SwePub
Sök i LIBRIS databas

  Extended search

L773:0194 911X OR L773:1524 4563
 

Search: L773:0194 911X OR L773:1524 4563 > Setting Thresholds ...

  • Asayama, Kei (author)

Setting Thresholds to Varying Blood Pressure Monitoring Intervals Differentially Affects Risk Estimates Associated With White-Coat and Masked Hypertension in the Population

  • Article/chapterEnglish2014

Publisher, publication year, extent ...

  • 2014
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-237287
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-237287URI
  • https://doi.org/10.1161/HYPERTENSIONAHA.114.03614DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:129960106URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Outcome-driven recommendations about time intervals during which ambulatory blood pressure should be measured to diagnose white-coat or masked hypertension are lacking. We cross-classified 8237 untreated participants (mean age, 50.7 years; 48.4% women) enrolled in 12 population studies, using >= 140/>= 90, >= 130/>= 80, >= 135/>= 85, and >= 120/>= 70 mm Hg as hypertension thresholds for conventional, 24-hour, daytime, and nighttime blood pressure. White-coat hypertension was hypertension on conventional measurement with ambulatory normotension, the opposite condition being masked hypertension. Intervals used for classification of participants were daytime, nighttime, and 24 hours, first considered separately, and next combined as 24 hours plus daytime or plus nighttime, or plus both. Depending on time intervals chosen, white-coat and masked hypertension frequencies ranged from 6.3% to 12.5% and from 9.7% to 19.6%, respectively. During 91 046 person-years, 729 participants experienced a cardiovascular event. In multivariable analyses with normotension during all intervals of the day as reference, hazard ratios associated with white-coat hypertension progressively weakened considering daytime only (1.38; P=0.033), nighttime only (1.43; P=0.0074), 24 hours only (1.21; P=0.20), 24 hours plus daytime (1.24; P=0.18), 24 hours plus nighttime (1.15; P=0.39), and 24 hours plus daytime and nighttime (1.16; P=0.41). The hazard ratios comparing masked hypertension with normotension were all significant (P<0.0001), ranging from 1.76 to 2.03. In conclusion, identification of truly low-risk white-coat hypertension requires setting thresholds simultaneously to 24 hours, daytime, and nighttime blood pressure. Although any time interval suffices to diagnose masked hypertension, as proposed in current guidelines, full 24-hour recordings remain standard in clinical practice.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Thijs, Lutgarde (author)
  • Li, Yan (author)
  • Gu, Yu-Mei (author)
  • Hara, Azusa (author)
  • Liu, Yan-Ping (author)
  • Zhang, Zhenyu (author)
  • Wei, Fang-Fei (author)
  • Lujambio, Ines (author)
  • Mena, Luis J. (author)
  • Boggia, Jose (author)
  • Hansen, Tine W. (author)
  • Björklund-Bodegård, KristinaKarolinska Institutet,Uppsala universitet,Geriatrik(Swepub:uu)krisbjor (author)
  • Nomura, Kyoko (author)
  • Ohkubo, Takayoshi (author)
  • Jeppesen, Jorgen (author)
  • Torp-Pedersen, Christian (author)
  • Dolan, Eamon (author)
  • Stolarz-Skrzypek, Katarzyna (author)
  • Malyutina, Sofia (author)
  • Casiglia, Edoardo (author)
  • Nikitin, Yuri (author)
  • Lind, LarsUppsala universitet,Kardiovaskulär epidemiologi,Geriatrik(Swepub:uu)larslind (author)
  • Luzardo, Leonella (author)
  • Kawecka-Jaszcz, Kalina (author)
  • Sandoya, Edgardo (author)
  • Filipovsky, Jan (author)
  • Maestre, Gladys E. (author)
  • Wang, Jiguang (author)
  • Imai, Yutaka (author)
  • Franklin, Stanley S. (author)
  • O'Brien, Eoin (author)
  • Staessen, Jan A. (author)
  • Uppsala universitetGeriatrik (creator_code:org_t)

Related titles

  • In:Hypertension64:5, s. 935-9420194-911X1524-4563

Internet link

Find in a library

To the university's database

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view