Direct Comparison of Home Versus Ambulatory Defined Nocturnal Hypertension for Predicting Cardiovascular Events: The Japan Morning Surge-Home Blood Pressure (J-HOP) Study.

Hypertension
Gontse Gratitude MokwatsiKazuomi Kario

Abstract

The home blood pressure monitoring (HBPM) method that measures blood pressure during sleep hours was reported to be comparable to ambulatory blood pressure monitoring (ABPM) in measuring nighttime blood pressure and detecting nocturnal hypertension. The aim of this study was to directly compare the prognostic power of nocturnal hypertension detected by HBPM versus ABPM for predicting future cardiovascular events. We analyzed nighttime blood pressure (measured by HBPM and ABPM) data of 1005 participants who were included in the J-HOP study (Japan Morning Surge-Home Blood Pressure). During a follow-up period of 7.6±3.4 years, 80 cardiovascular disease events occurred. The majority (91.8%) of our study population were hypertensive, and 80.7% of participants were using antihypertensive medication. Nighttime home systolic blood pressure (SBP) was higher compared to nighttime ambulatory SBP (123.0±14.6 versus 120.3±14.4 mm Hg, P<0.001). Nocturnal hypertension was defined as nighttime home or ambulatory SBP of ≥120 mm Hg. The number of participants with nocturnal hypertension defined by HBPM and ABPM was 564 (56.1%) and 469 (46.7%), respectively. Nocturnal hypertension defined by HBPM was associated with increased risk of future cardi...Continue Reading

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Citations

Jul 9, 2020·Hypertension·Lawrence R Krakoff
Feb 17, 2021·The Journal of Clinical Hypertension·Takeshi FujiwaraKazuomi Kario
Mar 17, 2021·The Journal of Clinical Hypertension·Naoko TomitaniKazuomi Kario
Jul 11, 2021·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Satoshi HoshideKazuomi Kario
Aug 1, 2021·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Kazuomi KarioHiroshi Kanegae
Aug 13, 2021·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Byron C JaegerJoseph E Schwartz
Jul 17, 2021·Journal of Hypertension·Gianfranco ParatiUNKNOWN Working Group on Blood Pressure Monitoring and Cardiovascular Variability of the European Society of Hypertension
Aug 26, 2021·American Journal of Hypertension·Kazuomi Kario
Sep 23, 2021·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Naoko TomitaniKazuomi Kario
Dec 3, 2021·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Barbara CitoniGiuliano Tocci

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