Discrepancies between office and ambulatory blood pressure: clinical implications.

Détails

ID Serval
serval:BIB_5EB1DDD7BE88
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Discrepancies between office and ambulatory blood pressure: clinical implications.
Périodique
American Journal of Medicine
Auteur⸱e⸱s
Banegas J.R., Messerli F.H., Waeber B., Rodríguez-Artalejo F., de la Sierra A., Segura J., Roca-Cusachs A., Aranda P., Ruilope L.M.
ISSN
1555-7162 (Electronic)
ISSN-L
0002-9343
Statut éditorial
Publié
Date de publication
2009
Volume
122
Numéro
12
Pages
1136-1141
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
BACKGROUND: Recent trials have documented no benefit from small reductions in blood pressure measured in the clinical office. However, ambulatory blood pressure is a better predictor of cardiovascular events than office-based blood pressure. We assessed control of ambulatory blood pressure in treated hypertensive patients at high cardiovascular risk.
METHODS: We selected 4729 patients from the Spanish Ambulatory Blood Pressure Monitoring Registry. Patients were aged >/=55 years and presented with at least one of the following co-morbidities: coronary heart disease, stroke, and diabetes with end-organ damage. An average of 2 measures of blood pressure in the office was used for analyses. Also, 24-hour ambulatory blood pressure was recorded at 20-minute intervals with a SpaceLabs 90207 device.
RESULTS: Patients had a mean age of 69.6 (+/-8.2) years, and 60.8% of them were male. Average time from the diagnosis of hypertension to recruitment into the Registry was 10.9 (+/-8.4) years. Mean blood pressure in the office was 152.3/82.3 mm Hg, and mean 24-hour ambulatory blood pressure was 133.3/72.4 mm Hg. About 60% of patients with an office-pressure of 130-139/85-89 mm Hg, 42.4% with office-pressure of 140-159/90-99 mm Hg, and 23.3% with office-pressure > or =160/100 mm Hg were actually normotensive, according to 24-hour ambulatory blood pressure criteria (<130/80 mm Hg).
CONCLUSION: We suggest that the lack of benefit of antihypertensive therapy in some trials may partly be due to some patients having normal pressure at trial baseline. Ambulatory monitoring of blood pressure may allow for a better assessment of trial eligibility.
Mots-clé
Aged, Antihypertensive Agents/therapeutic use, Blood Pressure, Blood Pressure Monitoring, Ambulatory, Female, Humans, Hypertension/diagnosis, Hypertension/drug therapy, Male, Office Visits, Registries
Pubmed
Web of science
Création de la notice
21/12/2009 16:37
Dernière modification de la notice
20/08/2019 14:16
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