Why is cardiovascular risk stratification important in hypertensive patients?

Coll‐de‐Tuero, Gabriel; Sáez, Marc; Rodríguez‐Poncelas, Antonio; Barceló-Rado, Antonia; Vargas-Vila, Susanna; Garré-Olmo, Josep; Sala, Victòria; Sieira, À Ngels; Gelada, Esther; Gelado-Ferrero, Jesús

doi:10.3109/08037051.2012.681109

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…All of the studies that evaluated the relationship between OBPM, HBPM, and ABPM found HBPM to be correlated with ABPM and this correlation was stronger than that of OBPM and ABPM. 29 , 32 , 34 – 36 This agreement in combination with the low sensitivity of office BP to detect optimal BP control by ABPM 30 and the added association of HBPM with cardiovascular mortality 26 all support the use of HBPM when treating hypertension. It is not surprising that routine use of HBPM has been recommend for almost a decade.…”

Section: Discussionmentioning

confidence: 91%

“…Two studies were cross-sectional analyses with a single time point of data collection, 27 , 28 and two were prospective designs with follow-up times of 6 and 12 months. 18 , 29 Sample sizes ranged from 59 to 854 participants ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…30 Many studies agree that the correlation between HBPM and ABPM is stronger than that of OBPM with ABPM. 29 , 32 , 34 , 35 , 39 However, in the general hypertensive population, HBPM can result in fewer prescribed medications with less BP control. 37 …”

Section: Resultsmentioning

confidence: 99%

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Does home blood pressure monitoring improve patient outcomes? A systematic review comparing home and ambulatory blood pressure monitoring on blood pressure control and patient outcomes

Breaux-Shropshire¹,

Judd²,

Vucovich³

et al. 2015

IBPC

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ObjectiveOur objective was to compare the clinical effectiveness of home blood pressure monitoring (HBPM) and 24-hour ambulatory blood pressure monitoring (ABPM) on blood pressure (BP) control and patient outcomes.DesignA systematic review was conducted. We also appraised the methodological quality of studies.Data sourcesPubMed, Scopus, CINAHL, and the Cochrane Central Register of Control Trials (CENTRAL).Inclusion criteriaRandomized control trials, prospective and retrospective cohort studies, observational studies, and case-control studies published in English from any year to present that describe HBPM and 24-hour ABPM and report on systolic and/or diastolic BP and/or heart attack, stroke, kidney failure and/or all-cause mortality for adult patients. Due to the nature of the question, studies with only untreated patients were not considered.ResultsOf 1,742 titles and abstractions independently reviewed by two reviewers, 137 studies met predetermined criteria for evaluation. Nineteen studies were identified as relevant and included in the paper. The common themes were that HBPM and ABPM correlated with cardiovascular events and mortality, and targeting HBPM or ABPM resulted in similar outcomes. Associations between BP measurement type and mortality differed by study population. Both the low sensitivity of office blood pressure monitoring (OBPM) to detect optimal BP control by ABPM and the added association of HBPM with cardiovascular mortality supported the routine use of HBPM in clinical practice. There was insufficient data to determine the benefit of using HBPM as a measurement standard for BP control.ConclusionHBPM encourages patient-centered care and improves BP control and patient outcomes. Given the limited number of studies with both HBPM and ABPM, these measurement types should be incorporated into the design of randomized clinical trials within hypertensive populations.

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