Impact of Ambulatory Blood Pressure Monitoring on Reclassification of Hypertension Prevalence and Control in Older People in Spain

The Journal of Clinical Hypertension
José R BanegasFernando Rodriguez-Artalejo

Abstract

Ambulatory blood pressure monitoring (ABPM) accurately classifies blood pressure (BP) status but its impact on the prevalence and control of hypertension is little known. The authors conducted a cross-sectional study in 2012 among 1047 individuals 60 years and older from the follow-up of a population cohort in Spain. Three casual BP measurements and 24-hour ABPM were performed under standardized conditions. Approximately 68.8% patients were hypertensive based on casual BP (≥140/90 mm Hg or current BP medication use) and 62.1% based on 24-hour ABPM (≥130/80 mm Hg or current BP medication use) (P=.009). The proportion of patients with treatment-eligible hypertension who met BP goals increased from 37.4% based on the casual BP target to 54.1% based on the 24-hour BP target (absolute difference, 16.7%; P<.01). These results were consistent across alternative BP thresholds. Therefore, compared with casual BP, 24-hour ABPM led to a reduction in the proportion of older patients recommended for hypertension treatment and a substantial increase in the proportion of those with hypertension control.

Associated Clinical Trials

References

Apr 2, 2002·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Atsushi HozawaYutaka Imai
May 15, 2003·JAMA : the Journal of the American Medical Association·Katharina Wolf-MaierFenicia Vescio
Jul 10, 2003·JAMA : the Journal of the American Medical Association·Ihab Hajjar, Theodore A Kotchen
Dec 6, 2003·Hypertension·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Sep 29, 2004·Journal of the American Geriatrics Society·Cora McGreevyEamon C Mulkerrin
Jan 18, 2005·Lancet·Patricia M KearneyJiang He
May 11, 2005·American Journal of Hypertension·Iddo Z Ben-DovMichael Bursztyn
Jun 2, 2006·The New England Journal of Medicine·Thomas G PickeringDonald Haas
Nov 1, 2006·Hypertension·José R BanegasUNKNOWN Spanish Society of Hypertension Ambulatory Blood Pressure Monitoring Registry Investigators
Dec 19, 2006·Atencion primaria·Emilio Márquez ContrerasJacinto Espinosa García
Feb 16, 2008·Blood Pressure Monitoring·Paolo VerdecchiaGianpaolo Reboldi
Mar 20, 2008·Age and Ageing·Marian L BurrPatricia McCormack
Aug 14, 2008·Journal of Hypertension·Guillaume BobriePierre-François Plouin
Oct 13, 2009·Medicina clínica·José L LlisterriUNKNOWN en representación de los investigadores del Proyecto CARDIORISC-MAPAPRES. Sociedad Española de Hipertensión-Liga Española pa
Apr 16, 2010·BMJ : British Medical Journal·Geoffrey A HeadUNKNOWN Ambulatory Blood Pressure Working Group of the High Blood Pressure Research Council of Australia
May 27, 2010·JAMA : the Journal of the American Medical Association·Brent M EganR Neal Axon
Jun 4, 2010·Journal of Human Hypertension·G ParatiUNKNOWN ESH Working Group on Blood Pressure Monitoring
Aug 9, 2011·Revista española de cardiología·Fernando Rodríguez-ArtalejoJosé R Banegas
Aug 10, 2011·Nature Reviews. Cardiology·Giuseppe ManciaGuido Grassi
Sep 7, 2012·Journal of the American Society of Hypertension : JASH·Thomas D GilesWilliam B White
Mar 6, 2013·The Journal of Clinical Hypertension·Thomas D Giles, Gary E Sander
Apr 24, 2013·Current Hypertension Reports·Michele BombelliGiuseppe Mancia
Sep 14, 2013·Journal of Hypertension·Eoin O'BrienUNKNOWN European Society of Hypertension Working Group on Blood Pressure Monitoring
Sep 18, 2013·Hypertension·Stanley S FranklinJan A Staessen
Jan 7, 2014·The Journal of Clinical Hypertension·Martin G Myers
Feb 6, 2014·European Heart Journal·José R BanegasBryan Williams

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Citations

Mar 18, 2015·The Journal of Clinical Hypertension·Eoin O'BrienNeil Atkins
Nov 3, 2016·The Journal of Clinical Hypertension·Davide L VetranoGiuseppe Zuccalà
Dec 20, 2016·The Journal of Clinical Hypertension·Eamon Dolan, Eoin O'Brien
Sep 2, 2016·Journal of Hypertension·Mercedes Sanchez-MartínezJosé R Banegas
Jan 23, 2018·Journal of Hypertension·Enrique Martín-RioboóUNKNOWN MAMPA, PAPPS Study Groups
Jul 14, 2018·The Journal of Clinical Hypertension·Eoin O'BrienTakayoshi Ohkubo
Jul 14, 2018·The Journal of Clinical Hypertension·Eoin O'BrienEamon Dolan
Dec 29, 2016·Hypertension·Eoin O'Brien
Feb 6, 2019·The Journal of Clinical Hypertension·Maeve D'Alton, Eamon Dolan
Jan 6, 2017·American Journal of Hypertension·Jan A StaessenEoin O'Brien
Sep 29, 2017·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Mert EsmeMustafa Cankurtaran
Nov 27, 2018·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Francesca MallamaciCarmine Zoccali
Sep 19, 2019·The Journal of Clinical Hypertension·Kazuomi KarioJi-Guang Wang
Jul 9, 2020·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Isabel Cristina BentoSérgio Viana Peixoto
Aug 16, 2018·Revista latino-americana de enfermagem·Aline Alves Dos Santos DulliusFábio de Souza Terra
Dec 16, 2020·The Journal of Clinical Hypertension·Kazuomi KarioJi-Guang Wang
Jan 4, 2021·Atencion primaria·Domingo Orozco-BeltránJorge Navarro Pérez

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