Early prognostic value of nocturnal blood pressure: a single-centre experience

Blood Pressure Monitoring
Fabio FabbianRoberto Manfredini

Abstract

Ambulatory blood pressure monitoring (ABPM) is now considered by current guidelines to be a reliable method of measurement for the diagnosis and assessment of hypertension. The aim of this study was to relate the short-term outcomes, comorbidity and ABPM findings determined from evaluating an everyday clinical cohort of hypertensive patients. A prospective study was carried out that included hypertensive patients who had undergone 24-h ABPM from January 2016 to November 2017. The following parameters were recorded in the database: age, sex, current antihypertensive treatment and documented history of comorbidities. New episodes of myocardial infarction and stroke requiring hospitalization during follow-up obtained from electronic medical records were considered to be major adverse cardiovascular events (MACE) and were our main outcome measures. To estimate the risk of MACE, a Cox multivariate analysis was carried out. We analysed 1521 ABPM values and recorded 33 MACE during a follow-up of 518±120 days; 15 patients suffered a myocardial infarction and 18 patients had a stroke. The mean age of the patients was 59.9±14.2 years, and 49.4% were men. Night-time systolic blood pressure (BP), mean BP and pulse pressure were higher in p...Continue Reading

References

Jun 13, 2003·The New England Journal of Medicine·Denis L ClementUNKNOWN Office versus Ambulatory Pressure Study Investigators
Nov 17, 2010·Hypertension·Tine W HansenJan A Staessen
Sep 26, 2012·Chronobiology International·Roberto ManfrediniFrancesco Portaluppi
Jun 3, 2014·Journal of Hypertension·Gianfranco ParatiYuqing Zhang
Apr 18, 2015·Journal of Hypertension·Mohd S DramanEoin O'Brien
Oct 25, 2016·Blood Pressure Monitoring·Isabel E KennyMai T Lønnebakken
Feb 17, 2018·The Journal of Clinical Hypertension·Praew KotruchinKazuomi Kario
Apr 19, 2018·The New England Journal of Medicine·José R BanegasBryan Williams

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Citations

Aug 25, 2020·Psychosomatic Medicine·Margaret H BublitzGhada Bourjeily
Oct 27, 2020·Chronobiology International·Raquel Del Pozo-ValeroAlicia Rodríguez-Barbero

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