دورية أكاديمية
أعرض في EDS

Prevalence of masked hypertension in attended versus unattended office blood pressure measurement.

التفاصيل البيبلوغرافية
العنوان: Prevalence of masked hypertension in attended versus unattended office blood pressure measurement.
المؤلفون: Bertram S; Medical Department 1, University Hospital Marien Hospital Herne, Ruhr-University Bochum, Herne, Germany., Bauer F; Nephrology, Contilia Elisabeth-Hospital, Essen, Germany., Shadi R; Medical Service Center, St. Elisabethgruppe, Herne, Germany., Seidel M; Medical Department 1, University Hospital Marien Hospital Herne, Ruhr-University Bochum, Herne, Germany., Doevelaar A; Medical Department 1, University Hospital Marien Hospital Herne, Ruhr-University Bochum, Herne, Germany., Seibert F; Medical Department 1, University Hospital Marien Hospital Herne, Ruhr-University Bochum, Herne, Germany., Babel N; Center for Translational Medicine, University Hospital Marien Hospital Herne, Ruhr University Bochum, Herne, Germany., Westhoff TH; Medical Department 1, University Hospital Marien Hospital Herne, Ruhr-University Bochum, Herne, Germany.
المصدر: Journal of clinical hypertension (Greenwich, Conn.) [J Clin Hypertens (Greenwich)] 2024 Jun; Vol. 26 (6), pp. 615-623. Date of Electronic Publication: 2024 May 15.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Wiley Periodicals Inc Country of Publication: United States NLM ID: 100888554 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1751-7176 (Electronic) Linking ISSN: 15246175 NLM ISO Abbreviation: J Clin Hypertens (Greenwich) Subsets: MEDLINE
أسماء مطبوعة: Publication: : [Hoboken, NJ] : Wiley Periodicals Inc.
Original Publication: Greenwich, CT : Le Jacq Communication, Inc., c1999-
مواضيع طبية MeSH: Masked Hypertension*/diagnosis , Masked Hypertension*/epidemiology , Masked Hypertension*/physiopathology , Blood Pressure Monitoring, Ambulatory*/methods , Blood Pressure Determination*/methods, Humans ; Male ; Female ; Cross-Sectional Studies ; Prevalence ; Middle Aged ; Blood Pressure/physiology ; Aged ; Adult ; Office Visits/statistics & numerical data ; White Coat Hypertension/diagnosis ; White Coat Hypertension/epidemiology ; White Coat Hypertension/physiopathology
مستخلص: There is a controversial debate regarding whether unattended blood pressure (BP) measurement should be regarded as the new gold standard of office BP measurement. Unattended BP measurement eliminates the white-coat effect and reduces external influences on the patient. On the other hand, it might underestimate real-life BP. The present study compares the prevalence of masked hypertension using attended versus unattended office BP measurements. We performed a cross-sectional study on 213 patients in a general practitioner's outpatient clinic and compared attended and unattended office BP with 24h-ambulatory BP monitoring (24h-ABPM). Masked hypertension was defined as pressure ≥135/85 mmHg in daytime ABPM with office systolic BP < 140/90 mmHg. Median attended and unattended office BPs were 140/86 and 134/80 mmHg with a median 24h-BP of 129/79 mmHg and daytime ABP of 133/82 mmHg. The number of patients with masked hypertension was 45/213 (21.2%) using unattended and 23/213 (10.8%) using attended office BP measurements (p < .0001). Bland-Altman analysis revealed a 7.4 mmHg systolic and 6.2 mmHg diastolic bias between the attended versus unattended office BP, and two systolic and -1.7 mmHg diastolic biases between the unattended office BP and daytime ambulatory BP. In linear regression analysis, an unattended office BP of 134 mmHg corresponded to 140 mmHg in attended BP measurement. Using a cut-off of 135/85 mmHg instead of 140/90 mmHg in unattended office BP measurement, the rate of masked hypertension was 26/213 (12.2%). Thus, unattended office BP measurement results in a substantial increase in the prevalence of masked hypertension using the traditional definition of hypertension. The present findings suggest that it might be reasonable to use a definition of 135/85 mmHg.
(© 2024 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: masked hypertension; office blood pressure; unattended blood pressure measurement
تواريخ الأحداث: Date Created: 20240516 Date Completed: 20240617 Latest Revision: 20240619
رمز التحديث: 20240619
مُعرف محوري في PubMed: PMC11180678
DOI: 10.1111/jch.14798
PMID: 38751130
قاعدة البيانات: MEDLINE
الوصف
تدمد:1751-7176
DOI:10.1111/jch.14798