Home blood pressure is as reliable as ambulatory blood pressure in predicting target-organ damage in hypertension.
نویسندگان
چکیده
BACKGROUND Our objective was to assess the value of home blood pressure (BP) monitoring in comparison to office BP measurements and ambulatory monitoring in predicting hypertension-induced target-organ damage. METHODS Sixty-eight untreated patients with hypertension with at least two routine prestudy office visits were included (mean age, 48.6 +/- 9.1 [SD] years; 50 men). Office BP was measured in two study visits, home BP was measured for 6 workdays, and ambulatory BP was monitored for 24 h. All BP measurements were obtained using validated electronic devices. Target-organ damage was assessed by measuring the echocardiographic left-ventricular mass index (LVMI), urinary albumin excretion rate (AER) in two overnight urine collections, and carotid-femoral pulse-wave velocity (PWV) (Complior device; Colson, Garges-les-Gonesse, Paris, France). RESULTS The correlation coefficients of LVMI with office BP were 0.24/0.15 (systolic/diastolic), with home BP 0.35/0.21 (systolic, P < .01), and with 24-h ambulatory BP 0.23/0.19, awake 0.21/0.16, and asleep 0.28/0.26 (asleep, both P < .05). The correlation coefficients of AER with office BP were 0.24/0.31 (diastolic, P < .05), with home BP 0.28/0.26 (both P < .05), and with 24-h ambulatory BP 0.25/0.24, awake 0.24/0.25 (diastolic, P < .05), and asleep 0.26/0.18 (systolic, P < .05). There was a trend for negative correlations between PWV and diastolic BP measurements (not significant). In multiple-regression models assessing independent predictors of each of the three indices of target-organ damage, systolic home BP and age were the only independent predictors of increased LVMI that reached borderline statistical significance. CONCLUSIONS These data suggest that home BP is as reliable as ambulatory monitoring in predicting hypertension-induced target-organ damage, and is superior to carefully taken office measurements.
منابع مشابه
Ambulatory versus home versus clinic blood pressure: the association with subclinical cerebrovascular diseases: the Ohasama Study.
The usefulness of ambulatory, home, and casual/clinic blood pressure measurements to predict subclinical cerebrovascular diseases (silent cerebrovascular lesions and carotid atherosclerosis) was compared in a general population. Data on ambulatory, home, and casual/clinic blood pressures and brain MRI to detect silent cerebrovascular lesions were obtained in 1007 subjects aged ≥55 years in a ge...
متن کاملAmbulatory versus home versus clinic blood pressure.
Ambulatory Versus Home Versus Clinic Blood Pressure To the Editor: There is growing evidence that blood pressure (BP) monitoring and home BP monitoring are useful for predicting hypertensive target organ damage and the risk of cardioand cerebrovascular events. Ambulatory BP monitoring and home BP monitoring have been reported to be better predictors than clinic BP in many population studies. In...
متن کاملتازه های کاربرد هولتر مونیتورینگ 24 ساعته فشارخون درکودکان
Background : There is always difficulty and inaccuracy in measurement of blood pressure by conventional method in children. Technical errors, human errors, and incompliance of child during measurements are the main disadvantage. Nowadays, 24- hour ambulatory blood pressure measurements (ABPM) are introduced to apply for children. The aim of this review is to update our understanding on the ac...
متن کاملNighttime home blood pressure and the risk of hypertensive target organ damage.
In ambulatory blood pressure (BP) monitoring, nighttime BP has a superior ability to predict hypertensive target organ damage than awake BP. We evaluated whether nighttime BP, assessed by a home BP monitor, was associated with hypertensive target organ damage. We measured clinic BP, out-of-clinic BP including nighttime home BP, and the urinary albumin:creatinine ratio (UACR) in 854 patients who...
متن کاملReliability of patients measuring blood pressure at home: prospective observational study.
Measuring blood pressure at home is recommended to distinguish sustained hypertension from white coat hypertension and to monitor treatment. 2 Blood pressure measured at home is a better predictor of 24 hour ambulatory blood pressure monitoring, target organ damage, and cardiovascular mortality than that measured by a doctor. We aimed to assess the accuracy of patients measuring blood pressure ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- American journal of hypertension
دوره 20 6 شماره
صفحات -
تاریخ انتشار 2007