Threshold for diagnosing hypertension by automated office blood pressure using random sample population data

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F16%3A00065521" target="_blank" >RIV/00159816:_____/16:00065521 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/16:00093336 RIV/00023001:_____/16:00060075 RIV/00064190:_____/16:N0000055 RIV/00216208:11110/16:10327671

Result on the web

<a href="http://dx.doi.org/10.1097/HJH.0000000000001076" target="_blank" >http://dx.doi.org/10.1097/HJH.0000000000001076</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/HJH.0000000000001076" target="_blank" >10.1097/HJH.0000000000001076</a>

Result language

angličtina

Original language name

Threshold for diagnosing hypertension by automated office blood pressure using random sample population data

Original language description

OBJECTIVE: Manual office blood pressure (BP) is still recommended for diagnosing hypertension. However, its predictive value is decreased by errors in measurement technique and the white-coat effect. The errors can be eliminated by automated office BP (AOBP) measurement taking multiple readings with the participant resting quietly alone. Therefore, use of AOBP in clinical practice requires a threshold value for hypertension diagnosis. The aim of the present study was to determine an AOBP threshold corresponding to the 140/90 mmHg manual office BP using data from a large random population sample. METHODS: In 2145 participants (mean age 47.3 +- 11.3 years) randomly selected from a Brno population aged 25-64 years, BP was measured using manual mercury and automated office sphygmomanometers. RESULTS: Manual SBP (mean difference 6.39 +- 9.76 mmHg) and DBP (mean difference 2.50 +- 6.54 mmHg) were higher than the automated BP. According to polynomial regression, automated systole of 131.06 (95% confidence interval 130.43-131.70) and diastole of 85.43 (95% confidence interval 85.03-85.82) corresponded to the manual BP of 140/90 mmHg. Using this cut-off, the white-coat hypertension was present in 24% of participants with elevated manual BP, whereas 10% had masked hypertension and 11% masked uncontrolled hypertension. In individuals with masked uncontrolled hypertension, only AOBP was associated with the urinary albumin-creatinine ratio, whereas there was no association with manual BP. CONCLUSION: AOBP of 131/85 mmHg corresponds to the manual BP of 140/90 mmHg. This value may be used as a threshold for diagnosing hypertension using AOBP. However, outcome-driven studies are required to confirm this threshold.

Czech name

—

Czech description

—

Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FA - Cardiovascular diseases including cardio-surgery

OECD FORD branch

—

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Hypertension

ISSN

0263-6352

e-ISSN

—

Volume of the periodical

34

Issue of the periodical within the volume

11

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

2180-2186

UT code for WoS article

000385536600013

EID of the result in the Scopus database

—