دورية أكاديمية
Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka
العنوان: | Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka |
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المؤلفون: | Anqi Zhu, Truls Ostbye, Aliya Naheed, H Asita deSilva, Imtiaz Jehan, Mihir Gandhi, Nantu Chakma, Anuradhani Kasturiratne, Zainab Samad, Tazeen Hasan Jafar |
المصدر: | The Journal of Clinical Hypertension, Vol 26, Iss 4, Pp 391-404 (2024) |
بيانات النشر: | Wiley, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
مصطلحات موضوعية: | ambulatory blood pressure monitor, South Asia, uncontrolled clinic hypertension, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
الوصف: | Abstract Hypertension is a leading risk factor for cardiovascular disease in South Asia. The authors aimed to assess the cross‐country differences in 24‐h ambulatory, daytime, and nighttime systolic blood pressure (SBP) among rural population with uncontrolled clinic hypertension in Bangladesh, Pakistan, and Sri Lanka. The authors studied patients with uncontrolled clinic hypertension (clinic BP ≥ 140/90 mmHg) who underwent ambulatory blood pressure monitoring (ABPM) during the baseline assessment as part of a community‐based trial. The authors compared the distribution of ABPM profiles of patients across the three countries, specifically evaluating ambulatory SBP levels with multivariable models that adjusted for patient characteristics. Among the 382 patients (mean age, 58.3 years; 64.7% women), 56.5% exhibited ambulatory hypertension (24‐h ambulatory BP ≥ 130/80 mmHg), with wide variation across countries: 72.6% (Bangladesh), 50.0% (Pakistan), and 51.0% (Sri Lanka; P .05). Additionally, clinic SBP was significantly associated with 24‐h ambulatory (mean 0.38, 95% CI 0.28–0.47), daytime (0.37, 0.27–0.47), and nighttime SBP (0.40, 0.29–0.50) per 1 mmHg increase. The authors observed substantial cross‐country differences in the distribution of ABPM profiles among patients with uncontrolled clinic hypertension in rural South Asia. The authors findings indicated the need to incorporate 24‐h BP monitoring to mitigate cardiovascular risk, particularly in Bangladesh. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1751-7176 1524-6175 |
Relation: | https://doaj.org/toc/1524-6175; https://doaj.org/toc/1751-7176 |
DOI: | 10.1111/jch.14787 |
URL الوصول: | https://doaj.org/article/3fb06300399245e6be4b97cf5e5d41b5 |
رقم الأكسشن: | edsdoj.3fb06300399245e6be4b97cf5e5d41b5 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 17517176 15246175 |
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DOI: | 10.1111/jch.14787 |