnal BP automatically, 5,6 but their predictive power for CVD remains undetermined.…”

Section: How To Evaluate Nocturnal Bpmentioning

confidence: 99%

Nocturnal blood pressure and cardiovascular disease: a review of recent advances

2012

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The accurate measurement, prediction and treatment of high blood pressure (BP) are essential issues in the management of hypertension. Ambulatory blood pressure monitoring (ABPM) has been shown to be superior to clinic BP measurements as ABPM can provide the following important information: (i) the mean BP levels, (ii) the diurnal variation in BP and (iii) the short-term BP variability. Among these parameters, there is increasing evidence that the mean nocturnal BP level is the most sensitive predictor of cardiovascular morbidity and mortality. Furthermore, several studies have shown that less nocturnal BP dipping, defined as less nocturnal BP decline relative to daytime BP, or a high night-day BP ratio was associated with poor prognosis irrespective of the 24-hour BP levels. These findings can be interpreted in at least two ways: namely, high nocturnal BP or less nocturnal BP dipping might be not only a potent risk factor for cardiovascular disease (CVD), but also a marker of pre-existing or concurrent diseases that can lead to nocturnal BP elevation. In this review, we consider the clinical utility of ABPM and in particular focus on the nocturnal BP levels or nocturnal BP dipping as a potent risk factor for CVD. In addition, the clinical management of high nocturnal BP and blunted nocturnal BP dipping with antihypertensive medications is discussed.

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Utility and feasibility of a new programmable home blood pressure monitoring device for the assessment of nighttime blood pressure

Abstract: Our results suggest that HEM-5041 is useful for evaluating nighttime blood pressures as well as nighttime blood pressure falls, without causing clinically significant discomfort.

Cited by 34 publications

References 39 publications

Assessment of the Diurnal Blood Pressure Profile and Detection of Non-Dippers Based on Home or Ambulatory Monitoring

Assessment of the Diurnal Blood Pressure Profile and Detection of Non-Dippers Based on Home or Ambulatory Monitoring

Nighttime Home Blood Pressure and the Risk of Hypertensive Target Organ Damage

Nocturnal blood pressure and cardiovascular disease: a review of recent advances

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