Masked hypertension in a middle-aged population and its relation to manifestations of vascular disease

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MARC

af Geijerstam, Peder,Doktorand,1983-Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Vårdcentralen Cityhälsan Centrum (author)

Masked hypertension in a middle-aged population and its relation to manifestations of vascular disease

Article/chapterEnglish2023

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Wolters Kluwer,2023
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LIBRIS-ID:oai:DiVA.org:liu-192987
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-192987URI
https://doi.org/10.1097/hjh.0000000000003431DOI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Funding: Swedish Heart and Lung Foundation [20160315]; Knut and Alice Wallenberg Foundation [20140047]; Swedish Research Council [82220132000]; VINNOVA (Swedens Innovation agency) [201204476]; University of Gothenburg; Sahlgrenska University Hospital; Karolinska Institutet; Stockholm County council; Linkoping University; Linkoping University Hospital; Lund University; Skane University Hospital; Umea~University; Umea University Hospital; Uppsala University; Uppsala University Hospital; Strategic Research Network in Circulation and Metabolism at Linkoping University (LiU-CircM); King Gustaf V and Queen Victoria Freemason Foundation
Background: Masked hypertension is associated with cardiovascular disease (CVD). However, previous large studies have not used the same device to measure office and home blood pressure (BP) and adhered to current home BP measurement recommendations of the European Society of Hypertension. We aimed to characterize masked hypertension and explore its relation to manifestations of CVD.Methods: A randomly selected cohort of 5057 participants aged 50–64 years from the Swedish CardioPulmonary BioImage Study (SCAPIS) was evaluated with office and home BP using the semi-automatic Omron M10-IT oscillometric device. Additional analyses included pulse wave velocity (PWV) and coronary artery calcium score (CACS).Results: Of participants, 4122 did not have current antihypertensive treatment, and were thus included in our analyses. Of these, 2634 (63.9%) had sustained normotension, and 172 (4.2%) had masked hypertension. Participants with masked hypertension vs. sustained normotension were more often men (66.9 vs. 46.2%, P < 0.001). Those with masked hypertension had higher mean PWV [9.3 (95% confidence interval, 95% CI 9.1–9.5) vs. 8.3 (95% CI 8.2–8.4) m/s, P < 0.001] and odds ratio for CACS at least 100 [1.65 (95% CI 1.02–2.68), P = 0.040]. These associations were similar in a posthoc analysis of masked hypertension and sustained normotension, matched for age, sex and systolic office BP.Conclusion: Masked hypertension was associated with markers of CVD. This suggests that home BP is a better predictor of risk, even when the recordings are performed with the same measurement device, in a population-based setting with randomized recruitment.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
blood pressure
cardiovascular disease
carotid artery plaques
coronary artery calcium score
home blood pressure
masked hypertension
pulse wave velocity

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Engvall, Jan,1953-Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Fysiologiska kliniken US(Swepub:liu)janen74 (author)
Östgren, Carl Johan,1963-Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Vårdcentralen Ekholmen(Swepub:liu)caros18 (author)
Rådholm, Karin,1976-Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Vårdcentralen Kärna(Swepub:liu)karra46 (author)
Nyström, Fredrik,1963-Linköpings universitet,Medicinska fakulteten,Avdelningen för diagnostik och specialistmedicin,Region Östergötland, Vårdcentralen Cityhälsan Centrum(Swepub:liu)freny92 (author)
Linköpings universitetAvdelningen för prevention, rehabilitering och nära vård (creator_code:org_t)

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In:Journal of Hypertension: Wolters Kluwer41:7, s. 1084-10910263-63521473-5598

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